Health inequalities post 2010 review – implications for action in London London Teaching Public Health Network “Towards a cohesive public health system for London” event - 6 th October 2009 Mike Grady, National Review Team Helen Davies, Greater London Authority

2) Give all the chance to develop skills and opportunities to control their life chances. Policy Objectives Effective evidence-based delivery systems Reduce health inequalities and improve well-being for all. Policy Goals Create an enabling society that maximises individual and community potential from the outset. Ensure social justice, equity and sustainability are at heart of policies with a focus on social and material inequalities. 5) Create and build communities and places that give people the control needed to live physically and mentally healthy lives. 4) Ensure healthy standard of living for all. 3) Create fair employment and decent work for all. 1) Give every child the best start in life before school age. Equality and health equity in all policies. 6) Strengthen the role and impact of prevention.

Major issues Partnership and collaborative leadership in a complex, adaptive system. Creating conditions where people and communities take control – engagement and development. Scaling up Partnership impact. –LSP status and function. –Total place pilots? Make effective use of intelligence Joint teams to streamline delivery and simplify accountability Setting appropriate timelines Action Planning

The London Health Inequalities Strategy - draft for public consultation (Aug 2009)

 Improve the health of all Londoners; promoting both mental and physical well-being  Reduce the gap between Londoners with the best and worst health outcomes  Promote the economic, social and environmental changes that will improve quality of life for all Londoners  Empower individuals and communities to take control of their lives and make healthier choices, with a particular focus on the most disadvantaged High level ambitions for London HIS

The Challenge

Summary of London strategy objectives 1)Empowering individuals and communities to improve health and well being 2)Improving access to high quality health and social care services 3)Reducing income inequality and the negative consequences of relative poverty 4)Increasing the opportunities for people to access the potential benefits of work and other forms of meaningful activity 5)Developing and promoting London as a healthy place for all With knowledge and learning as cross-cutting theme.

What we are trying to achieve

Empowering individuals and communities A1: Promote early years development and young people’s emotional health A2: Increased investment in life long learning and life skills training A3: More opportunities to adopt healthier lifestyle A4: Improve distribution of health and well being information and health awareness A5: Share learning from community led initiatives A6: Support the role of the Voluntary and Community Sector A7: Develop, apply and promote good examples of effective community engagement.

Equitable access to high-quality health and social care A8: Lobby for a fair share of resources for London’s health and social care services A9: More equitable allocation of resources and more accessible facilities across London A10: Local political leadership to champion action on health inequality, including supporting initiatives to improve commissioning of health and social care for most disadvantaged or excluded Londoners. A11: Improve accessibility and invest in advocacy, information, advice and language support. A12: Tracking and monitoring access of services with partners.

A13: Tackle unemployment through the implementation of the Economic Development Strategy, Skills Strategy, and Economic Recovery Action Plan A14: London campaign on income maximisation – awareness of entitlements, benefit take up, debt management advice, financial literacy. A15: Bring together work in child poverty, London Living Wage etc to consider level of income necessary for a health lifestyle. A16: Support initiatives that encourage healthy lifestyles for people on low incomes. Income inequality and health

Health, work and well being A17: Promote investment in health at work, building employee and management capacity for promoting mental and physical well being. A18: Improve retention and in work support for disabled people and those with mental or physical health problems. A19: Support development return to work programmes. A20: Support home based workers including carers. A21: Recognise and encourage volunteering as way of supporting vulnerable groups.

Healthy places A22: Create healthier and safer environments for all, in new and existing neighbourhoods. A23: Work with boroughs and planners to ensure health inequalities are considered in major planning applications. A24: New and improved facilities for sport, walking, cycling, play and other forms of physical activity. A25: Encourage Londoners to use and enjoy their parks and natural green spaces. A26: Ensure that activities across the GLA Group and local authorities are aligned to improve physical environments in areas with the poorest levels of health.

Knowledge and learning A27: Support the building of a comprehensive evidence base. A28: Develop and apply best available tools to assess health inequalities implications of public policies and decisions. A29: Support local elected leadership by ensuring they are able to access relevant information. A30: Make knowledge and learning accessible to a wider range of partners and build capacity for action to promote health and reduce health inequalities.

Key consultation questions: Are these the right actions and proposals? Is there more the Mayor can do? What else could regional partners do to support local actions? How do you think we should judge our success?  your responses by 10 th January 2010 to  Copies of strategy and supporting documents at health-strategy.jsp