1. Links Between Housing, Health & Wellbeing Sandra Whiles

2. Menu Today A few facts and figures The new health system What influences health? What can we do?

3. A Few Facts & Figures 500 deaths Half a million injuries and illnesses £600m costs to NHS £32 billion lost taxes/higher welfare payments

4. NHS Commissioning Board Clinical Commissioning Groups (CCGs) Public Health (PH) England Local Government The New Health System Health Protection Agency National Treatment Agency Regional PH teams PH Observatories Cancer registries Most commissioning of healthcare services locally Health and Wellbeing Board Public health: improvement, protection, care Joint Strategic Needs Assessment (JSNA) (with Clinical Commissioning Groups) Joint commissioning Commissioning Healthwatch Primary care: GPs, Dentists, Pharmacists, Optometrists Specialised commissioning Prison health Immunisation Public Health 0-5yrs

5. What Influences Health? 25% Health Care System 15% Genes 10% Physical Environment 50% Social & Economic Environment A person's life circumstances contribute more to health improvement than health care services Local government is best placed to change life circumstances and improve health Estimated Health Impact of ‘Determinants Of Health’ on Population Health Status Source: Canadian Institute for a Advanced Research

7. What Influences Public Health? Health inequalities – people, places and power Purpose Environment Lifestyle Society

8. Public Health Outcomes Framework 1.Improving the wider determinants of health 2.Health improvement 3.Health protection 4.Healthcare & preventing premature mortality

9. How Will We Make a Difference? Take the lead Make new friends Use all of our skills and powers Be strategic Be creative Look across the whole system “Make new “rules” Shape partnerships

10. What Shall We Do?