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BELFAST HEALTHY CITIES 25 th ANNIVERSARY LECTURE SERIES

BELFAST HEALTHY CITIES 25 th ANNIVERSARY LECTURE SERIES. Dr Andrew McCormick Permanent Secretary Department of Health, Social Services & Public Safety. Health Status of Northern Ireland. Investing for Health 2002-2012.

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BELFAST HEALTHY CITIES 25 th ANNIVERSARY LECTURE SERIES

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  1. BELFAST HEALTHY CITIES25th ANNIVERSARY LECTURE SERIES Dr Andrew McCormick Permanent Secretary Department of Health, Social Services & Public Safety

  2. Health Status of Northern Ireland

  3. Investing for Health 2002-2012 • Investing for Health 2002 sought to shift the emphasis by taking action to tackle the factors which adversely affect health & perpetuate health inequalities • Goals • “to improve health status of all our people” • “to reduce inequalities in health” • Based on taking action to address the wider determinants of health • A framework for action based on intersectoral partnership at government & local levels

  4. Review Findings • Clear need for cross-sectoral public health strategy based on IfH • Take account of emerging evidence e.g. Marmot on Inequalities • Needs better coordination to implement more robust monitoring and performance management • Better linkages to IfH agenda from other Departments • Linkages with local Government and C&V sector roles

  5. Response to 2012 Consultation • Welcome whole systems approach • Needs more detail – learn from IfH review • Clear lines of accountability needed between high level group and any regional board • What about sub-regional/ local level? • Linkage to other structures, e.g., CYPSP • Local Government and C&V sector roles

  6. Implementation • Partnership working remains key: • Government level [MGPH] • Regional level [Delivery Board] • Local level [Local Arrangements] • Whole Systems Approach required • link policy, research and practice

  7. Next Steps • Feedback from consultation • Factor in Health Committee report on health inequalities • Finalise and publish Spring 2013 • Implementation…….

  8. Leadership and Governance • Whole System, Whole of Government, Whole of Society • Requires an enormous culture change • “For Health, not For Health Services” • Change the conversation, change the incentives, change the business model

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