1. Addressing health inequalities in Sheffield Jeremy Wight, Director of Public Health Cath Roff, Director of Adults’ Services

2. Health in Sheffield 500,000 People Diverse geography/ population City never healthier than now Infant mortality, at around 5 deaths per 1000 live births, is lower than it has ever been Mortality rates falling: –Cancer: 123 per 100,000 per year –CHD: 92 per 100,000 per year Life expectancy increasing: –77 years for men –81 years for women A very average City Challenges Demographic changes: 1900:17 working for every 1 retired 2031:2.5 working for every 1 retired Concerns about years of health Not infectious disease but chronic ill health Mental health Health inequity

3. Health inequalities at a neighbourhood level All age, all cause mortality: Darnall 497, Ecclesall 159 Life expectancy: Flower 72.6 years, Ecclesall 88.3 Mothers smoking at delivery: Lowedges 39%, Ranmoor 0% Mental health admissions: Burngreave 424, Fulwood 75 Teenage pregnancy: Old Parson Cross 151, Ranmoor 0

5. Sheffield First Partnership

6. What we are doing together Strategic: LSP, Health and Well-being Board, inter-agency work and joint planning groups Local Area Agreement Joint Director of Public Health Long term commitment to public health and the promotion of well-being Development and implementation of Enhanced Public Health Programmes

7. Our City Health Profiles Nationally recognised and award winning Public Health Report Health and Well-being Atlas Successful Neighbourhoods Information System All based on shared health, well-being and quality of life data and interpretation

8. Involving Communities Area Action Community Empowerment Network Health Partnership Network Community Development & Health Health Champions Expert Elders

12. Key messages Information Intervention Implementation

13. Questions for discussion How can Directors work together to improve wellbeing and life outcomes for people in your locality? What are the common and separate challenges? What are the barriers to effective development of health, children’s and adult social care systems, and how might these be overcome? How best can regional organisations and the SHAs support local action on health inequalities?