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“ Ireland ’ s Approach to Improved Health and Wellbeing ”. Energy Action Fuel Poverty Conference March 12 th 2013. Health and Wellbeing. Health is a personal, social and economic good and a major asset for society Wellbeing reflects quality of life and concept of positive mental health
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“Ireland’s Approach to Improved Health and Wellbeing” Energy Action Fuel Poverty Conference March 12th 2013
Health and Wellbeing • Health is a personal, social and economic good and a major asset for society • Wellbeing reflects quality of life and concept of positive mental health • Good or bad health outcomes • Depend on action or inaction of other sectors • Affect outcomes of a wide range of sectors
Social Determinants of Health • Circumstances in which people are born, live, work, play and age • “The causes of the causes” • Not exclusive to health – poverty – a key determinant for poor education outcomes
Social Determinants of Health • Health sector cannot deal with these alone • Other sectors “do health” under different labels but often don’t recognise this as core business • Health sector needs to learn how to “read” labels
Health in all Policies (HiAP) – Promoting Healthy Public Policy • Way of working across government • Encourages all sectors to consider health impacts of policies and practices • Examines contribution a healthier population can make towards achieving the goals of other sectors
Question In Ireland how can the health sector both contribute & benefit?
Answer Healthy Ireland – A Framework for Improved Health and Wellbeing
Framework for Improved Health and Wellbeing • Pillar in Future Health – Strategic Framework for Reform of the Health Service • Government support and approval to publish • H&WB Programme in DH – Planning, monitoring & co-ordinating
Vision A country where everyone can enjoy physical and mental health & wellbeing to their full potential, where wellbeing is valued and supported at every level of society and is everyone’s responsibility 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
Collective responsibility - Collective response – Collective benefits • Leadership and accountability • A whole-system response • Partnerships & reaching beyond Government • Building community & personal responsibility • Life course approach • Early intervention & healthy ageing • Measurement & evaluation
Healthy Ireland – A Framework for Improved Health and Wellbeing 28th March 2013 Healthy Public Policies
Common agendas – similar approaches • Framework for action to measure, record and report on actions to improve quality of life • Health and wellbeing objectives across life course • Understanding the SDH, inequalities and their consequences • Energy poor, income poor, food poor, poor housing • Excess winter deaths, respiratory illness, low birth weight • Mental wellbeing, stress, resilience, coping mechanisms • Educational achievement • Health risk behaviours: diet, physical activity, alcohol, tobacco
Common agendas – similar approaches • Economic argument for prevention / energy efficiency • Multiple benefits for individuals and society • Cross-sectoral approach to implementation • Indicators and targets
Outcomes Framework Objective assessment of impact of Healthy Ireland Good or bad health outcomes depend on action of other sectors affect outcomes of a wide range of sectors Indicators: Range of sectors Reflect the life course Current data collection processes EU SILC Disaggregated by equality characteristics e.g., experience of poverty and deprivation
Asks at last year’s conference???????? • Health and wellbeing at centre of legislation and policy related to fuel poverty / affordable energy…….. • Yes….. and • Health and Wellbeing is a pillar of health reform • Leadership and co-ordination driven by strategic interdepartmental approach….Yes • Integration of fuel poverty variables into major surveys
Summary: Healthy Public Policies • Fuel poverty a determinant of health and wellbeing • Inequality issue • Area-based approach to address energy poverty • Empowering people and communities • Use of existing organisations, structures and networks
“Ireland’s Approach to Improved Health and Wellbeing” Energy Action Fuel Poverty Conference March 12th 2013