Building a health creating society, nationally and globally - presentation at the Faculty of Public Health annual conference 2016

1. Turning the World Upside Down
The search for global health in the 21st century
Building a health creating society
– nationally and globally
Faculty of Public Health
Brighton
14th June 2016
Nigel Crisp

2. A health creating society
• Modern societies actively market
unhealthy lifestyles
WHO European Region
Building a health creating society
Nigel Crisp

3. A health creating society
• Modern societies actively market
unhealthy lifestyles
WHO European Region
• Health is made at home, hospitals
are for repairs
Traditional African saying
Building a health creating society
Nigel Crisp

4. The UK and Europe
• Children
• Older people
• Mental illness
• Inequalities
Building a health creating society
Nigel Crisp

5. Everyone has a role to play…
A health creating society where
everyone – architects, teachers,
employers, citizens, business - has a
role to play in creating healthy
robust citizens and communities
Building a health creating society
Nigel Crisp

6. One World Health
• Differences and similarities
• Mutual learning and co-
development
• Global policy
• Political, moral and practical
choices
Building a health creating society
Nigel Crisp

7. World Bank, 2014 Building a health creating society
Child mortality rate per 1000 live
births from 1960 to 2012 by region

8. Report of the Commission on the Social Determinants of Health; WHO 2008 Building a health creating society
Under 5 mortality rate per 1000 live
births by level of household wealth

9. Building a health creating society
Nigel Crisp
Turning the World Upside Down
• Community, family and women
• Health, education and work
• Social and business enterprises
• Public health and clinical medicine
• Train for the job not the profession

10. Building a health creating society
Nigel Crisp
From Kenya to New York
City Health Works has developed a Systems Approach to Population
Health to move “from Healthcare to Health in order to:
• Create healthier neighbourhoods and help individuals take better
control of their health
• Reduce healthcare spending and develop new payment streams
• Create meaningful local jobs and more effective care teams
• Bundle clinical and non-clinical, social services”
http://cityhealthworks.com/about-us/
“The fundamental relationship between community and health
systems is foundational to achieving universal primary health care,
and CHWs are in the best position to help the world reach this goal.”
Dr Prabhot Singh

11. Global policy and choices
• A positive dynamic – the SDGs with a bio-
psycho-social-environmental perspective,
partnerships, innovations, knowledge and
investment
• A negative dynamic - conflict, inequalities,
environmental pressures, new diseases and
resurgent old ones, demand and cost
constraints
• Political, moral and practical choices
Building a health creating society
Nigel Crisp

12. Building a health creating
society
In 1948 all the people and organisations
involved in health care came together
around the common goal of health care
for all
Now we need everyone and everybody
that affects health to come together in a
common goal to build a health creating
society
Building a health creating society
Nigel Crisp