1. Deprivation, Poverty and Public Health Lucy Macleod, Interim Director of Public Health

2. www.equalitytrust.org.uk Wilkinson & Pickett, The Spirit Level Life expectancy in rich countries is no longer related to National Income per head 2

3. Richest Poorest Wilkinson & Pickett, The Spirit Level www.equalitytrust.org.uk Life expectancy is strongly related to income within rich countries 3

4. Income gaps How many times richer are the richest fifth than the poorest fifth? Wilkinson & Pickett, The Spirit Level www.equalitytrust.org.uk Inequality... How much richer are the richest 20% in each country than the poorest 20%? 4

5. www.equalitytrust.org.uk Wilkinson & Pickett, The Spirit Level Neither health nor social problems are related to national income per head Index of: Life expectancy Math & Literacy Infant mortality Homicides Imprisonment Teenage births Trust Obesity Mental illness – incl. drug & alcohol addiction Social mobility Index of health and social problems 5

6. Wilkinson & Pickett, The Spirit Level Index of: Life expectancy Math & Literacy Infant mortality Homicides Imprisonment Teenage births Trust Obesity Mental illness – incl. drug & alcohol addiction Social mobility www.equalitytrust.org.uk Health and social problems are worse in more unequal countries Index of health and social problems 6

7. www.equalitytrust.org.uk Wilkinson & Pickett, The Spirit Level The UNICEF Index of Child Wellbeing is not related to National Income per head 7

8. www.equalitytrust.org.uk Wilkinson & Pickett, The Spirit Level Child well-being is better in more equal countries 8

9. www.equalitytrust.org.uk Wilkinson & Pickett, The Spirit Level Mental illness is more common in more unequal societies 9

10. www.equalitytrust.org.uk Wilkinson & Pickett, The Spirit Level Imprisonment rates are higher in more unequal countries 10

11. Impacts of Poverty Restriction of choice Disempowerment Dignity and self respect Marginalisation Stigma Biological 11

12. Outcomes of Poverty Poorer general health Poorer mental health Earlier disability Earlier death Health and wellbeing burden to individuals and families Treatment and cost burden to society 12

13. Norfolk at Present About 11% of the population are in the most deprived group in England Child poverty significantly higher than the national average for Norwich and Great Yarmouth. Great Yarmouth has the highest inequality in child poverty across Norfolk and Waveney (6.5% - 49%) Over a quarter of households in North Norfolk are estimated to be fuel poor. Fuel poverty ranges from over 40% of households for an area in West Norfolk to about 10% for an area in Broadland. 13

14. Long Term Unemployment in Norfolk Long Term Unemployment December 2010 Dec 2011 Local Worst Local Best Breckland 10.6 1.5 Broadland 245 3.5 7.4 5.4 1.6 Great Yarmouth 655 11.7 7.4 35.0 2.7 King's Lynn and West Norfolk 490 6.2 7.4 16.4 1.4 North Norfolk 265 5.1 7.4 8.3 2.7 Norwich 995 10.0 7.4 17.9 2.5 South Norfolk 250 3.6 7.4 6.4 0.9 Waveney 470 7.2 7.4 25.3 2.0 Norfolk 3,270 6.5 7.4 35.0 0.9 England Average 7.4 Claimant count (rounded to the nearest 5) for Jobseekers Allowance, working age claiming for more than 12 months, crude rate per 1000 resident working age population. Working age is defined as females aged 16 to 59 and males aged 16 to 64. Source: NOMIS 14

15. Male Disability Free Life Expectancy in Norfolk Male Disability Free Life Expectancy at Birth 1999 to 2003 Local Worst Norfolk and Waveney Range Local Best Breckland 59.165.9 Broadland 62.868.0 Great Yarmouth 50.264.5 King's Lynn and West Norfolk 52.766.6 North Norfolk 59.566.5 Norwich 53.667.1 South Norfolk 64.168.0 Waveney 54.965.4 Norfolk 50.268.0 England Av 61.7 15

16. Other Measures MeasureNorfolk BestNorfolk WorstEngland Average Male Life Expectancy # 83.771.378.6 Female Life Expectancy # 90.477.582.6 Male Deaths under 75 * 151.5695.4345.5 Female Deaths under 75* 97.8428.1219.5 * 2008-10 DSR # 2008-10 16

17. Mitigation Equitable Provision Better access to support Coping strategies – reaffirmation of humanity, empowerment, control Improved default Measuring, monitoring, engaging, advocacy 17