driving poverty and inequality off the streets of york

Delivering for the People of York

Driving poverty and inequality off the streets

of York

Delivering for the People of York

Dr Paul Edmondson-Jones MBE

31 January 2014

Priory Street, York

Delivering for the People of York

NHS WHITE PAPER & PH WHITE PAPER

HEALTH & SOCIAL CARE ACT 2012

Delivering for the People of York

To Improve the Public’s Health, Tackle the Wider Determinants of Health

WANLESS

ACHESON

BLACK MARMOT

WHITEHEAD

ROWNTREE

Delivering for the People of York

CITY OF YORK PLAN & PUBLIC HEALTH FUNCTIONS

Create Jobs and Grow Economy

Protect and Improve Health & Well-being

Tackle Health

Inequalities

Get York

Moving

Protect the

Vulnerable

Improve Health

Outcomes

Protect the

environment

Build strong

Communities

Delivering for the People of York

York – by English Deprivation Quintile

Delivering for the People of York

York Mortality Relative to England Average

Delivering for the People of York

York Slope Index (Women)

Delivering for the People of York

York Slope Index (Men)

Delivering for the People of York

York Slope Index (Men)

Delivering for the People of York

York – Excess deaths: most deprived 20% compared to the rest

Delivering for the People of York

Life expectancy and disability free life expectancy at birth, persons by neighbourhood income level, England, 1999-2003

45

50

55

60

65

70

75

80

85

0 5 10 15 20 25 30 35 40 45 50 55 60 65 70 75 80 85 90 95 100

Neighbourhood Income Deprivation - Population PercentileSource: ONS …………………………………………………………………………..

Age

Life expectancy

DFLE

Pension age in 2024

Poly. (DFLE)

Poly. (Lifeexpectancy)

Delivering for the People of York

Delivering for the People of York

Delivering for the People of York

Part-time employment has risen overall(and by 44% for women)

In-work Poverty

Gap is increasing between

average FT pay and

the lowest 25% on FT

pay

82% of part time workers in York are

Women

Delivering for the People of York

Facing the Challenge of Poverty in York

York Poverty Action Steering Group

York Economic Partnership

Delivering for the People of York

Facing the Challenge of Poverty in York

- 13,795 York people live in the 20% most deprived areas in the country with 4,575 children in poverty

- pay-gap increasing - trend towards poorly paid part-time work - increasing long-term and youth unemployment- least affordable city for housing in the region- disposable incomes are lower than UK and comparator cities and the

gap is widening - wide gap in life expectancy between richest and poorest

How do we become a more affordable city?How do we eliminate the stigma attached to

poverty?How do we become a living wage city?How do we address destitution?

So, what do we know?

So, what shall we do?

Delivering for the People of York

Facing the Challenge of Poverty in York

• a healthy city where we break the cycle between poverty, ill-health and reduced life expectancy

• a job-rich city providing job opportunities for all who can work with pay levels that tackle in-work poverty

• a money-wise city with joined-up advice for all and financial awareness is part of education from an early age

• an affordable city with a city-wide offer to help reduce living costs, and an adequate supply of affordable housing and childcare

• a supporting and giving city where tackling poverty is everybody’s business and poverty is not stigmatised and people know where to go for support

So, what is the vision?

Delivering for the People of YorkDelivering for the People of York

The poverty action programmeCity-wide anti-poverty programme

Financial Inclusion

•Access to financial services and advice

•Debt & Benefits Advice

•Income maximisation

•City wide coordination of advice services and outreach

Economic Inclusion

•Skills

•Education

•Jobs

•Barriers to work

Anti-poverty campaigns

•Free School Meals

•Pension Credit

•Living Wage

•Reduce Stigma

•Increase Giving

•Stop Loan Sharks

•Affordable Food

Anti-poverty projects

•Reduce living costs

- Childcare

- White goods

- Energy costs

•Reduce health inequalities

- Healthy eating

- Free fitness

- GP Advice surgeries

Delivering for the People of York

Facing the Challenge of Poverty in York – way forward

• Understand - how life is lived and how things interact on the ground

• Listen - and enable those in poverty to have a voice

• Co-design – use ideas, capabilities and resources of those in poverty

• Foster and enable independence – stop trying to fix everything

• Change our beliefs and culture – work holistically and differently

So, how do our Systems Leaders enable a bottom up inclusive approach?

Stop talking down and start listening up!

Delivering for the People of YorkDelivering for the People of York

Questions

Thank you

Discussion!