Lancashire Fairness Commission Dr. Sakthi Karunanithi Director of Public Health

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

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

Recession Impacts: Worst yet to come ?

Determinants of Inequalities

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

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

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

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

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