1. Healthy Ireland A framework for improved health and wellbeing 2013 - 2025 Healthy Food for All 20 November 2013 Dr Miriam Owens

2. Is Ireland Healthy? Many people living in Ireland and their families are affected by chronic diseases and disabilities related to – poor diet – smoking – alcohol misuse and – physical inactivity

3. Is Ireland Healthy? - key facts Obesity – 20% of all children are overweight – Almost one in ten three year-olds in lower socio- economic groups is obese compared to one in 20 in higher socio-economic groups – Two out of three adults are overweight or obese – 25% of pregnant women are overweight or obese

4. More health facts Alcohol – rate of alcohol consumption is one of the highest in Europe – responsible for approximately 90 deaths per month and is a factor in half of all suicides Tobacco – 5,500 deaths per annum – around one million people in Ireland smoke tobacco products – 12% of children between the ages of 11 and 17 years are current smokers – rates are highest amongst women aged 18-29 from poor communities – 56% of that cohort – compared to 28% of their peers from higher social classes

5. Unhealthy behaviours Peoples lifestyles ----- whether they smoke, how much they drink, what they eat and whether they take regular exercise ----- determine their health and risk of dying young Close to half of the burden of illness in developed countries is associated with these 4 unhealthy behaviours Not randomly distributed across populations but are more common in some groups than others. They tend to cluster in both individuals and communities

6. Healthy Ireland Vision …..where everyone can enjoy physical and mental health and wellbeing to their full potential, where wellbeing is valued and supported at every level of society and is everyone’s responsibility

8. Healthy Ireland Goals Increase the proportion of people who are healthy at all stages of life Reduce health inequalities Protect the public from threats to health and wellbeing Create an environment where every individual and sector of society can play their part in achieving a Healthy Ireland

9. Healthy Ireland Operational Principles Better – governance and leadership – use of people and resources – partnerships – systems for healthcare – use of evidence – measurement and evaluation – programme management

10. Healthy Ireland Themes Governance and Policy Partnerships and Cross-Sectoral Working Empowering People and Communities Health and Health Reform Research and Evidence Monitoring, Reporting and Evaluation

11. Update: Theme 1 Governance and Policy establishing a Cross-Sectoral Steering Group (1 st meeting 26 Nov) establishing Healthy Ireland Council work with DSP on Social Impact Assessment potential role of local authorities public sector organisations and workplaces promote and protect health and wellbeing of workforce, clients, communities

12. Update Theme 3 Empowering People & Communities Link with DES on education curriculum development Support implementation of National Strategy for Positive Ageing ‘Activity-friendly’ environments

13. Update Theme 4 Health & Health Reform New governance arrangements for reformed structures to articulate Health and Wellbeing Health and Wellbeing Division in HSE Health and wellbeing quality and performance standards and indicators

14. Update Theme 5/6 Research & Evidence/Monitoring, Reporting & Evaluation Outcomes Framework – specify baseline indicators and targets; strengthen and develop network and collaboration Research and Data Plan Healthy Ireland ‘Survey’

15. Recent developments Launch of Tobacco Free Ireland under Healthy Ireland umbrella Launch of safefood child obesity campaign, in partnership with Healthy Ireland Launch of Govt. decision on alcohol policy/National Substance Misuse Strategy under Healthy Ireland umbrella

17. Healthy Ireland Brand Reflect values and personality Public sector and publicly funded campaigns Used widely and well Symbol of a positive national spirit

21. Inequalities Food poverty / inequalities in diet can result in inequalities in people's health Obesity epidemic Modern malnutrition Consequences throughout life course Policy response? Healthy Ireland approach

22. Outcomes Framework Support the objective assessment of impact of Healthy Ireland Capture the wider determinants of health Cross sectoral identification of indicators informed by life course approach Reported by key equality strands

23. Healthy Ireland indicators 20% increase in physical activity levels increase healthy life expectancy at age 65 reduce gap in healthy life expectancy between social classes increase the number of adults and children with a healthy weight reduce smoking prevalence and initiation rate Food poverty trends Social impact assessment: e.g. school food pgms

25. Healthy Ireland Thank you for listening!