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

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

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.

“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

EMERGING MESSAGES

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

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.

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

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

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

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

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

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

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

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

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

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

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.