Links Between Housing, Health & Wellbeing

Sandra Whiles

Menu Today

• A few facts and figures

• The new health system

• What influences health?

• What can we do?

A Few Facts & Figures• 500 deaths • Half a million

injuries and illnesses

• £600m costs to NHS

• £32 billion lost taxes/higher welfare payments

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

What Influences Health?

25%

Health Care

System

15% Genes10%

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

What Influences Public Health?

• Health inequalities – people, places and power

• Purpose

• Environment

• Lifestyle

• Society

Public Health Outcomes Framework

1. Improving the wider determinants of health

2. Health improvement

3. Health protection

4. Healthcare & preventing premature mortality

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

What Shall We Do?