1. Lancashire Fairness Commission Dr. Sakthi Karunanithi Director of Public Health

2. Overview Where does the inequalities agenda feature in Lancashire? What is already happening? Issues for consideration

3. Where does the inequalities agenda currently feature? Almost everywhere! –Health and Wellbeing Board –Children’s Trust –Police and Crime Commissioner’s Plan –Community Safety Strategy –Individual organisational strategies

4. Recession Impacts: Worst yet to come ?

5. Determinants of Inequalities

6. JSNA recommendations Reduce unemployment Increase income and reduce child poverty Strengthen communities Develop skills and lifelong learning Reduce alcohol consumption and tobacco use Increase social support

7. Key issues – Starting well Child poverty Emotional wellbeing Adverse childhood experience Access to opportunities

8. Key issues – living well Jobs and Healthy workplace Housing and benefits Food poverty Relationships Lifelong learning Early detection and management of health risks

9. Key issues – Ageing well Living safe and well, independently Fuel poverty Dementia Social isolation

10. Overarching issues Resource allocation in times of austerity Mobilising community assets Innovative business models to improve public, private and third sector partnership Advocating for national and local policies