Equally Well Kay Barton, Andy Bruce Della Thomas

Social Policy Context Equally Well, the Early Years Framework and Achieving our Potential Together they recognise the “strong positive relationship between having the best possible start in life, enjoying good health, a good education and having enough money to provide for yourself and your family” (AoP Nov 2008)

Upstream/downstream: reducing inequalities in health depends on reducing inequalities in life chances and life circumstances

Key Messages from Equally Well Early years and young people Harms to health and wellbeing: alcohol, drugs and violence Big killer diseases and risk factors Physical environments and transport High economic, social and health burden imposed by mental illness & the need to improve mental wellbeing Local delivery of change, collaboration between the Community Planning Partners

Equally Well Test Sites East & Mid Lothian – service pathways in early years “Support from the start” Greater Glasgow – integrating health and planning in Glasgow Lanarkshire – sustained employment South East Glasgow – service redesign to meet key priorities in Govanhill Perth & Kinross – co-ordination leads for meeting needs in Rattray area of Blairgowrie Fife – safer neighbourhoods Tayside – integrating mental health improvement in a defined community within Dundee West Dunbartonshire – targeting tobacco in Whitecrook

Equally Well Review Make additional recommendations or statements to give impetus to the vision for tackling inequalities set out in the 3 linked social policy frameworks, in light of tight public sector finances and any new evidence or trends in the key social inequalities Gauge how well agencies including SG have been able to respond so far to the principles & recommendations of EW Consider how to replicate the EW test sites and effective local delivery arrangements more generally Set out future arrangements for future monitoring & governance

CPPs & SOAs – key drivers for change Clear understanding of problems of poor health locally that contribute to Scotland's health inequalities (targeting of resources and effort) Outcomes that tackle underlying causes (e.g. family support in children’s early years, physical environments, poverty and unemployment) Thinking beyond short term to medium and long term challenges Evidence/potential for collaborative gain Evidence of Equally Well test site theme

Annex 6 and the LDP Role of NHS Boards in the delivery of the SOA Covers Equally Well, Early Years, Achieving our Potential Includes Economic Recovery