Transcript lphn.lshtm.ac.uk

Health inequalities post 2010
review – implications for action
in London
London Teaching Public Health Network
“Towards a cohesive public health system
for London” event - 6th October 2009
Mike Grady, National Review Team
Helen Davies, Greater London Authority
Reduce health inequalities and
improve well-being for all.
Policy Goals
Create an enabling society that
maximises individual and
community potential from the
outset.
Ensure social justice, equity
and sustainability are at heart of
policies with a focus on social and
material inequalities.
Policy Objectives
1) Give every
child the best
start in life
before school
age.
2) Give all the
chance to
develop skills
and
opportunities
to control their
life chances.
3) Create fair
employment
and decent
work for all.
4) Ensure
healthy
standard of
living for all.
5) Create and
build communities
and places that
give people the
control needed to
live physically and
mentally healthy
lives.
Equality and health equity in all policies.
Effective evidence-based delivery systems
6) Strengthen
the role and
impact of
prevention.
Major issues
• Partnership and collaborative leadership in a complex,
adaptive system.
• Creating conditions where people and communities take
control – engagement and development.
• Scaling up Partnership impact.
– LSP status and function.
– Total place pilots?
• Make effective use of intelligence
• Joint teams to streamline delivery and simplify
accountability
• Setting appropriate timelines
• Action Planning
The London Health Inequalities Strategy
- draft for public consultation (Aug 2009)
High level ambitions for London HIS
Improve the health of all Londoners; promoting both
mental and physical well-being
Reduce the gap between Londoners with the best and
worst health outcomes
Promote the economic, social and environmental
changes that will improve quality of life for all Londoners
Empower individuals and communities to take control of
their lives and make healthier choices, with a particular
focus on the most disadvantaged
The Challenge
Summary of London strategy objectives
1)
Empowering individuals and communities to improve health and
well being
2) Improving access to high quality health and social care services
3) Reducing income inequality and the negative consequences of
relative poverty
4) Increasing the opportunities for people to access the potential
benefits of work and other forms of meaningful activity
5) Developing and promoting London as a healthy place for all
With knowledge and learning as cross-cutting theme.
What we are trying to achieve
Empowering individuals and communities
A1: Promote early years development and young people’s emotional health
A2: Increased investment in life long learning and life skills training
A3: More opportunities to adopt healthier lifestyle
A4: Improve distribution of health and well being information and health
awareness
A5: Share learning from community led initiatives
A6: Support the role of the Voluntary and Community Sector
A7: Develop, apply and promote good examples of effective community
engagement.
Equitable access to high-quality
health and social care
A8: Lobby for a fair share of resources for London’s health and social care
services
A9: More equitable allocation of resources and more accessible facilities across
London
A10: Local political leadership to champion action on health inequality,
including supporting initiatives to improve commissioning of health and social
care for most disadvantaged or excluded Londoners.
A11: Improve accessibility and invest in advocacy, information, advice and
language support.
A12: Tracking and monitoring access of services with partners.
Income inequality and health
A13: Tackle unemployment through the implementation of the Economic
Development Strategy, Skills Strategy, and Economic Recovery Action Plan
A14: London campaign on income maximisation – awareness of entitlements,
benefit take up, debt management advice, financial literacy.
A15: Bring together work in child poverty, London Living Wage etc to consider
level of income necessary for a health lifestyle.
A16: Support initiatives that encourage healthy lifestyles for people on low
incomes.
Health, work and well being
A17: Promote investment in health at work, building employee and management
capacity for promoting mental and physical well being.
A18: Improve retention and in work support for disabled people and those with
mental or physical health problems.
A19: Support development return to work programmes.
A20: Support home based workers including carers.
A21: Recognise and encourage volunteering as way of supporting vulnerable
groups.
Healthy places
A22: Create healthier and safer environments for all, in new and existing
neighbourhoods.
A23: Work with boroughs and planners to ensure health inequalities are
considered in major planning applications.
A24: New and improved facilities for sport, walking, cycling, play and other forms
of physical activity.
A25: Encourage Londoners to use and enjoy their parks and natural green spaces.
A26: Ensure that activities across the GLA Group and local authorities are aligned
to improve physical environments in areas with the poorest levels of health.
Knowledge and learning
A27: Support the building of a comprehensive evidence base.
A28: Develop and apply best available tools to assess health inequalities
implications of public policies and decisions.
A29: Support local elected leadership by ensuring they are able to access
relevant information.
A30: Make knowledge and learning accessible to a wider range of
partners and build capacity for action to promote health and reduce
health inequalities.
Key consultation questions:
• Are these the right actions and proposals?
• Is there more the Mayor can do?
• What else could regional partners do to support local actions?
• How do you think we should judge our success?
 Email your responses by 10th January 2010 to
[email protected]
 Copies of strategy and supporting documents at
www.london.gov.uk/mayor/priorities/health/
health-strategy.jsp