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National Leading Health and Wellbeing Programme 2013/14 Post Marmot - Social Inequalities in Health and Wellbeing. Hilton York 7 th November 2013 Dr Mike Grady. Principal Adviser. Institute of Health Equity. University College London. - PowerPoint PPT Presentation
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National Leading Health and Wellbeing Programme 2013/14
Post Marmot - Social Inequalities in Health and Wellbeing
Hilton York 7th November 2013
Dr Mike Grady.Principal Adviser.
Institute of Health Equity.University College London.
The CSDH – closing the gap in a generation
The Marmot Review – Fair Society Healthy Lives
Review of the Social
Determinants of Health and
the Health Divide in the
WHO European
Region
• Social justice• Material, psychosocial,
political empowerment • Creating the conditions
for people to have control of their lives
www.who.int/social_determinants
Key principles
Persistence of health inequities in Sweden
The health divide and health inequities, males
The widening of health inequities in the Russian Federation
Areas for action – emphasizing priorities
•The review grouped its recommendations into four themes
•Action is needed on•all four themes.
Themes from the review• Human rights ��• Resilience of individuals and communities -
empowerment is central • Every stage of the life course • Protect future generations from social and
economic inequities• Ensure intergenerational equity ��• Joined -up action is needed• Proportionate universalism
A. Give every child the best start in lifeB. Enable all children, young people and adults to maximise
their capabilities and have control over their livesC. Create fair employment and good work for allD. Ensure healthy standard of living for allE. Create and develop healthy and sustainable places and
communitiesF. Strengthen the role and impact of ill health prevention
Fair Society: Healthy Lives: 6 Policy Objectives
Michael Marmot
Provide universal good quality
Early years child careEducation
Work
Green spaces that I can use
Lack of interesting activities in winter
Poor local job
prospects
Poor street lighting and
uneven pathways
Recyclingfacilities
Soaring fuel bills and poor insulation
Affordable transport
Spending time with
my neighbours
What enhances my wellbeing and health
What is detrimental to my wellbeing and health
Affordable healthy
food
THE NEW SIMPLIFIED HEALTH AND SOCIAL CARE SYSTEM
Health and Social Care Act 2012
• Legal duties to reduce health inequalities for the first time
• Public Health transfers to Local Authorities• Health and Well Being Boards in operation• Platform for joining up health services, social
care services and health-related services at local level
HEALTH AND WELLBEING BOARD PRIORITIES 2013
Health and Wellbeing Boards: One Year on: Humphries R and Galea A: October 2013:Kings Fund London.
Health,Wellbeing and resilience• Evidence participation and improving life skills ameliorates impact of
health inequalities. (Bynner and Parsons 2006)
• Learning and skill development impact positively and fosters community action. “ I don’t know what makes other people healthy but I know what makes me healthier and that is being happy and having friends.” (Susanne)
• Social networks create the conditions in which people thrive“ I would say that people in the group have more confidence. At one poInt they would have been sat at home doing nothing ,now they are out and are involved. Once you get there it ‘s amazing to see how far you can go.” (Joyce)
Draft Big Lottery Fund National Wellbeing Evaluation. CLES and NEF 2013