Driving poverty and inequality off the streets of York

1. 31 January 2014 Driving poverty and inequality off the streets of York Priory Street, York Dr Paul Edmondson-Jones MBE Delivering for the People of York Delivering for the People of York

2. NHS WHITE PAPER & PH WHITE PAPER HEALTH & SOCIAL CARE ACT 2012

3. To Improve the Public’s Health, Tackle the Wider Determinants of Health WANLESS WHITEHEAD BLACK MARMOT ROWNTREE ACHESON

4. CITY OF YORK PLAN & PUBLIC HEALTH FUNCTIONS Create Jobs and Grow Economy Build strong Communities Protect the Vulnerable Get York Moving Protect the environment Tackle Health Inequalities Improve Health Outcomes Protect and Improve Health & Well-being

5. York – by English Deprivation Quintile

6. York Mortality Relative to England Average

7. York Slope Index (Women)

8. York Slope Index (Men)

9. York Slope Index (Men)

10. York – Excess deaths: most deprived 20% compared to the rest

14. In-work Poverty Gap is increasing between average FT pay and the lowest 25% on FT pay Part-time employment has risen overall (and by 44% for women) 82% of part time workers in York are Women

15. Facing the Challenge of Poverty in York York Poverty Action Steering Group York Economic Partnership

16. Facing the Challenge of Poverty in York - 13,795 York people live in the 20% most deprived areas in the country with 4,575 children in poverty - pay-gap increasing - trend towards poorly paid part-time work - increasing long-term and youth unemployment - least affordable city for housing in the region - disposable incomes are lower than UK and comparator cities and the gap is widening - wide gap in life expectancy between richest and poorest So, what do we know? So, what shall we do? • How do we become a more affordable city? • How do we eliminate the stigma attached to poverty? • How do we become a living wage city? • How do we address destitution?

17. Facing the Challenge of Poverty in York So, what is the vision? • a healthy city where we break the cycle between poverty, ill-health and reduced life expectancy • a job-rich city providing job opportunities for all who can work with pay levels that tackle in-work poverty • a money-wise city with joined-up advice for all and financial awareness is part of education from an early age • an affordable city with a city-wide offer to help reduce living costs, and an adequate supply of affordable housing and childcare • a supporting and giving city where tackling poverty is everybody’s business and poverty is not stigmatised and people know where to go for support

18. The poverty action programme City-wide anti-poverty programme Economic Inclusion • Skills • Education • Jobs • Barriers to work Anti-poverty campaigns • Free School Meals • Pension Credit • Living Wage • Reduce Stigma • Increase Giving • Stop Loan Sharks • Affordable Food Anti-poverty projects • Reduce living costs - Childcare - White goods - Energy costs • Reduce health inequalities - Healthy eating - Free fitness - GP Advice surgeries Financial Inclusion • Access to financial services and advice • Debt & Benefits Advice • Income maximisation • City wide coordination of advice services and outreach Delivering for the People of York

19. Facing the Challenge of Poverty in York – way forward So, how do our Systems Leaders enable a bottom up inclusive approach? • Understand - how life is lived and how things interact on the ground • Listen - and enable those in poverty to have a voice • Co-design – use ideas, capabilities and resources of those in poverty • Foster and enable independence – stop trying to fix everything • Change our beliefs and culture – work holistically and differently Stop talking down and start listening up!

20. Thank you ! Discussion Questions Delivering for the People of York Delivering for the People of York