1. Health & Sustainability Hub
Cathy Weatherup
Strategic Lead
Health & Sustainability Hub
Public Health Wales

2. Implementing the Well-being of Future Generations (Wales) Act
Legislation to make sustainable development the central organising principle of the Welsh Government and public bodies in Wales.
1998
Government of Wales Act
S.121 “Sustainable Development”
2006
Government of Wales Act
s.79 “Sustainable Development”
s.60 “well-being”
2015
Well-being of Future Generations (Wales) Act

3. What led to the Act
Short term thinking, not thinking about the long term.
Working in policy and organisation silos.
Separate solutions to common problems.
Greater awareness of connections between issues (environment, economy, society).
Needs of whole populations.
Long term trends and challenges.

4. “The Wales We Want”: National Conversation
Informed the development of the WFG Act
Almost 6,500 individuals took part
Over 100 conversations across Wales
Around 1,000 responses (reports, videos, postcards, drawings and surveys)
Supported by Welsh actor and UNICEF supporter, Michael Sheen

5. EMERGING MESSAGES

6. Economic, social, environmental and cultural well-being of Wales
Well-being Goals
Economic, social, environmental and cultural well-being of Wales
Population based
Collective responsibility for health
Socio-economic and wider determinants of health & disease
Partnerships with all those who contribute to population health

7. Description of the goal
Well-being Goal
Description of the goal
A prosperous Wales
An innovative, productive and low carbon society which recognises the limits of the global environment and therefore uses resources efficiently and proportionately (including acting on climate change); and which develops a skilled and well-educated population in an economy which generates wealth and provides employment opportunities, allowing people to take advantage of the wealth generated through securing decent work.
A resilient Wales
A nation which maintains and enhances a biodiverse natural environment with healthy functioning ecosystems that support social, economic and ecological resilience and the capacity to adapt to change (for example climate change).
A healthier Wales
A society in which people's physical and mental well-being is maximised and in which choices and behaviours that benefit future health are understood.
A more equal Wales
A society that enables people to fulfil their potential no matter what their background or circumstances (including their socio economic background and circumstances).
A Wales of cohesive communities
Attractive, viable, safe and well-connected communities.
A Wales of vibrant culture and thriving Welsh language
A society that promotes and protects culture, heritage and the Welsh language, and which encourages people to participate in the arts, and sports and recreation.
A globally responsible Wales
A globally responsible Wales. A nation which, when doing anything to improve the economic, social, environmental and cultural well-being of Wales, takes account of whether doing such a thing may make a positive contribution to global well-being.

8. 5 Welsh Ways of Working Long-term Prevention Integration Collaboration
We plan for the long-term
Prevention
This means we are able to spot challenges earlier and take preventative action
Integration
We realise that all things are inter-connected and so we plan and deliver in an integrated way
Collaboration
By taking an integrated approach, we realise the value of co-operating and collaborating with others
Involvement
This leads us to involve the people who use our services and the staff who deliver them

9. Public bodies 44 Welsh Ministers Natural Resources Wales
National Museum of Wales
Arts Council of Wales
Sports Council of Wales
National Library of Wales
Higher Education Funding Council
Public Health Wales
Velindre NHS Trust
Local Health Boards (7)
Fire and Rescue Authorities (3)
National Park Authorities (3)
Local Authorities (22) 44

10. what Welsh Govt. has to do
Well-being duty –
what Welsh Govt. has to do
Ministers will set well-being objectives explaining how we will maximise our contribution to each of the well-being goals (successor to current Programme for Government)
Take all reasonable steps to meet our objectives
Take account of the Sustainable Development Principle
Report annually on our progress (successor to current Programme for Government Reporting)
Respond to challenge from the Auditor General for Wales and the Future Generations Commissioner

11. All Wales (population) Level Wales (population) Level
Tell us how Wales is doing
Well-being Goals
Public Services
Shared Purpose: Shared Future
Everything we do must be aimed at improving these
National Indicators and Milestones
Understanding Wales’ Future
(Future Trends Report)
Wales we Want
Wales we have
Wales we may get
Individual and Collective Roles
Contribute towards
Public body objective setting 
Public Services Boards objective setting 
We set objectives to maximise our contribution to the goals
National Accountability
Welsh Ministers will be interested in how well Public Sector bodies are achieving their strategic objectives
stories
Service
Level
Contribute towards
Local Accountability
Public service leaders (Political and Executive) will be interested in how well their organisation is doing in achieving their organisational objectives

12. Architecture Interactive
WELL-BEING GOALS
A sustainable Wales
A healthier Wales
A Wales of cohesive communities
A more equal Wales
A prosperous Wales
A resilient Wales
A Wales of vibrant culture and thriving Welsh language
A globally responsible Wales
PROGRESS
National Indicators and Milestones
Duty: Each public body must carry out sustainable development
This must include setting well-being objectives
Local well-being plan
Assessment of Local Well-being
Community Councils
Public Services Boards
WHO
Public Service Organisations:
Welsh Government
National Museum
Arts
Council
Sports
Wales
National Library
HEFCW
Velindre
NHS Trust
Public Health Wales
National Park Authorities
Natural Resources Wales
Fire & Rescue
Authority
Local Authorities
Local Health Boards
Long-term
Integration
Collaboration
Prevention
Involvement
HOW
Sustainable Development Principle
TRENDS
Future Trends Report
TRANSPARENCY
Better information
Annual reporting
Statement
Responding to the Commissioner
EXAMINATIONS
Auditor General for Wales
Examinations
SUPPORTING THE CHANGE
Future Generations Commissioner for Wales
Advice
Review powers
Recommendations
Long term
Future Generations Report
Advisory Panel
Monitor

13. Intended effect Stronger governance for the long term
A Welsh society’s commitment to a better quality of life for future generations
Shared aim – improving the economic, social, environmental and cultural well-being of Wales
Stronger governance for the long term
Better decision making focusing on outcomes
Large-scale change
Top-down approach
Spectrum of response - poverty and inequalities, austerity measures, variation across localities
Long term thinking – transcending political cycles  
Traditional thinking and breaking down silos internally; creates new ‘organisational’ silos, e.g. Public Services Boards
Meaningful engagement of all staff, partners and the public; requires partnership and sharing (co-production)
Communications; integration of issues - climate change and food resilience
Not about tweaking; shaping not justifying
The principles of good governance
Legitimacy and voice: that all stakeholders be included in a legitimate process of development
Direction: that a clear vision is set
Performance: that a measurable process and outcomes are set
Accountability: that all relevant sectors are accountable for shared goals
Fairness: that the governance systems proposed involve equitable processes backed by legislation
Source: Graham, Amos and Plumptre, Principles for good governance in the 21st century

14. The principles of good governance
Legitimacy and voice: that all stakeholders be included in a legitimate process of development
Direction: that a clear vision is set
Performance: that a measurable process and outcomes are set
Accountability: that all relevant sectors are accountable for shared goals
Fairness: that the governance systems proposed involve equitable processes backed by legislation
Source: Graham, Amos and Plumptre, Principles for good governance in the 21st century

15. Localisation of the 2030 Agenda
•Integration of SDGs into national visions, programmes, strategies activities
•National development strategies
•National target setting
•Establishment of institutional mechanisms
•Engagement of stakeholders
•Reporting-on a voluntary basis

16. Enablers Devolution history
Experience and ‘tradition’ of sustainable dev.
Political leadership and commitments
-transparent and strong; using community delivery
-enthusiasm of public bodies to embrace the Act
Continuity and
expertise across the civil service
Public engagement and involvement
Alignment to intl. action through the UN SDGs
Recognition of Wales’ assets; our natural, cultural and community resources

17. Responding to the Well-being of Future Generations Act
Board support
Set up the Health and Sustainability Hub
Understand our baseline position
Raising awareness and understanding of the Act
Adapting systems to apply the Act
The hub has been set up by PHW – it has the support of the Board and the executive team and has unique role to help both the organisation and the wider public health system understand and adapt to the requirements of the Act. One of the first actions for example, the Hub undertook was to commission a baseline assessment of the organisational readiness to respond, which included an
on-line staff survey of the organisation’s ‘cultural’ readiness for the Act
an audit at directorate level to assess the organisation’s current contribution to the National Well-being Goals and Ways of Working
A survey of corporate leads and
External engagement with Public Health Wales (PHW) partners on how the Act will impact on partnership work and their perception of PHW’s response to the Act
The hub now has a role to help support the recommentations of how the organisation to respond to the Act in terms of corporate functions and organisational culture

18. Priorities of the Hub
Support PHW to implement the WFG Act and be an exemplar organisation
Support PSBs to maximise the potential to improve health and well-being
Develop and build on strategic links with stakeholder organisations, across different sectors, to maximise the potential of the Act
Provide specialist Public Health support and advice to the Future Generations Commissioner, the Auditor General for Wales and Welsh Government
Take forward the Hub’s role supporting Environmental Sustainability
The aims of the Hub are two fold – to support the implementation of the WBFG Act and to maximise opportunities to integrate public health within broader policy and practice
Essentially our priorities are about building capacity and supporting system change within and beyond PHW
This includes working with the wider NHS to identify and maximise health and wellbeing opportunities
Supporting /facilitating intersectoral working for example through the national bodies covered by the Act and building networks such as the Public Services Board network and the public health support network
So as an example of how we are supporting the public health teams that have been involved in well being assessments we are undertaking a primary analysis of all the wellbeing assessments looking specifically at future trends. We are analysing where assessments have talked about smoking trends, obesity trends and other key public health factors, and are also examining where issues that may affect future trends, such as Brexit, have been raised.
We are also completing a primary analysis of the assessments looking specifically at where health intelligence products have been utilised to inform the assessments such as using the Public Health Outcomes Framework or the Projection tools produced by the Public Health Observatory.
all of this work will be reviewed and summarised and feedback to the Public Health community and Public Service Boards as part of a national learning event being organised by the Office of Future Generations in July.