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Ian Lowrie Health Ineq290909

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Presentation by Ian Lowrie Adur and Worthing Council Chief Executive at Turning the Tide event on 29th September 2009.

Presentation by Ian Lowrie Adur and Worthing Council Chief Executive at Turning the Tide event on 29th September 2009.

Published in: Sports, Health & Medicine

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Transcript

  • 1. Coastal Challenge? Adur & Worthing Ian Lowrie Chief Executive Adur District & Worthing Borough Councils Turning the Tide South 29 September 2009
  • 2. Welcome to Worthing
    • At the heart of West Sussex partnerships
    • Adur/Worthing Councils
    • Coastal West Sussex
    • Better Together
    • AXess West Sussex
    • CENSUS
    • Worth, AEP/Worthing Chamber etc
  • 3. What inequalities?
    • External view of coastal West Sussex?
    • Wealthy, prosperous, healthy
    • But we know that this is a description of just one end of the spectrum
  • 4. WEST SUSSEX JOINT STRATEGIC NEEDS ASSESSMENT SUMMARY 2008 Ward Level Life Expectancy (2003-2005)
  • 5. So the health evidence is clear
    • 8 year difference between some areas
    • Many other health indicators
    • Alcohol, Smoking, Obesity
    • Teenage pregnancies
    • But … other factors too
  • 6. Inequalities > LNIAs Bognor Wards - Marine, Hotham, Pevensey, Orchard and Bersted Crawley Wards – Broadfield South and North, Bewbush, Langley Littlehampton Wards – River, Ham Wick with Toddington Worthing Wards – Heene, Central, Selden, Northbrook, Durrington Adur Wards – S outhlands, Eastbrook, Mash Barn, Churchill
  • 7. Other factors – same areas
    • Employment opportunities
    • Local wage rates
    • Education attainment
    • Skills/qualifications
    • Alcohol
    • Anti Social Behaviour
    • Fuel poverty
  • 8. Problem or symptom?
    • LNIA information confirms complexities of cause and effect
    • Therefore “Health Inequalities” may be addressed by action on other topics
  • 9. Inequality vs bringing up the base?
    • One way to reduce inequality is to lower the ceiling!
    • A dangerous debate – requires a radical redistribution
    • Better to use the ceiling as the benchmark for the base?
  • 10. Bringing up the base
    • Mayhew
    • Rowntree
    • Dickens
    • Booth
    • Beveridge
    • All described the features of
    • the poverty of their time.
    • The use of language is different
    • But the issues are familiar
  • 11. Conclusion
    • We have moved the base up over time, but being in relative deprivation seems just as painful for those who are in that position today?
  • 12. Why/is it a coastal issue?
    • Good environment and healthier air?
    • The Dr Brighton effect?
    • But ….
    • 180 degree coastal economy
    • Opportunity
    • Fading resorts
    • Affordable housing
  • 13. So the solutions …
    • Are multi-faceted & need, for example -
    • To promote education & skills
    • Must say yes to the economy & new jobs
    • Promote community well-being
    • As well as ..
    • Dealing directly with the health issues
  • 14. The premium on partnership
    • Inter-related interests eg
    • Fuel poverty & Education
    • Housing & Health
    • Debt & Domestic Violence
    • Job Opportunities & Planning decisions
    • Community & Crime/ASB
  • 15. And we are doing it …
    • Health & Wellbeing Centres
    • Family Intervention
    • Worth Service
    • Healthy Workplaces
    • Voluntary sector
    • Mutli Use Games
    • Exercise promotion
    • LSPs (Health & Well Being Partnership)
    • Economic Partnership
    • Coastal W Sx Econ
    • CWS Skills & Innov.
    • Comm. Devt in LNIAs
    • Fishersgate Fun Day
    • Southlanders
  • 16. What makes it work?
    • Ownership & Leadership at the top
    • Representatives with power to commit
    • A common purpose
    • Something in it for all participants
    • Work with the enthusiasts
    • Trust & Time
    • Collateral Influence
  • 17. Conclusions
    • Forget inequality, lift the baseline
    • Health is inseparable from its causes
    • Coastal effect - mostly about life’s chances
    • High level, high quality partnerships are essential to progress
    • There is a lot going on already
    • Let’s make it work