1. A Bigger Shift Applying what we’ve learned to transforming Health Improvement in Gateshead Keith Carruthers Amanda Healy John Costello Peter Wright – Tyne and Wear Fire and Rescue Service – NHS South of Tyne and Wear – Gateshead Council

2. The Big Shift Short, medium and long-term outcomes Compendium of existing action plans Short term focus on 4 ‘must do’s’ –Health Checks – the quickest win –Smoking – the biggest single impact on health inequalities –Physical Activity – the biggest health gain across the population –Emotional Health & Wellbeing – the foundation stone for overall quality of life

3. Important documents

4. Our long term plan ‘Create the healthiest communities in the country’ Gateshead residents will have the longest and healthiest lives in England All residents having a positive attitude to physical activity and incorporating it into their daily lives Vulnerable and older residents leading fulfilling lives with support of their choice Gateshead recognised as a healthy community in which to live People having the opportunities to make positive lifestyle choices across all of Gateshead to improve their physical and mental health The unacceptable health and inequality gaps across the Borough and with England have been eradicated (particularly in relation to life expectancy) Gateshead residents have improved mental health and emotional wellbeing

5. Applying our learning - context Complexity of public health Lots of different levels to influence Wide range of partners, wide range of understanding Leadership at a time of significant change Complexity theory Evidence, plausibility and innovation Creative thinking – turning the curve

6. Applying our learning - strategic Taking Big Shift to the wider partnership How to embed in Health and Wellbeing Board Development of the H&WB members How to influence planning in a variety of partner settings Influencing policy Time and space to debate strategic challenges

7. Activity Health Pledge of Fire and Rescue Service Wedge and rope exercises Review of effectiveness of current activity Trajectories

8. Outcomes Health Inequalities embedded in Big Shift Development of Outcome Based Accountability Wider determinants of health at core Increased understanding of partner contribution

9. Future Health and Wellbeing Board Health and Wellbeing Strategy Bigger Shift – improved Health and Wellbeing for all local people Gap closed for the whole community

10. And finally…... Tools and Techniques We’ve learned and applied some great new and innovative tools and techniques However We must also recognise the value of some more traditional techniques, including one used a lot by our Smokefree Alliance

11. Boulder pushing Your Vision Bad X Your Vision Better Your Vision Good