1. Improving health and wellbeing and reducing health inequalities Working together Kirkcaldy & Levenmouth CHP Committee

2. Fife Health and Wellbeing Alliance:-  community planning partnership with responsibility for ensuring progress around ‘improving health of Fifers and narrowing the health inequality gap’  Fife Health and Wellbeing Plan 2011-14  manages a £1M per annum funding programme  delivers free training programme across partnership agencies  measures impact of what we do on reducing health inequalities  advises on national and local policy around health and wellbeing  encourages partnership approaches and different ways of working to improve health and reduce health inequalities  www.healthyfife.net www.healthyfife.net Reducing health inequalities in Fife

3. Health inequalities – a shared understanding Health inequalities are the differences in health and wellbeing that are the result of inequality in individual, social and economic circumstances  income employment education housing The more disadvantaged a person’s life situation, the worse his or her health is likely to be  focus on early years  provide targeted services in ways that reach those who need them most Individuals and communities differ in the way disadvantage impacts on their health and wellbeing  build on individual and community assets  social and community networks and support physical and built environments participation and engagement employment security volunteering.

4. Reducing health inequalities in Fife Work across 3 themes –not just on one  supporting healthier lifestyles for individuals and families  creating and sustaining healthier places and communities  changing the way organisations work

5. Fife Health &Wellbeing Plan 10 outcomes 1.education, training and employment 2.financial situation 3.vulnerable pregnant women, children, young people 4.suitable housing and support 5.personal skills, strengths, knowledge 6.increased opportunities and support for older people 7.local health and wellbeing initiatives / supportive social networks / participation in community activity 8.safe outdoor and community spaces 9.flexible services and support 10.workforce confidence and competence

6. Ways of working that are most likely to reduce health inequalities  structural changes to the environment, legislation and regulatory controls, fiscal policies, reducing price barriers  improving accessibility of public services  prioritising disadvantaged groups  offering intensive support  early years interventions

7. Ways of working that are least likely to reduce health inequalities  information based campaigns and written materials  media campaigns/ messages designed for the whole population  whole school health education approaches  campaigns reliant on people taking the initiative to opt in  approaches that involve significant cost or other barrier, including housing or regeneration programmes that raise housing costs

8. Changes that may affect partnership working to reduce health inequalities  public sector cuts  welfare changes - employability and welfare reform seen as everyone’s business  health and social care integration  decentralisation and focus on local areas local community planning health and wellbeing profiles 7 areas as well as CHP Increased focus on the things that create health:-  peoples connections/relationships and supports  place and communities