The new landscape for health and wellbeing

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The new landscape for health and wellbeing

• Liam Hughes, National Adviser
• For Healthy Communities
• 8th April 2008 SSRG Annual Workshop

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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

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The new policy landscape

• People and places
• Productivity and results
• Horizontal and vertical
• (partnerships and pathways)

Totally engaged
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The story of this place

• Sustainable Communities Strategy
• PCT Prospectus and Local Development Plan
• Joint Strategic Needs Assessments
• - information, evidence, analysis
• - 3 to15yr perspectives

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Triangulation of inputs

• information and evidence
• professional opinion
• patient and public views
• political perspectives

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The core data set

• Public health observatories
• Demography
• Social and environmental context
• Lifestyle
• Burden of ill-health and disability
• Services and gaps

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Outputs

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

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Setting JSNA priorities

• The governance framework
• Inter-organisational politics
• Intra-organisational politics
• Limiting the agenda?
• Pre-selecting the options
• (Example COPD)

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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

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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

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Some concerns

• Central government will be more hands off,
  except when it wont !
• Play safe and avoid hard targets
• We concentrated on those in greatest need, and
  other people felt neglected
• My assessment depends on your performance?!

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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

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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

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New challenges

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

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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_at_idea.gov.uk

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