1. A Partnership Approach to Delivering Health and Well Being Janice Lowndes – Programme Director Health and Well Being Wayne Priestley – Head of Service, Strategy, Policy and Performance

2. Links to between ‘dirt, disease and poor health’ noted by Edwin Chadwick in 1840’s 1848 Public Health Act – street cleansing, refuse collection, water supply and sewage systems A cleaner environment has meant a massive decline in rates of infectious disease

3. Health of the environment and the health of people are inseparable Problem is we still see them as two separate issues Opportunity for change in thinking now that public health is responsibility of local authorities Creation of a national health system that is interested in health and well-being rather than just illness

4. Public HealthPlace Improve health and well being of population Provide clean, safe green living spaces Prevent disease and minimise its consequence Regulate / monitor / educate / enforce for healthier lifestyles Prolong valued lifeProvide greater opportunities for leisure, exercise in clean safe and well planned environments Reduce inequalities in healthWork to improve living conditions, air quality, personal safety etc across the City

5. Whilst old-style infectious diseases may have largely been eradicated, new challenges have appeared:  Heart disease  Obesity  Diabetes  Drug and alcohol abuse  Mental health  Health inequalities

6. Working in partnership – Future roles Work as part of multi – disciplinary teams (environmental health / primary care) Help shape policies, strategies and action plans Joint health promotion and protection to tackle health inequalities Addressing physiological, mental, social and environmental problems to address poverty and deprivation and improve community, health and well being and quality of life.

8. Practical examples of joint working between Cluster 3 and the Health Improvement Service

9. Allotment Provision / Community Orchards/Outdoor Gyms Supports social cohesion Community regeneration Leisure and recreation Healthy food Climate change Promotes inter-generational and family activity Biodiversity Opportunities for disabled people Supporting private enterprise

10. Health improvement and protection Improving nutritional standards in takeaways Under-age sales prevention/alcohol standards Sunbeds / tattoo parlours Smoke free homes ‘warm homes healthy people’ Legal ‘highs/counterfeit medicines Protecting vulnerable people-residential homes Food and Hygiene standards in emergency accommodation

11. New areas of work - Violence Prevention Data / intelligence sharing Supporting drugs and alcohol initiatives Joint working on policy strategy action plan development Financial support of intervention programmes Influencing role (prevention before prosecution