Corporate slide master With guidelines for corporate presentations

Corporate slide master With guidelines for corporate presentations Healthier, happier, fairer Wales – progress so far? Dr Ruth Hussey OBE Chief Medical Officer/Medical Director NHS Wales

Health - the challenge Life expectancy is on average pretty good and improving…….

Health - the challenge ……. but health problems continue

… and what about happiness? Flourishing 11 Eudemonic wellbeing (worthwhile) 10 Worthwhile. Anxious 9 30% 13% 8 43% 7 Typical 6 14% 5 Struggling 4 3 2 1 0 0 1 Very low 2 3 4 5 6 7 8 Low Medium Hedonic wellbeing (happiness) 9 10 11 High Sally Mc. Manus Jenny Chanfreau 2014

Fairness - the challenge

Are we making progress? Recommendations in last year’s report - action since? ? ? • Making Wales healthier, happier and fairer • Protecting the nations’ health • Achieving health and happiness through prevention • Creating safe and resilient 21 st century healthcare services • Acting on the relationship between health and wealth …how can we • Make a big shift? • and faster?

What does the evidence say on health inequalities? Michael Marmot 2010 • • • Margaret Whitehead 2014 Give every child the best start in life Maximise capabilities and control Create fair employment and good work Ensure healthy standard of living Healthy and sustainable places and communities Strengthen role and impact of ill health prevention 7

Avoidable deaths - we are making progress – but……

…. . Social gradient persists They are still too frequent …. . …and unfair

So what more must we do to stop avoidable deaths? action on the big killers

So what more must we do? 1. Still that relentless focus on prevention……. PUBLIC HEALTH WALES CHILD POVERTY STRATEGY 2012 -14

So what more must we do? 2. …. action through population- and personfocused primary care……. Reverse the Inverse care law

So what more must we do? 3. …. and focus on integrated, monitored high quality care…….

What about social causes and assets? Reducing low wellbeing • Return to work support • Financial management skills • Chronic condition management • Relationship guidance Increasing high wellbeing • Neighbourhood social cohesion • Local area and transport safety • Accessible information • Opportunities for engagement Nest is a Welsh Government scheme working to help reduce the number of households in fuel poverty and make Welsh homes warmer and more energy-efficient places to live. Nest offers a range of advice and support for everyone to save energy and maximise income. Co-production Wales (All in this Together)

all this can seem complicated…. . prosperity falling funding poor social conditions general health poor lifestyles prudent health care NHS effectiveness NHS efficiency avoidable demand

Prudence Prudent health care Do no harm Carry out the minimum appropriate intervention. Organise on the principle “only do, what only you can do” Promote equity Remodel the user/provider relationship as coproduction.

Prudence across the range Prudent health care Prudent health Do no harm Find, report and eliminate harm Carry out the minimum appropriate intervention. Do whatever you can – with care Organise on the principle “only do, what only you can do” Find every skill and asset and use them all Promote equity Eliminate inequity Remodel the user/provider relationship as coproduction. Mobilise everyone’s full contribution

Public Health Outcomes Framework • Shared vision for public health in Wales • Well-being of Future Generations Bill • Coproduced, citizen centred Public health outcome indicators healthier more equal #thewaleswewant resilient cohesive communities prosperous vibrant Wellbeing national culture & thriving indicators Welsh language

Our job is open the debate lead the debate give people facts, belief, support • Do something • Do more • Do better

Remember. . “Reducing health inequalities is, for the Commission , an ethical imperative. Social injustice is killing people on a grand scale. ” Professor Sir Michael Marmot