health & social care
local government
voluntary sector
2

Working in Partnership to Tackle Health Inequalities

health & social care

local government

voluntary sector

08:45 - 16:20

Thursday 10 October 2019

Central London

 

This Forum will provide delegates with an opportunity to discuss and strategise how to tackle widening health inequalities between a variety of groups in the UK. Following the prioritisation of action to tackle health inequalities in the 2019 NHS Long Term Plan, attendees will discuss best practice for working in partnership across Health and Wellbeing Boards, the NHS, local councils, the voluntary sector, housing and schools to reduce these stark inequalities in health and life expectancy. Furthermore, best practice case studies from across a range of sectors will outline proven methods that have successfully reduced health inequalities.

Audience

This Forum is specially designed for the Health Sector, Local Government and the Voluntary Sector. Typical job titles will include:

  • Directors of Public Health
  • Health Inequalities Managers
  • Health and Wellbeing Officers
  • Public Health Specialists
  • Community Wellbeing Officers
  • Health Commissioners
  • Health Improvement Specialists
  • Chief Clinical Information Officers
  • Directors of Commissioning
  • Population Health Leads
  • School Health Advisors
  • Head of Health Partnerships
  • Director of Programmes
  • Heads of Health and Social Care
  • Directors of Adult Social Care
  • Community Matrons
  • Directors for Integration and Partnerships
  • Chief Executives

This Forum is also open to Housing Associations and the Education Sector to encourage debate and networking.

Key Speakers Confirmed:

  • Grainne Bellenie, Lead for Equalities and Health Inequalities, NHS England
  • Lina Toleikyte, Public Health Manager – Health Equity, Public Health England
  • Jeremy Lefroy MP, Vice-Chair, Health in All Policies APPG
  • Monica Desai, Consultant Public Health Advisor, NICE
  • Dr Onkar Sahota AM, Chair of Health Committee, London Assembly
View the agenda and additional speakers

08:45

Registration, Refreshments and Networking


09:30

Chair's Welcome Address

Dr Stephani Hatch, Leader of the Tackling Inequalities and Discrimination Experiences in Health Services (TIDES) Programme, Kings College London (CONFIRMED)


Part 1 – Outlining The Latest Policy, Funding and Action to Tackle Health Inequalities


09:40

Morning Keynote: Driving Stronger NHS Action to Drive Down Health Inequalities Across the UK

  • Placing stronger and more immediate NHS action on tackling health inequalities as part of the 2019 NHS Long Term Plan
  • Targeting a higher share of funding to areas with higher health inequalities, which will be worth over £1 billion by 2023
  • Promoting a range of evidenced-based interventions that drive partnership working between the NHS, local councils and the voluntary sector to drive down health inequalities, such as through Health and Wellbeing Boards
  • Ensuring all local health systems set out, in 2019, the strategies by which they will reduce health inequalities by 2023
  • Introducing, from April 2019, more stringent, detailed and accurate assessments of community and mental health services to ensure funding allocations are responsive to the areas in most need
  • Commissioning the Advisory Committee on Resource Allocation to publish a review of the adjustment to the funding formulae based on inequalities

Grainne Bellenie, Lead for Equalities and Health Inequalities, NHS England (CONFIRMED)


10:00

Special Keynote: Providing Evidence-Based Support for Councils and the NHS to Tackle Health Inequalities

  • Positioning Public Health England as the authoritative voice on health inequalities by providing a support system to local authorities, NHS bodies and the voluntary sector on protecting the health of all groups
  • Being tasked with the delivery of evidence-based interventions to bring down health inequalities as part of the January 2019 NHS Long Term Plan, such as CCGs ensuring all programmes are designed to narrow health inequalities
  • Releasing the September 2017 guidance Health Inequalities: Reducing Inequalities in Local Areas for local councils to improve public health for all through expert advice, evidence and localised policies
  • Helping health and social care organisations tackle stark inequalities between ethnic groups through the extensive July 2017 guidance Health Equity in England: Focusing on Inequalities Between Ethnic Groups

Lina Toleikyte, Public Health Manager – Health Equity, Public Health England (CONFIRMED)


10:20

Special Keynote: Leading London's Fight Against Health Inequalities

  • Releasing the London Health Inequalities Strategy in September 2018, setting out the need for partnership working across local government, NHS, voluntary organisations and housing providers to tackle widening health inequalities within London
  • Driving the Healthy Early Years Programme to get 10% of London’s early years registered settings, within the 17 boroughs with the worst health outcomes, signed up to health-based initiatives
  • Building healthier environments around schools through the London Health and Care Devolution MoU, including ‘healthy zones’ around schools with the highest levels of health deprivation
  • Maximising the positive impact of planning on health inequalities, including support to councils and CCGs to bring health inequalities and the built environment together in Joint Health and Wellbeing Strategies
  • Enabling more people from deprived areas to benefit from community-level social prescribing, as outlined by the February 2019 Social Prescribing Vision for London

Dr Onkar Sahota AM, Chair of Health Committee, London Assembly (CONFIRMED)


10:40

Questions and Answers Session


11:00

Refreshments and Networking Session


Part 2 – Demonstrating Effective Partnership Approaches: Best Practice Case Studies


11:20

Case Study: Tackling Health Inequalities Through Close Collaboration Across Health, Housing, Education and Social Care

  • Running the Croydon Health and Wellbeing Strategy to reduce health inequalities by strategically providing the best conditions across housing, social care, schools and health services
  • Tackling differences of up to 10 years in life expectancy between certain neighbouring areas by building the One Croydon Alliance, ensuring that the council and NHS Trust are working closer with partners across the housing, education and voluntary sectors
  • Prioritising healthy housing developments by building 10,000 new homes close to green spaces, enhanced open spaces and leisure opportunities to give residents the best possible health chances
  • Creating more personalised models of care to meet individual needs, such as moving health and care services to community settings, integrating health and social care and integrating physical and mental health care

Councillor Louisa Woodley, Cabinet Member for Families – Health & Social Care, Croydon Council and Chair, Croydon Health and Wellbeing Board (CONFIRMED)

Dr Agnelo Fernandes MBE, Chairman, NHS Croydon Clinical Commissioning Group and Vice-Chair, Croydon Health and Wellbeing Board (CONFIRMED)

 

 

 

 

 


11:40

Case Study: Implementing a Council-led Partnership to Build and Deliver a Healthy New Town

  • Bringing together 40 local organisations across local government, healthcare, housing associations and community groups to create the Healthy Bicester programme, ensuring that local development actively improves the health of all local residents
  • Using the planning system and the built environment to promote better health outcomes by making physical activity easy, affordable and fun
  • Improving prevention and self-care by focusing on new forms of service delivery, such as through social media, social prescribing, and community based education events
  • Demonstrating that a place based approach can enable people to get active, with a 50% increase in uptake of commissioned services
  • Enhancing collaboration with local partners, such as schools working with voluntary organisations, businesses working with community groups and GP practices working with district council services to actively promote healthy behaviours
  • Increasing social cohesion within the town and building capacity in the voluntary sector to increase their ability to reach out to more vulnerable members of the community

Rosie Rowe, Bicester Healthy New Town Programme Director, Cherwell District Council (CONFIRMED)


12:00

Case Study: Providing the Leading Charity-Led Approach to Improving Healthcare for Homeless People

  • Transforming health services for homeless people by developing a proven charity-led partnership model for enhancing care co-ordination for homeless people in hospitals
  • Working across Pathway, the NHS and local councils to intervene in factors leading to homeless people being repeatedly admitted to hospital
  • Lining up support for homeless people post-treatment by coordinating not only with GPs and nurses, but also with housing workers, social workers, occupational therapists and ‘care navigators’ who have experienced homelessness
  • Supporting 11 hospitals so far to create specific homeless healthcare teams which have helped over 3,500 homeless patients every year during and post-treatment
  • Reducing the average length of stay, reducing A&E attendances, reducing levels of homelessness and rough sleeping, and most importantly, improving health and housing status for patients experiencing homelessness

Alex Bax, CEO, Pathway (CONFIRMED)

Florence Cumberbatch, Homeless Health Nurse Practitioner – Pathway, University College London Hospitals NHS Foundation Trust (CONFIRMED)


12:20

Questions and Answers Session


12:40

Lunch and Networking


Part 3 – Driving Guidelines, Research and Action To Reduce Health Inequalities


13:40

Afternoon Keynote: Driving Parliamentary Inquiries and Action to Promote 'Health in All' Policies

  • Outlining the results of the APPG Health in All Policies Inquiry 2019 – 3 Years On: Assessing the Impact of the Welfare Reform & Work Act 2016 on Children and Disabled Adults in February 2019
  • Understanding and outlining the diverging regional impacts of health-based and social policy, including how to overcome this so that all regions benefit equally from these policies
  • Establishing the policy relationship between poverty, inequality and health, calling for the delivery of a co-ordinated policy approach to reducing health inequalities
  • Setting out the next policy steps for targeting child poverty and child health through co-ordinated action across local government, the NHS, housing projects and schools

Jeremy Lefroy MP, Vice-Chair, Health in All Policies APPG (CONFIRMED)


14:00

Special Keynote: Offering Guidance to Promote Community Collaboration to Tackle Health Inequalities

  • Offering guidelines for community engagement approaches that are able to tackle health inequalities and promote collaboration between communities and service providers
  • Guiding local authorities and NHS bodies on their statutory obligations to strategically reduce health inequalities
  • Understanding best practice for working together between local authorities, the voluntary sector and the NHS to ensure a co-ordinated approach to successful health and wellbeing initiatives
  • Building asset-based and community development approaches, which build on the strengths of local communities and provides local areas with poor health support the opportunity to tackle the root causes of this

Monica Desai, Consultant Public Health Advisor, NICE (CONFIRMED)


14:20

Questions and Answers Session


14:40

Refreshments and Networking


Part 4 – Early Intervention: Tackling the Social Causes of Health Inequalities Between Groups

 


15:00

Case Study: Effectively Implementing the Marmot Recommendations to Target Social Determinants of Health Inequalities

  • Becoming one of the first councils to become a Marmot City, working strategically to implement effective evidence driven policies by tackling the social determinants of Coventry’s health inequalities
  • Implementing the Making Every Adult Matter (MEAM) strategy as part of the Marmot approach which has designed entire local areas around coordinated services for those with multiple complex needs
  • Bringing together teams from across the council, housing associations, NHS, West Midlands Police, Voluntary Action Coventry and the DWP to unite in reducing health inequalities
  • Introducing a Mental Health Street Triage, whereby mental health nurses accompany police officers to various cases to ensure immediate mental health support, preventing 10 admissions to A&E per week
  • Considering the impact on health inequalities in every single major policy decision at Coventry City Council, alongside the Equality Act characteristics

Sue Frossell, Public Health Consultant, Coventry City Council (CONFIRMED)


15:20

Case Study: Delivering Localised Projects to Meet the Health Needs of Minority Population Groups

  • Meeting the needs of all local populations groups in the region by creating and executing a range of targeted interventions led by Camden CCG, such as towards minority groups or those with disabilities
  • Working with members of minority communities within the area, such as the Bangladeshi community, to identify areas of high priority with regards to health and developing an action plan to improve primary care accessibility and facilitate their engagement with health initiatives in the community
  • Improving access in GPs for those with physical and learning disabilities through Accessible Information Standards (AIS), becoming the only CCG area in the country where almost every GP practice is meeting all basic requirements of AIS
  • Running a Cultural Advocacy Project, commissioned jointly by Camden Council and Camden CCG to develop community approaches to engage with BAME communities and support them in reaching out to beneficial services
  • Enabling over 200 families to enrol in the Families for Life Programme in 2017/18, a support system to increase healthy food intake and reduce consumption of high sugar food

Martin Emery, Deputy Head of Engagement, Camden CCG (CONFIRMED)


15:40

Case Study: Building a Council-Charity-NHS Partnership to Improve the Health of Those in Contact With Criminal Justice Services

  • Creating a cross-sector partnership between Essex County Council, North Essex Partnership University NHS Trust and Phoenix Futures Group to procure a criminal justice care service for people with complex needs (such as substance misuse, mental health issues and learning disabilities)
  • Developing the first integrated support and care system of this type for those in contact with the criminal justice services, aimed at simultaneously improving their health and reducing re-offending by filling current gaps in service delivery
  • Working with local diversion services, probation and prison services to identify individuals at risk and provide them with named service workers who can help with debt, employment, housing and referring people to specialist provision
  • Ensuring 96% of service users are not re-offending, with over a third reporting improvements in their physical and psychological health

Ben Hughes, Head of Wellbeing and Public Health, Essex County Council (CONFIRMED)

Karen Biggs, Chief Executive, Phoenix Futures (CONFIRMED)


16:00

Questions and Answers Session


16:20

Chair's Summary and Close

*Programme Subject to Change


Health inequalities within the UK are widening at pace. Men and women in the most disadvantaged communities are living on average 10 years less than those in the least-disadvantaged areas and are spending 20 additional years in poor health, according to Public Health England’s Health Profile for England 2018. The mean life expectancy for homeless people is now 30 years lower than for the general population. Those with a learning disability die 16 years earlier than the general population and this is extended to 20 years when just considering women. Those with severe mental health illnesses die on average 15-20 years younger than the general population. Beyond the human cost, health inequalities cost the UK £33 billion per year in lost productivity and an additional £5.5 billion in healthcare costs.

The NHS Long Term Plan, published in January 2019, places tackling health inequalities at the very centre of policy moving forward, with co-ordinated action to be taken by NHS bodies, local councils, schools, housing associations and third sector organisations. A higher share of funding will be targeted to areas and groups exhibiting high health inequalities, totalling £1 billion by 2023. All local health systems, therefore, will be required over the coming year to set out their strategies for reducing health inequalities.

The LGA guidance – Local Government’s Role in Reducing Health Inequalities – published in February 2018, demands stronger levels of cooperation between the NHS, local government and voluntary sector, driven through Integrated Care Systems (ICSs) and Local Health and Wellbeing Boards. The guidance also aims to raise the involvement of local councils in using core functions such as housing, planning, education and community regeneration to tackle health inequalities.

The growing problem of health inequalities will continue unless local regions begin to take a place-based and people-based approach towards reducing them. These approaches mean understanding how organisations that provide health services, education and employment in regions can work together to ensure everyone is living long, healthy lives. Given the positive direction of policy, with the correct planning and cross-sector strategies there is a real chance to finally reduce health inequalities in the UK.

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