1. English Partnership 5 St Philips Place Birmingham 11 th October 2013. Dr Mike Grady. Principal Advisor. Institute of Health Equity. University College London.

2.  Work with Local Organisations across and beyond transition to the new NHS through local programmes  Embedding a social determinants approach to health across Government supported by the best available evidence  Facilitate and run skills development programmes to implement and evaluate social determinants programmes. Institute of Health Equity and DH Partnership

3. IHE (Marmot) English Partnership Gateshead, Newcastle, Lancashire County Council, Stoke, Coventry, Bristol. Purpose Long term dedicated support from IHE Awareness building and capacity Policy and Strategy Development Leadership capacity and capability Partnership working across the network Exemplars of best practice opportunities. Input – Up to 12 days consultancy over 2 years

4. Summary Analysis of bespoke specifications External scrutiny and challenge /critical friend Addressing Social Determinants of Health Asset based approaches and community resilience. Proportionate Universalism – what are the implications? Impact of Welfare Reform and Recession Community Budgeting.

5. The CSDH – closing the gap in a generation The Marmot Review – Fair Society Healthy Lives Review of the Social Determinants of Health and the Health Divide in the WHO European Region

6. Health and Social Care Act 2012 Legal duties to reduce health inequalities for the first time Public Health transfers to Local Authorities Health and Well Being Boards in operation Platform for joining up health services, social care services and health-related services at local level

7. Local Authority Cuts & Risks to Community Resilience Barr et al (2013) BMJ Letters; BMJ 2013;347:f4208 doi: 10.1136/bmj.f4208 Higher premature mortality ( deaths under age 75) in Local Authority areas with higher budget cuts & Local Authority budget cuts are systematically higher in north than south

8. Summary of review outcomes Health inequalities are not inevitable or immutable Health inequalities result from social inequalities - ‘causes of the causes’ – the social determinants Address the social gradient in health through ‘proportionate universalism’ Life course approach Intergenerational focus Address processes of exclusion Develop strategies based on assets, resilience, capabilities and strengths. Human Rights framework

9. Green spaces that I can use Lack of interesting activities in winter Poor local job prospects Poor street lighting and uneven pathways Recycling facilities Soaring fuel bills and poor insulation Affordable transport Spending time with my neighbours What enhances my wellbeing and health What is detrimental to my wellbeing and health Affordable healthy food

11. Health,Wellbeing and resilience Evidence participation and improving life skills ameliorates impact of health inequalities through developing social support networks. (Bynner and Parsons 2006) Learning and skill development impact positively and fosters community action. “ I don’t know what makes other people healthy but I know what makes me healthier and that is being happy and having friends.” (Susanne) Social networks create the conditions in which people thrive “ I would say that people in the group have more confidence. At one poInt they would have been sat at home doing nothing,now they are out and are involved. Once you get there it ‘s amazing to see how far you can go.” (Joyce)

12. Partnership with individuals and communities- an asset based approach. I&DeA A Glass half-full:how an asset approach can improve community health and wellbeing. 12

14. Big Lottery Fund National Wellbeing Evaluation. CLES Consulting and NEF. 2013

15. Draft Big Lottery Fund National Wellbeing Evaluation. CLES and NEF 2013

16. Creating conditions in which individuals and communities have control over their health and lives and participate fully in society