Presentation on theme: "Health Inequalities in the New Public Health System"— Presentation transcript:
1Health Inequalities in the New Public Health System 28th February 2012Dr Jessica AllenDeputy DirectorMarmot Review TeamInstitute of Health EquityUCL
2New Public Health System Move to local authoritiesMoney?Focus – health services or SDH?LeadershipCCGs?Population focus? – registrationFunding?Health inequalities?NHS Workforce?
3Health and Wellbeing Throughout Life Empowering Local Government and CommunitiesTaking a life course approachGiving every child the best start in lifeMaking work payDesigning communities for active aging and sustainability.Collaborative working with business and the voluntary sectorA new public health system with strong local and national leadership.Minimum Income for Health Living?
5Approach for new public health system tackling health inequalities
6Fair Society, Healthy Lives (The Marmot Review) Health inequalities are not inevitable or immutableHealth inequalities result from social inequalities - ‘causes of the causes’ – the social determinantsFocusing solely on most disadvantaged will not be sufficient - need ‘proportionate universalism’Reducing health inequalities vital to economy - cost of inaction
8Strategic Drivers: 6 key policy objectives of Fair Society, Healthy Lives. Give every child the best start in lifeEnable all children, young people and adults to maximise their capabilities and have control over their livesCreate fair employment and good work for allEnsure healthy standard of living for allCreate and develop healthy and sustainable places and communitiesStrengthen the role and impact of ill health prevention
9Policy Development and delivery – all levels Cross government and cross-sectoralProportionate universalHealth equity in all policiesInternational, national and local – multi levelled approachPartnership workingInvolving communitiesPublic health leadership
11X Framework Early Years Prevention and Regulation E.g. Smoking ban in public places.Standard of LivingE.g. Tackling debt problems.Employment and WorkE.g. Address stress at work.Communities and PlacesE.g. Reducing environmental inequalities.Delivery systemE.g. BLT StrategyE.g. Advertising campaignsE.g. Free NRTDelivery systemE.g. Feeling good about where you liveEducation and Skill DevelopmentE.g. Reduce the number of NEETs.E.g. Weight management programmesDelivery systemE.g. Swansea and WrexhamE.g. 5-a-day campaignXE.g. Stop smoking programmesE.g. School educational programmesDelivery systemE.g. Birmingham Brighter FuturesDownstream interventionsEquityE.g. Reducing population groups’ differences in PPHCsEarly YearsE.g. Increase children and family services.Framework
12The risk of fuel poverty according to household income, England 2009
14Educational attainment is a predictor of health outcomes. Higher educational attainment is associated with healthier behaviour.There is a gradient in limiting illness by level of educational attainment.There is a gradient in mortality by educational attainment.Education and Skills
17Local GovernmentComplex, disparate and diverse systems of Local Government.Focus on needs of local population and place.Differing capacities to orchestrate action to address the social determinants of health.
18How? Whole System Leadership. Involving elected members Public health in all sectors - Links with other sectorAreas of focus – early years, transport, planning, education, fuel poverty etc.Co-productionIncreasing participation and empowering communities.
19Creating conditions in which individuals and communities have control over their health and lives and participate fully in society.