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National Leading Health and Wellbeing Programme 2013/14 Post Marmot - Social Inequalities in Health and Wellbeing

National Leading Health and Wellbeing Programme 2013/14 Post Marmot - Social Inequalities in Health and Wellbeing. Hilton York 7 th November 2013 Dr Mike Grady. Principal Adviser. Institute of Health Equity. University College London.

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National Leading Health and Wellbeing Programme 2013/14 Post Marmot - Social Inequalities in Health and Wellbeing

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  1. National Leading Health and Wellbeing Programme 2013/14Post Marmot - Social Inequalities in Health and Wellbeing Hilton York 7th November 2013 Dr Mike Grady. Principal Adviser. Institute of Health Equity. University College London.

  2. Review of the Social Determinants of Health and the Health Divide in the WHO European Region The CSDH – closing the gap in a generation The Marmot Review – Fair Society Healthy Lives

  3. Social justice Material, psychosocial, political empowerment Creating the conditions for people to have control of their lives Key principles www.who.int/social_determinants

  4. Persistence of health inequities in Sweden The health divide and health inequities, males The widening of health inequities in the Russian Federation

  5. Areas for action – emphasizing priorities • The review grouped its recommendations into four themes • Action is needed on • all four themes.

  6. Themes from the review • Human rights „„ • Resilience of individuals and communities - empowerment is central • Every stage of the life course • Protect future generations from social and economic inequities • Ensure intergenerational equity „„ • Joined -up action is needed • Proportionate universalism

  7. Fair Society: Healthy Lives: 6 Policy Objectives • Give every child the best start in life • Enable all children, young people and adults to maximise their capabilities and have control over their lives • Create fair employment and good work for all • Ensure healthy standard of living for all • Create and develop healthy and sustainable places and communities • Strengthen the role and impact of ill health prevention

  8. Provide universal good quality Early years child care Education Work Michael Marmot

  9. What is detrimental to my wellbeing and health What enhances my wellbeing and health Lack of interesting activities in winter Recycling facilities Green spaces that I can use Poor local job prospects Affordable healthy food Poor street lighting and uneven pathways Affordable transport Spending time with my neighbours Soaring fuel bills and poor insulation

  10. THE NEW SIMPLIFIED HEALTH AND SOCIAL CARE SYSTEM

  11. Health and Social Care Act 2012 • Legal duties to reduce health inequalities for the first time • Public Health transfers to Local Authorities • Health and Well Being Boards in operation • Platform for joining up health services, social care services and health-related services at local level

  12. HEALTH AND WELLBEING BOARD PRIORITIES 2013 Health and Wellbeing Boards: One Year on: Humphries R and Galea A: October 2013:Kings Fund London.

  13. Health,Wellbeing and resilience • Evidence participation and improving life skills ameliorates impact of health inequalities. (Bynner and Parsons 2006) • Learning and skill development impact positively and fosters community action. “I don’t know what makes other people healthy but I know what makes me healthier and that is being happy and having friends.” (Susanne) • Social networks create the conditions in which people thrive “I would say that people in the group have more confidence. At one poInt they would have been sat at home doing nothing ,now they are out and are involved. Once you get there it ‘s amazing to see how far you can go.” (Joyce)

  14. Draft Big Lottery Fund National Wellbeing Evaluation. CLES and NEF 2013

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