Building on Strengths of Health and Wellbeing Strategies in the North

East of England

Alyson Learmonth, Honorary Senior Lecturer, Durham University

Making HWB Strategies Work to Deliver Improved Health

Fuse Complex Systems Research 5th February 2015

How can our HWB Strategies address the short medium and long term?

• A - Short Term e.g. effective management of long term conditions, health checks, tobacco control, physical activity•

B - Medium Term e.g. strengthen primary care, education, housing, community • Engagement, transport•

C - Long Term Place Shaping e.g. spatial planning, cultural change etc.

2010 2015 2020 2025

A

B

C

Building on strengths of the HWBS in the NE: priority subject areas

Subject area (n=12) Frequency Rank

Children to have the best start in life

12 1

Early death/life expectancy/ inequalities

11 2

Emotional health and wellbeing

7 =3

Health improvement/physical wellbeing

7 =3

Building on strengths of the HWBS in the NE: wider determinants

Key word Frequency of references

Rank

Employment 137 1

Housing 86 2

Social factors 63 =3

Social isolation/inclusion

63 =3

Sustainability 54 5

Place 50 6

Transport 34 7

Resilience 28 8

Anti-social 27 9

Welfare reform 23 10

Consultation process Sept 2014- Feb15

• 30th September fuse members identified interest across all 6 themes

• 31st October Health Summit brokering evidence through partnerships is important to help a quick coherent response to problems

• 9th December PHINE workshop agreed HIA form part of a complex systems approach

• 16th January Directors of Public Health supported a Learning Network including CCGs

• Today is the conclusion of the Consultation Process, and the offer we are going to discuss in the plenary session.

fuse 6 research themes

• Healthy ageing research programme• Early life and adolescence• Behaviour change• Health inequalities• Translational research• Complex systems

Roundtable issues for debate (2)

• Do we want peer learning network to build on strengths?• How are some LAs creating

transformational change?• Do we need capacity building across

the whole local authority including members?

Roundtable issues for debate (3)

• What can we learn about using impact assessment (including health) as part of a strategic approach to shape places?• What has been the impact of using

prioritisation tools e.g. fuse research programme ‘Shifting the Centre of Gravity of Spend’?

Roundtable issues for debate (4)

• How do we measure well-being? What are some indicators?• How can we measure the impact of

austerity?• How can we involve CCGs, policy and

practice?

Roundtable issues for debate (5)

• What might collaborative work around health inequalities involve?• What might collaborative work around

children and young people involve?• How are HWBS working to create fair

employment and a healthy standard of living?

Complex systemsA tropical rainforest is a metaphor for a complex system

Discussion

What would a knowledge to action group around HWB Strategies look like? Do we want one?