Links Between Housing, Health & Wellbeing Sandra Whiles
Dec 13, 2015
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