Working Together for Better Health & Wellbeing: Understanding What Works

1. Health and Wellbeing
Healthy Ireland
WorkingTogether for Better Health &
Wellbeing: UnderstandingWhatWorks
IPH - Wellbeing Services Session
15th
November, 2017
Sarah McCormack
National Programme Lead Healthy Ireland
Health Service Executive.

2. Healthy Ireland Framework 2013– 2025
A Framework for improved health and wellbeing 2013 – 2025.

3. Healthy Ireland Goals
 Increase the proportion of people who are
healthy at all stages of life
 Reduce health inequalities
 Protect the public from threats to health and
wellbeing
 Create an environment where every individual
and sector of society can play their part in
achieving a Healthy Ireland
Improving Health and Wellbeing in Ireland

4. 4
Healthy Ireland Vision
Where everyone can enjoy physical and mental
health and wellbeing to their full potential,
where wellbeing is valued and supported at every
level of society and is everyone’s responsibility.

5. Why Healthy Ireland?
 49% of Irish people over 50 have one chronic
disease and 18% have more than one
 1 in every 10 people over 50 years of age has
diabetes
 The major chronic diseases; diabetes, cardiovascular
and respiratory disease will increase by 20% -30% in
the next 5 years
 1 in 5 of all of us will experience mental health
problems in our lifetime
 36,000 new cases of cancer are diagnosed each year
Improving Health and Wellbeing in Ireland

6. 6
6
Chronic Disease
Chronic disease accounts for
 76% of deaths,
 80% of GP consultations,
 40% of admissions,
 75% of bed days and
 55% of hospital expenditure

7. 7
7
Chronic Disease
is
largely preventable

8. Chronic Disease is largely preventable
 Almost 35% of cancer deaths and cases of
cancer, and almost 65% of cardiovascular
disease deaths and cases are attributable to a
number of known and preventable risk factors
 For coronary heart disease, the proportion of
deaths and cases attributable to key risk
factors is even greater (80%).
 Tobacco exposure alone is responsible for
73% of COPD.
Improving Health and Wellbeing in Ireland

9. Determinants of Health

10. Key known Preventable Risk Factors
 Smoking
 Alcohol Misuse
 Healthy Eating Active Living
 Wellbeing and Mental Health
 Healthy Childhood
All leading to:
 Positive Ageing
 Reduced Chronic Disease
 Reduced demand on Health System
Improving Health and Wellbeing in Ireland

11. 11
11
Healthy Ireland Framework
Partnerships
 Healthy Ireland Framework Action 2.2
‘Local health partners will engage with local authorities in their
work to address local and community development, with the
aim of co-ordinating actions and improving information-
sharing for improved health and wellbeing’
 2015 H&WB Operational Plan includes commitment to co-
ordination of Healthy Ireland input to the LCDCs

13. HSE and Local Community Development
Committees
 HSE Representative on almost all 31 LCDCs
 Commitment : Support and implement National
Health and Wellbeing strategies, policies and actions
at a local level e.g. Tobacco Free Ireland, National
Suicide Prevention Strategy - 'Connecting for Life',
Alcohol Strategy, National Drug Strategy, Homeless
Strategy etc.
 Networking events held with HSE LCDC
representatives with input from relevant
departments
Improving Health and Wellbeing in Ireland

14. New HI Kick Start Funding - €5m in
Budget 2017
 Kick start’ funding level of €5 million in Budget
2017, aims to support partnership working to
support implementation of key national policies
and plans under Healthy Ireland dealing with
issues such as physical activity, obesity prevention
and creating a tobacco-free society.

15. New HI Kick Start Funding - €5m in
Budget 2017
Funding of €3.8 million offered to Local
Community Development Committees
(LCDCs) and Children and Young People
Services Committees (CYPSCs), with
every local authority area making an
application.


16. New HI Kick Start Funding - €5m in
Budget 2017
 €1.35 million to support the National Physical Activity Plan,
with a particular focus on children.
 Includes cycling and swimming initiatives, a new Young Athletes
Programme with Special Olympics, and a significant expansion of
the Active School Flag physical activity programme in schools
around the country.
 A new project to develop the country’s library network as health
and wellbeing hubs in communities is also being funded.
 A new strategic plan and campaign for Get Ireland Walking,
 It will see 100 new Active Community Walking Groups being
delivered with 28 Local Sports Partnerships across the country, as
well as training for new walking leaders in a range of rural and
urban communities.

17. Healthy Ireland in the Health Services
 Healthy Ireland in the Health Services
Implementation Plan
Improving Health and Wellbeing in Ireland

18. Capitalise on every day contactsCapitalise on every day contacts
between health professionals andbetween health professionals and
patientspatients
With over 100,000
staff employed in the
HSE, this translates to
millions of patient
contacts annually
4.59 million People living in Ireland
3 million Have a consultation with a clinical
consultant
5 million Public health nursing contacts
1.8 million Have a medical card
1.43 million People receive either inpatient or day
case treatment
68,000 Babies born
20 million Prescriptions filled
1.3 million Dental visits
1.2 million Patients seen in an Emergency
Department
Average Health Service Contacts in a Year
Identify
Wellbeing
Services

20. Health and Wellbeing
Healthy Ireland
WorkingTogether for Better Health &
Wellbeing: UnderstandingWhatWorks
IPH - Wellbeing Services Session
15th
November, 2017
Sarah McCormack
National Programme Lead Healthy Ireland
Health Service Executive.

21. WorkingTogether for Better Health &
Wellbeing: UnderstandingWhatWorks
Questions

22. Q1
 What are the challenges to building a common
approach to develop Wellbeing Services across
local communities?

23. Q2
 What cultural changes do we need to make to
develop an integrated approach to improving
wellbeing services in local communities?

24. Q3
How do we support and build capacity within and
across communities at both an individual and
broader community level?

25. Q4
How do we replicate examples of good local
practice across other areas and communities?

26. Q5
Tackling inequalities is a key challenge for us all.
How do we lift Wellbeing outside the “Health
Box” when tacking inequality?