1. Making Life Better for All Mary Black CBE Assistant Director of Health & Social Well- Being Improvement, PHA NIPEC Annual Conference Fit for Living, Fit for Practice

2. Overview Strategic Context 2-way relationship between health and work Workplace Health Model Workplace Health Action Personal Action

3. Determinants of Health Source: Dahlgren & Whitehead 1991

4. WHO Commission on Social Determinants of Health Improve daily living conditions Tackle the inequitable distribution of power, money and resources Measure and understand the problem and assess the impact of action

5. Life Expectancy Differentials in Northern Ireland Males Females

6. Public Health Framework Vision All people are enabled and supported in achieving their full health and wellbeing potential

7. Making Life Better Themes 1.Give Every Child the Best Start 2.Equipped Throughout Life 3.Empowering Healthy Living 4.Creating the conditions 5.Empowering Communities 6.Developing Collaboration

8. Making Life Better Theme 5: Empowering Communities – Outcome 16: Effective workplace health programmes can make a real difference to the health and wellbeing of employees, businesses and the communities in which people live and work. Support systems to encourage and maximise the commitment of employers to health and wellbeing and share effective practice will need to be in place.

9. 2-Way Relationship between Health & Work

12. Overview of Health Behaviours & Risk Factors in NI Sources: 2011/12 Health Survey, Quality and Outcomes Framework 2013, Adult Drinking patterns survey 2011, CMO physical activity guidelines.

13. Smoking prevalence in Northern Ireland 2005/06-2013/14. Strategy launch

15. Proportion of adults (18+) who consume alcohol above weekly sensible drinking limits for women and men.

16. Mental Health in NI Nearly one in five adults in NI with a potential psychiatric disorder (2010/11). More than 1 in 10 on medication from their GP for mood or anxiety disorders (2008). In North or West Belfast this rises to nearly one in seven.(NIHIMS) N.I. has 25% higher rate mental health problems than in England

17. 2 Way Relationship “The relationship between employee health and employee commitment and engagement is multi faceted. Indeed, there is research evidence that suggests a two way, possibly self reinforcing relationship: healthy employees are more committed and committed employees are more healthy” Steven Bevan 2010

18. Wellbeing associated with; Improved learning and academic achievement Reduced absence from work due to sickness Reductions in risk-taking behaviours like smoking Improved physical health Reduced mortality Increased community involvement

19. Business cost of poor mental health Sickness absence due to mental ill health in UK costs around £8 billion per year (70 million working days missed each year, or an average of 2.8 days per year per UK employee). Lost productivity (including presenteeism, where mental health issues lessen work performance) costs £15 billion, and replacing staff who leave their posts because of mental illness costs employers £2 billion. Sainsbury Centre for Mental Health. 2007

20. Sources of Stress at Work Demands Control Support Relationships Role Change

21. Effects of stress to business 1 in 5 people take a day off work due to stress 1 in 10 people have resigned a job due to stress, 1 in 4 have thought about it. 19% of staff feel they can’t speak to managers about stress at work. 25% of people we surveyed considered resigning due to stress. 56% of employers said they would like to do more to improve staff wellbeing but don't feel they have the right training or guidance

22. Resilience Resilience is the ability to cope with life’s challenges and to adapt to adversity. Levels of resilience can change over the course of our lives. Mind &Mental Health Foundation 2013

23. What is ‘Take 5

24. Five Ways to Wellbeing to support individuals to take action to improve their own wellbeing. Connect Be active Take notice Keep learning Give

25. Workplace Health Benefits reduction in illness-related absenteeism and presenteeism increased motivation among staff and improved working atmosphere prestige factor which improves the public image of the organisation measurable increase in the quality of products and services

26. Promoting mental wellbeing at work NICE public health guidance 22 (2009) Recommendation 1: strategic and coordinated approach to promoting employees' mental wellbeing Recommendation 2: assessing opportunities for promoting employees' mental wellbeing and managing risks Recommendation 3: flexible working Recommendation 4: the role of line managers Recommendation 5: supporting micro, small and medium sized businesses

27. Quality of Care Quality of care depends on the skills, commitment and compassion of staff Unprecedented financial and services pressures Positive Enrolment – valuing people Culture and Leadership

28. ‘It is not the strongest of the species that survive, nor the most intelligent, but the most responsive to change’. Charles Darwin

30. Health and wellbeing at work: a resource guide www.publichealth.hscni.net/publications

31. Good Line Management Effective and supportive line management HSE’s stress management competency indicator tool Training for managers in social and interpersonal skills - sensitive to indications of mental distress, - discuss and resolve issues early - referral for help and support Managers should have good emotional intelligence Visible senior leadership and accountable managers Systems of monitoring that embed continuous improvement

32. Personal Action Think about this issue of health and wellbeing Support others Get involved – form a group Form an action plan Question and challenge each other Measure the impact Take it seriously

33. “Getting started, keeping going, getting started again – in art and in life, it seems to me this is the essential rhythm not only of achievement but of survival…the guarantee of credibility in your lives, credibility to yourselves as well as to others.” ‘Getting Started’ by Seamus Heaney.

34. PHA Workplace Newsletter

35. Taking out without putting back leaves one empty

36. “If you don’t like something, change it, If you can’t change it, change your attitude”. Maya Angelou