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The new landscape for health and wellbeing

The new landscape for health and wellbeing. Liam Hughes, National Adviser For Healthy Communities 8 th April 2008 SSRG Annual Workshop. Data, information and priorities. The new policy framework Assessment of need and performance Local area agreements Some challenges and concerns

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The new landscape for health and wellbeing

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  1. The new landscape for health and wellbeing Liam Hughes, National Adviser For Healthy Communities 8th April 2008 SSRG Annual Workshop

  2. Data, information and priorities • The new policy framework • Assessment of need and performance • Local area agreements • Some challenges and concerns (Back to the future (1) - 1975!)

  3. The IDeA and the Healthy Communities Programme • IDeA – improving local government • The Healthy Communities Programme • Local government and public health • Beacons for health: - Coventry -Derwentside -Greenwich -Merseyside Fire and -Sheffield Rescue -Sunderland

  4. Excellent councils: • Leadership and partnership • Community engagement • Creativity and innovation • Comprehensive and systematic approach • Information in depth • Performance development • Good outcomes

  5. The new policy landscape • People and places • Productivity and results • Horizontal and vertical (partnerships and pathways) “Totally engaged”

  6. The story of this place • Sustainable Communities Strategy • PCT Prospectus and Local Development Plan • Joint Strategic Needs Assessments: - information, evidence, analysis - 3 to15yr perspectives

  7. Triangulation of inputs • information and evidence • professional opinion • patient and public views • political perspectives

  8. The core data set • Public health observatories • Demography • Social and environmental context • Lifestyle • Burden of ill-health and disability • Services and gaps

  9. Outputs • Agreed priorities • Feed-in to LAA and other plans • Common appreciation of problems and dilemmas • Materials for political debate

  10. Setting JSNA priorities • The governance framework • Inter-organisational politics • Intra-organisational politics • Limiting the agenda? • Pre-selecting the options (Example: COPD)

  11. Local area agreements • 35 plus 16 from198 ( which ones and why?) • Sea-change for health • Risk and ambition? • Negotiations within the LSP and with government office

  12. Comprehensive Area Assessments • Evaluation of partnership performance • “Improvement notices”? • Annual joint inspectorate risk assessments • “Place Surveys” and public expectations • Prospects for the area and the quality of life for local people

  13. Some concerns • “Central government will be more ”hands off”, except when it won`t !” • “Play safe and avoid hard targets” • “We concentrated on those in greatest need, and other people felt neglected” • “My assessment depends on your performance?!”

  14. Regional improvement and efficiency partnerships • “We are here to help – all of us, honestly!” • “Of course, it is your responsibility to do that better!” • “We share the same objectives, really!” • “When budgets are tight, we will hit our targets”

  15. Health improvement and inequalities • National health improvement – shifting the mean! • Inequalities – removing the tail! • Changing the local geography • Spearheads and local inequalities • Gender, class, ethnicity, social exclusion

  16. New challenges • Poor emotional health • Obesity and alcohol • Active ageing and integrated long-term care • Housing • The efficiency dividend

  17. IDeA Healthy Communities Programme • Knowledge • Peer reviews and leadership development • Regional and sub-regional • Thematic work-streams : mining and industrial, coastal, deep rural • New work on planning and housing liam.hughes@idea.gov.uk

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