1. Your Health Your Environment Sarah James Environmental Health Manager Watford Borough Council Sandra Hone Public Health Improvement Officer Welwyn Hatfield Council

2. Jim’s aim: “That we work together to turn an army of volunteers stakeholders and professionals across Hertfordshire into a health promoting army’’ Our aim: You arrive as a member of your own discipline but leave as part of the public health army! No pressure then!

3. Bringing the social model of health to the table Who is here? Developing a better understanding about the people around the table Where are the links? Developing a better understanding of the links between our roles and the prevention of ill health How do we work together for PH? The value of sharing information Working together to make a difference

4. Cross County or not ?

5. Prevention of ill health is everyone’s business - Only 20% of health is attributable to NHS services.

6. Getting started – whose here? On your table…… Introduce yourselves, who are you what does your role involve? Looking at the wider determinants slide on the table, discuss where you fit in this social model.

7. Consequences *Lost health potential *Long standing illness and disability *Premature death Outcomes *Circulatory diseases *Accidents *Cancers *Mental illness Causes *Smoking *Substance misuse *Poor diet *Lack of exercise *Sexual practices *Risk taking behaviour Causes of causes *Poverty *Unemployment *Housing *Transport *Environment *Discrimination *Social exclusion Pathways to poor health and inequalities

8. Environmental Health Food safety Health and safety at work Noise Pest control Pollution Comment on planning consultations and license applications Work in partnership to prevent homelessness and illegal eviction Litter and environmental crime (dumped rubbish) Housing enforcement – private sector rented HMOs

9. A property approach: Repair the obvious defects and leave. The person centered approach: Who lives here? How do the defects affect their health or safety? Other agencies? Leaking roof Single glazed windows Broken boiler overcrowding Dealing with the causes of the causes of ill health Excess cold Leaking roof

10. A wild scenario?

11. Where? Where are the links between our roles? Partnership working

12. You don’t need to eat the elephant all at once A toe nail will do....... Its too big You may not have the whole picture You don’t have any partners yet Starting small may provide good evidence for the way forward Other people may have already eaten their elephant can we learn from them? Big game shooter may be outflanked by subtle local arrow.

13. January 31, 1983 The law on seat belt wearing came into force. drink driving 1967 legal limits set CHANGE

14. The public health jigsaw Information sharing Partnership working Risk taking Innovation Together better Working smarter

15. Activity Consider the real life scenario on your table, as an army, how can you startto make a difference together?

16. The scenario Small town centre needs redevelopment - former industrial site Delays due to financial pressures Closed shops Charity and £ shops opened Too many fast food outlets opened Minor drug use and antisocial behavior Run down residential premises above shops Air quality management area Poor lighting Rubbish accumulations Supportive and cohesive local community Low paid jobs and no affluence in the community Task Using the skills and roles round the table: 1. Identify a couple of quick wins 2. Identify an achievable longer term partnership project 3. Identify who else needs to join your partnership

17. Coming together is a beginning; keeping together is progress; working together is success. Henry Ford

18. Thank you By the left….!

19. Sarah James Environmental Health Manager Watford Borough Council sarah.james@watford.gov.uk Sandra Hone Public Health Improvement Officer Welwyn Hatfield Council s.hone@welhat.gov.uk