Coastal Challenge? Adur & Worthing Ian Lowrie Chief Executive Adur District & Worthing Borough Councils Turning the Tide S...
Welcome to Worthing <ul><li>At the heart of West Sussex partnerships </li></ul><ul><li>Adur/Worthing Councils </li></ul><u...
What inequalities? <ul><li>External view of coastal West Sussex? </li></ul><ul><li>Wealthy, prosperous, healthy </li></ul>...
WEST SUSSEX JOINT STRATEGIC NEEDS ASSESSMENT  SUMMARY 2008 Ward Level Life Expectancy  (2003-2005)
So the health evidence is clear <ul><li>8 year difference between some areas </li></ul><ul><li>Many other health indicator...
Inequalities > LNIAs Bognor Wards -  Marine, Hotham, Pevensey, Orchard and Bersted Crawley Wards  – Broadfield South and N...
Other factors – same areas <ul><li>Employment opportunities </li></ul><ul><li>Local wage rates </li></ul><ul><li>Education...
Problem or symptom? <ul><li>LNIA information confirms complexities of cause and effect </li></ul><ul><li>Therefore “Health...
Inequality  vs bringing up the base? <ul><li>One way to reduce inequality is to lower the ceiling! </li></ul><ul><li>A dan...
Bringing up the base <ul><li>Mayhew </li></ul><ul><li>Rowntree </li></ul><ul><li>Dickens </li></ul><ul><li>Booth </li></ul...
Conclusion <ul><li>We have moved the base up over time, but being in relative deprivation seems just as painful for those ...
Why/is it a coastal issue? <ul><li>Good environment and healthier air?  </li></ul><ul><li>The Dr Brighton effect? </li></u...
So the solutions … <ul><li>Are multi-faceted & need, for example  - </li></ul><ul><li>To promote education & skills </li><...
The premium on partnership <ul><li>Inter-related interests eg </li></ul><ul><li>Fuel poverty & Education </li></ul><ul><li...
And we are doing it … <ul><li>Health & Wellbeing Centres </li></ul><ul><li>Family Intervention </li></ul><ul><li>Worth Ser...
What makes it work? <ul><li>Ownership & Leadership at the top </li></ul><ul><li>Representatives with power to commit </li>...
Conclusions <ul><li>Forget inequality, lift the baseline </li></ul><ul><li>Health is inseparable from its causes </li></ul...
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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.

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Ian Lowrie Health Ineq290909

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

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