what makes cities, communities and citizens healthy and ... · what makes cities, communities and...
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www.sduhealth.org.ukWorking across the NHS, Public Health and Social Care system
What makes cities, communities and citizens healthy and resilient?Dr David PencheonNational DirectorNHS England and Public Health EnglandSustainable Development Unit
Healthy City DesignCreating a Culture of Wellness in our Cities 16/17th October 2017, RCP
www.sduhealth.org.ukWorking across the NHS, Public Health and Social Care system
www.sduhealth.org.ukWorking across the NHS, Public Health and Social Care system
www.sduhealth.org.ukWorking across the NHS, Public Health and Social Care system
CHICAGO 1995
Eric Klinenberg, (2002).
“Heat Wave: A Social Autopsy of Disaster in Chicago.”
Chicago, IL: Chicago University Press.
Paris 2003
Richard Keller.(2015).
“Fatal Isolation: the devastating Paris heat wave of 2003.”
Chicago, IL: Chicago University Press.
www.sduhealth.org.ukWorking across the NHS, Public Health and Social Care system
Whatdoesitmeantobe“healthy”?
“…tohaveaccessto,andcontrolover,thosethingsthatenableustolivelivesthathavevalue/purpose/meaning…”
www.sduhealth.org.ukWorking across the NHS, Public Health and Social Care system
Whatarethese“things”thatcausehealth,resilienceandfairness?
• Genes• Environment
–Physical/natural– Social– Economic
• Services• Behaviours
Marc Lalonde, Canadian Minister of National Health and Welfare,1974
- Barbier,E.,1987.TheConceptofSustainableEconomicDevelopment. EnvironmentalConservation,14(2):101-110.- Adams,W.M.(2006). "TheFutureofSustainability:Re-thinkingEnvironmentandDevelopmentintheTwenty-firstCentury."ReportoftheIUCNRenownedThinkersMeeting,29–31January2006.
Socialenvironment
Physical/built/naturalenvironment
Economicenvironment
Creating the right environmentsfor the a healthy city:
Thanks to Ian Mudway
The changing face of air pollution
www.sduhealth.org.ukWorking across the NHS, Public Health and Social Care system
BMA Board of Science symposium: Tackling air pollution Thursday 5th October 2017
40,000 early deaths across the UK per annum attributable to air pollution.(60,000 if NOx from e.g. diesel engines included)Average 8 month loss of life for every personEspecially lung disease and stroke
www.sduhealth.org.ukWorking across the NHS, Public Health and Social Care system
“The potential benefits of physical activity to health are huge. If a medication existed which had a similar effect, it would be regarded as a ‘wonder drug’ or ‘miracle cure’.”Liam Donaldson, Annual report of the Chief Medical Officer, 2009
Improve the causes of health and fairness
Reduce the harm and social
injustice caused by the health,
economic and social systems
Changingsystemsdependsonidentifyingandexploitingco-benefits,win-wins,virtuouscycles…
www.sduhealth.org.ukWorking across the NHS, Public Health and Social Care system
www.sduhealth.org.ukWorking across the NHS, Public Health and Social Care systemWorking across the NHS, Public Health and Social Care system www.sduhealth.org.uk
“An anchor organisation is a place based institution that can play a key role on building and benefitting from thriving local economics.”
“An Anchor Mission is acommitment to intentionallyapply an institution’s long-term,place-based economic power and human capital in partnership with the community to mutual long term benefit.” Ted Howard, President, The Democracy Collaborative.
Antrim Hospital. Operating for 12 years. Paid for itself in less than 2 years (with grant), < 5 years (without grant)
...tosetavisibleexample
www.sduhealth.org.ukWorking across the NHS, Public Health and Social Care system
www.sduhealth.org.ukWorking across the NHS, Public Health and Social Care system
www.sduhealth.org.ukWorking across the NHS, Public Health and Social Care system
www.sduhealth.org.ukWorking across the NHS, Public Health and Social Care system
www.sduhealth.org.ukWorking across the NHS, Public Health and Social Care system
www.sduhealth.org.ukWorking across the NHS, Public Health and Social Care system
DrDavidPencheon,DirectorSustainableDevelopmentUnit(SDU)NHS/PHET: +44(0)1138253220M:+44(0)7900715184E: [email protected]: www.sduhealth.org.ukT: @pencheon1B: BMJBlogs/carbonA: c/oNHSEngland,VictoriaHouse,CapitalPark,
Fulbourn,Cambridge,CB215XB,UK