1. FIT FOR THE FUTURE Leading the way in health & care HEALTHCARE & HOUSING: THE BIG OPPORTUNITY? Chair:Andrew van Doorn, HACT Anne Marie Connolly, Public Health England Kevin Beirne, One Housing Group Amy Swan, National Housing Federation #fitforthefuture @SocialEnt_UK

2. The importance of place to health and wellbeing Dr Ann Marie Connolly Deputy Director, Health Equity and Place Public Health England

3. Outline 1.Role of PHE 2.The life course and why housing and place matter 3.Better public health, outcomes 4.Thoughts on your role Fit for the future 21st October AMC3

4. What is PHE for? 4 “To protect and improve the nation’s health and to address inequalities, working with national and local government, the NHS, industry, academia, the public and the voluntary and community sector.” Building a Healthy Future. November 13 2013

5. Inequalities in life expectancy & healthy life expectancy 5Fit for the future 21st October AMC Source: Source: Inequality in Healthy Life Expectancy at Birth by National Deciles of Area Deprivation: England, 2009-11. Office for National Statistics, 14 th March 2014. SII: Slope Index of Inequality Life expectancy gap (SII): 9.4 years Healthy life expectancy gap (SII): 19.3 years Life expectancy gap (SII): 6.9 years Healthy life expectancy gap (SII): 20.1 years

6. Health and Housing 6Fit for the future 21st October AMC

7. Housing Impacts on Mental and Physical Health Internal Home Environment Unhealthy HousingUnsuitable Housing Noise, temperature, damp, air quality, light, ventilation, sanitation Disability and age Families and children Overcrowding Unsafe Housing Insecure Housing Stairs, windows, hazards to mobility, intruders Temporary accommodation Gypsies and travellers Insecure social networks 7Fit for the future 21st October AMC

8. Impact across the lifecourse 00- 04 31-4516-30 66-85 46-65 05-15 86+ Good health is the work of a lifetime, accumulating from birth Born into B & B? Overcrowded? Sharing poor PRS? On own & Isolated? Can’t get upstairs? Paying the mortgage? Cold home? Fit for the future 21st October AMC8

9. Public Health Outcome Indicators 9Fit for the future 21st October AMC

10. Housing Impacts on Mental and Physical Health External Environment Crime and SafetyAccess Noise and Other Environmental Features Social networks and cohesion 10Fit for the future 21st October AMC

11. 1.Paint the local picture - who are those in need of good housing and who is providing (JSNA) 2.Communicate outcomes and not just inputs numbers helped, admissions prevented, pounds saved. 3.Understand your partners Social enterprise, housing associations, NHS etc 4.Describe relevant solutions e.g. Local innovation, what works? 5.Delivery Innovative, flexible, engaging, leading 11 Fit for the future 21st October AMC What can you do? Knowledge, Partnership and Integration

12. Thank you Dr Ann Marie Connolly annmarie.connolly@phe.gov.uk @connoam

13. FIT FOR THE FUTURE Leading the way in health & care HEALTHCARE & HOUSING: THE BIG OPPORTUNITY? Chair:Andrew van Doorn, HACT Anne Marie Connolly, Public Health England Kevin Beirne, One Housing Group Amy Swan, National Housing Federation #fitforthefuture @SocialEnt_UK