1. STOKE-ON-TRENT : A WHO European Healthy City.

2. Two strategic goals based on Health 2020 for Phase VI: improving health for all and reducing health inequities; and improving leadership and participatory governance for health. Core themes investing in health through a life-course and empowering people; tackling the European Region’s major health challenges of infectious and non-communicable diseases; strengthening people-centred systems and public health capacity and emergency preparedness and surveillance; and creating resilient communities and supportive environments.

4. Health and Wellbeing Board Strategy developed using assets based methodology – appreciative enquiry Strategy reflects the key themes – which matched the life-course Key areas for join up with English Partnerships are - Community Mobilisation - Health in All Policy - Impact of Economic Downturn

6. Resilient and sustainable communities

7. COMMISSIONING OF COMMUNITY DEVELOPMENT APPROACHES Why is it important? ■ Supporting people to live independent and healthy lives through an assets based and citizen-led approach ■ Building on community assets, creating conditions for community well-being and increasing opportunities for behaviour change approaches to be more effective What are the challenges? ■ Challenge to traditional medical model of health improvement, evidence base is still evolving and will not fit rational model of behaviour change  Challenge to traditional LA model of engagement to improve services ■ Public Health has to take a risk, long term approach, results are not overnight – difficult in time of reduced resources

8. Healthy City

9. Unhealthy City

10. Community Mental Wellbeing Assessment Mixed Method research – 1500 residents (750 C2 & C2 Control & 750 Age Friendly City) – Lay researchers conducting “knock & drop” Quantitative Research – SWEMWBS (validated measurement of wellbeing) – ONS Subjective wellbeing measure – IPAQ (International Physical Activity Measure) – 5 Ways to Wellbeing – Social capital, nef policy drivers, general health status, family networks, isolation, lifestyle factors, employment, age, gender Qualitative research – 4 focus groups – Giving, Learning, Activity, Ageing

11. Community Mental Wellbeing Assessment Findings Qualitative Research ONS Subjective Wellbeing Measure compared to National figures people in stoke are less likely to be satisfied with life, less likely to think life worthwhile, less likely to be happy yesterday and more likely to be anxious yesterday Using the SWEMWBS scores, over one-in-ten residents in the C2 and control areas were classed as having low mental well-being. This proportion rises to approximately one-in-seven residents in the older city-wide Age Friendly City sample (N.B These scores are lower than North West & South Staffordshire) 5 Ways to Wellbeing: Low levels of giving Quantitative Research Mental well-being is an important facet of the life of the community which can have an impact on other areas of public health – such as smoking prevalence and weight management MWB is impacted strongly by loneliness and isolation, particularly for older age groups – and there are some clear pockets of isolation in areas with high levels of older people – such as bungalows The closure of community centres, libraries, and other venues has a clear impact on the ability of communities to ‘get together’ in different ways – thereby impacting on their MWB. It also impacts on their ability to give, learn and engage in activities which may improve their MWB