Delivery of BHFH requires falls in CVD and cancer Falls in CVD and cancer require not only better treatments but falls in smoking, falls in obesity and increased physical activity
Themes Economy, culture and environment Mental health, happiness and well-being Tobacco Obesity, diet and physical activity Alcohol Prevention, fair and early treatment Early life Mature and working life Later life A good death
Vision The North East will curtail its increase in average body mass index and increase the proportion of people whose weight is within safe limits, eradicating the differential between social groups. The North East population will be the most physically active in the country, both in its activities of daily living and in its recreational choices. The support available for individuals to alter their activity levels will be clearly and fairly defined and will be provided according to individual need.
Review of BHFH later this year – opportunity to think again about what should be there from the perspective of food. Our position at present is not good…
Identifiable Actions to Reduce the 2002- 200404 Gap in Infant Mortality What would work Impact on the 2002-04 gap What would work (percentage points) Reducing conceptions in under 18s in the R&M group by 44% to meet the target Targeted interventions to prevent SUDI by 10% in the R&M group Reducing the prevalence of obesity in the R&M group to 23% Increasing the rate of breastfeeding initiation in the R&M group to those of the non-R&M group from 67% to 83% Immediate actions Optimising preconception care Early booking Access to culturally sensitive healthcare Reducing maternal and infant infections Reducing overcrowding in the R&M group, through its effect on SUDI Reducing the rate of smoking in pregnancy by two percentage points by 2010 Meeting the child poverty strategy Long-term actions Improving maternal educational attainment
Key activities: Governance Research and development, analysis Service redesign & funding Advertising and social marketing Lobbying activity Policies and planning Performance management of services
The Rose Hypothesis “... a large number of people exposed to a small risk may generate many more cases than a small number exposed to a high risk”
..therefore… Our task should not be to focus on outlier groups but to shift population mean behaviours and to narrow the range across which those behaviours are distributed.
The North East will have the best and fairest health and well-being, and will be recognised for its outstanding and sustainable quality of life.