John Middleton discusses inclusive economic growth and public health at a Public Health England conference. He argues that improving population health leads to greater economic prosperity, and outlines several strategies for promoting health and wealth, including: controlling corporate excesses; developing industries and services that improve health; encouraging corporate citizenship in health and local authorities; advocating for health impact assessments; and asset-based community development. Middleton also discusses saving money through sustainable living, community economic development, and protecting resources across generations.

1. Inclusive economic growth
John Middleton
President UK Faculty of Public Health
Public Health England Conference September 12th 2017

2. Inclusive economic growth
 Health and wealth
 Control of corporate excesses
 The health dividend: Promoting industry and services which
improve health
 Corporate citizenship by the health and local authorities
 Advocacy for a healthier economy; Health impact assessment
 Community economic development/ community enterprise
 Saving money – ‘living sustainably’; ’living lightly’; ‘anti-poverty’
 Asset-based community development
 Prosperity without growth
 Wellbeing of future generations

3. Inclusive economic growth
 Health and wealth

5. • There was a period in development thinking -
not so long ago - when spending on public
services, such as health and education, would
have to wait. Good health was a luxury, only
to be achieved when countries had
developed a particular level of physical
infrastructure and established a certain
economic strength. The implicit assumption
was that health was to do with consumption.
Experience and research over the past few
years have shown that such thinking was at
best simplistic, and at worst plainly wrong.
I maintain that if people's health improves,
they make a real contribution to their nation's
prosperity. In my judgement, good health is
not only an important concern for individuals,
it plays a central role in achieving sustainable
economic growth and an effective use of
resources.

6. • In East Asia, for example, life
expectancy increased by over 18
years in the two decades that
preceded the most dramatic
economic take-off in history.
A recent analysis for the Asian
Development Bank concluded
that fully a third of the
phenomenal Asian economic
growth between 1965 and 1997
resulted from these gains.

7. http://www.bmj.com/content/
357/bmj.j2676
Inequalities in health cost
£65bn (€74bn; $83bn) in lost
productivity and taxes and
increased benefits payments
plus
£5.5bn for direct NHS
treatment in 2010.5

8. Economic and social case for reducing health
inequities
1. Reducing health inequalities is cost effective
• E.g. the total welfare loss across the 25 European
countries is estimated at 9.4per cent GDP or €980 billion
(Mackenbach et al, 2011).
2. Benefits for the whole of society (not just the poor)
• More equal societies have improved health, societal,
human capital and economic benefits.
3. Investing in health in general has been shown to give
economic returns to the health sector, other sectors and the
wider economy:
• with an estimated four fold return on every dollar invested,
described as the fiscal multiplier (Reeves, Basu et al. 2013).

9. Inclusive economic growth
 Control of corporate excesses

10. These 10 Corporations Control Almost Everything We Buy
Industrial Corporations prioritise PROFIT, not public health

11. Inclusive economic growth
 Community economic development
Keep the money locally – ‘local multipliers’
A preventive agenda is a local spend agenda –
Swiss drugs or exercise programmes for high blood pressure
and anxiety/depression
And its cheaper

12. Inclusive economic growth
 Advocacy for a healthier economy;
Health impact assessment

14. Inclusive economic growth
 The health dividend: Diversifying and
promoting industry and services which
improve health

18. Sandwell food coops

19. ASPHER 2005: Growing the public health workforce in Sandwell, UK

20. Sandwell study and
strategy for jobs and health
in the food industry,
including retail :
Now adopted by the Black
country Local economic
partnership (LEP)

23. Inclusive economic growth
 Corporate citizenship by the health and local
authorities

24. The new Midland Metropolitan hospital
Opening 2018 – corporate citizenship offers of construction employment, low carbon footprint, local health service
employment , key worker housing and relocation of services to community

25. ‘Saving lives with Solar’ Royal
North Midlands Hospitals, Stoke.

26. Thinking globally, acting
locally: Coventry and
Warwickshire University
Hospitals Jubilee Nature
Reserve – managing
water run off from
hospital car parks -
promoting biodiversity,
saving money

27. Health Futures
University
Technical College
West
Bromwich,UK
www.healthfutures.co.uk

28. Driving economic
success
‘Bespoke services
covering the entire
innovation life cycle
from conception of an
idea through to its
eventual realisation
of commercial
success’

29. Inclusive economic growth
 Asset-based community development

31. Asset based
community
development:
Salop drive
Community
agriculture
project,
Sandwell

32. Asset based
community
development:
Cycling in
Sandwell

33. 33
Sandwell Youth Cabinet

34. Agewell-Sandwell
Agewell -Sandwell

36. Options for life assisted build
community centre, 2002, under
construction, and present day

37. Inclusive economic growth
 Saving money – ‘living sustainably’; ’living lightly’; ‘anti-
poverty’
Welfare rights
Food coops
Affordable warmth
Free parks and leisure
Alternative economics - time banks, LETS, Credit
Unions

38. Inclusive economic growth
Health-related community enterprise

40. Birmingham
Sandwell / Urban
Living Smart
housing manifesto
2004

41. i- House, demonstration house
West Bromwich 2008

42. Institute of
Making,
University
College
London
Library of
materials
3D printers
Liz Corbin,
Director

44. http://www.campaigncc.org/sites/data/file
s/Docs/one_million_climate_jobs_2014.pdf

45. Protecting resources from
one generation to the next’

46. ‘Protecting resources from one generation to
the next’
Examples : Life time homes
Active travel & Town planning
Early years support and education
Renewable energy schemes
Zero carbon housing

48. Thank you
Professor John Middleton
President, UK Faculty of Public Health
President@fph.org.uk