Corporate slide master With guidelines for corporate presentations

1. Corporate slide master With guidelines for corporate presentations Healthier, happier, fairer Wales – progress so far? Dr Ruth Hussey OBE Chief Medical Officer/Medical Director NHS Wales

2. Health - the challenge Life expectancy is on average pretty good and improving…….

3. Health - the challenge …….but health problems continue

4. Flourishing … and what about happiness? Worthwhile-Anxious Typical Struggling Eudemonic wellbeing (worthwhile) Sally McManus Jenny Chanfreau 2014 Very low Low High Medium Hedonic wellbeing (happiness)

5. Fairness - the challenge

6. Are we making progress? • Recommendations in last year’s report - action since??? • Making Wales healthier, happier and fairer • Protecting the nations’ health • Achieving health and happiness through prevention • Creating safe and resilient 21st century healthcare services • Acting on the relationship between health and wealth • …how can we • Make a big shift? • and faster?

7. What does the evidence say on health inequalities? Michael Marmot 2010 Margaret Whitehead 2014 • Give every child the best start in life • Maximise capabilities and control • Create fair employment and good work • Ensure healthy standard of living • Healthy and sustainable places and communities • Strengthen role and impact of ill health prevention

8. Avoidable deaths - we are making progress – but……

9. ….. Social gradient persists They are still too frequent ….. …and unfair

10. So what more must we do to stop avoidable deaths? action on the big killers

11. So what more must we do? 1. Still that relentless focus on prevention…….

12. So what more must we do? 2. ….action through population- and person-focused primary care……. Reverse the Inverse care law

13. So what more must we do? 3. ….and focus on integrated, monitored high quality care…….

14. What about social causes and assets? Reducing low wellbeing • Return to work support • Financial management skills • Chronic condition management • Relationship guidance Increasing high wellbeing • Neighbourhood social cohesion • Local area and transport safety • Accessible information • Opportunities for engagement Nest is a Welsh Government scheme working to help reduce the number of households in fuel poverty and make Welsh homes warmer and more energy-efficient places to live. Nest offers a range of advice and support for everyone to save energy and maximise income. Co-production Wales (All in this Together)

15. all this can seem complicated….. prosperity poor social conditions falling funding general health poor lifestyles prudent health care NHS effectiveness avoidable demand NHS efficiency

16. Prudence

17. Prudence across the range

18. Public Health Outcomes Framework Public health outcome indicators healthier cohesive communities more equal resilient prosperous vibrant culture & thriving Welsh language Wellbeing national indicators Shared vision for public health in Wales Well-being of Future Generations Bill Coproduced, citizen centred #thewaleswewant

19. Our job is open the debate lead the debate give people facts, belief, support • Do something • Do more • Do better

20. Remember.... “Reducing health inequalities is, for the Commission , an ethical imperative. Social injustice is killing people on a grand scale.” Professor Sir Michael Marmot