1. Building on Strengths of Health and Wellbeing Strategies in the North East of England Alyson Learmonth, Honorary Senior Lecturer, Durham University Making HWB Strategies Work to Deliver Improved Health Fuse Complex Systems Research 5 th February 2015

2. How can our HWB Strategies address the short medium and long term? A - Short Term e.g. effective management of long term conditions, health checks, tobacco control, physical activity B - Medium Term e.g. strengthen primary care, education, housing, community Engagement, transport C - Long Term Place Shaping e.g. spatial planning, cultural change etc. 2010201520202025 A B C

3. Building on strengths of the HWBS in the NE: priority subject areas Subject area (n=12)FrequencyRank Children to have the best start in life 121 Early death/life expectancy/ inequalities 112 Emotional health and wellbeing 7=3 Health improvement/physical wellbeing 7=3

4. Building on strengths of the HWBS in the NE: wider determinants Key wordFrequency of references Rank Employment1371 Housing862 Social factors63=3 Social isolation/inclusion 63=3 Sustainability545 Place506 Transport347 Resilience288 Anti-social279 Welfare reform2310

5. Consultation process Sept 2014- Feb15 30 th September fuse members identified interest across all 6 themes 31 st October Health Summit brokering evidence through partnerships is important to help a quick coherent response to problems 9 th December PHINE workshop agreed HIA form part of a complex systems approach 16 th January Directors of Public Health supported a Learning Network including CCGs Today is the conclusion of the Consultation Process, and the offer we are going to discuss in the plenary session.

6. fuse 6 research themes Healthy ageing research programme Early life and adolescence Behaviour change Health inequalities Translational research Complex systems

7. Roundtable issues for debate (2) Do we want peer learning network to build on strengths? How are some LAs creating transformational change? Do we need capacity building across the whole local authority including members?

8. Roundtable issues for debate (3) What can we learn about using impact assessment (including health) as part of a strategic approach to shape places? What has been the impact of using prioritisation tools e.g. fuse research programme ‘Shifting the Centre of Gravity of Spend’?

9. Roundtable issues for debate (4) How do we measure well-being? What are some indicators? How can we measure the impact of austerity? How can we involve CCGs, policy and practice?

10. Roundtable issues for debate (5) What might collaborative work around health inequalities involve? What might collaborative work around children and young people involve? How are HWBS working to create fair employment and a healthy standard of living?

11. Complex systems A tropical rainforest is a metaphor for a complex system Discussion What would a knowledge to action group around HWB Strategies look like? Do we want one?