‘Health Inequalities and the Social Determinants of Health: The Evidence Base’ th 24 February 2015 Fairness Commission Session Matilda Allen – Key themes Reducing health inequalities is a matter of fairness and social justice Action is needed to tackle the social gradient in health – proportionate universalism Action on health inequalities requires action across all the social determinants of health Reducing health inequalities is vital for the economy – cost of inaction Beyond economic growth to well-being of society: sustainability and the fair distribution of health Marmot Review - 6 Policy Objectives A. Give every child the best start in life B. Enable all children, young people and adults to maximise their capabilities and have control over their lives. C. Create fair employment and good work for all D. Ensure a healthy standard of living for all E. Create and develop healthy and sustainable places and communities F. Strengthen the role and impact of ill-health prevention Health Equity Evidence Reviews Health Equity Briefings Early 1a. Good quality parenting programmes 1. Good quality parenting programmes intervention and the home to school transition 1b. Improving the home to school transition. 2. Building children and young people’s 2. Building children and young people’s resilience in schools resilience in schools Commissioned by PHE, written Education by Institute of Health Equity 3. Reducing the number of young people 3. Reducing the number of young people not in employment, education or training not in employment, education or training (NEET) (NEET) th 4. Adult learning services 4. Adult learning services Published on the 16 5a. Workplace interventions to improve September health and wellbeing 5b. Working with local employers to Employment promote good quality work Available on the PHE and IHE 5. Increasing employment opportunities and improving workplace health 5acn.d I nrectrenatsioing f oerm ppelopymle ewnit ho pap lorntgu-ntietirems websites – health condition or disability www.instituteofhealthequity.org 5d. Increasing employment opportunities and retention for older people Ensuring a healthy living 6. Health inequalities and the living wage 6. Health inequalities and the living wage standard for all 7. Fuel poverty and cold home-related 7. Fuel poverty and cold home-related Healthy health problems health problems environment 8. Improving access to green spaces 8. Improving access to green spaces Implementation and impact: Health Equity Briefings 9. Understanding the economics of 10. Tackling health inequalities through investments in the social determinants of action on the social determinants of health: health lessons from experience Forthcoming – this summer - The impact of physical housing conditions on - Social inequalities in the mental health leading causes of early death – a life course - Adverse experiences for approach children and young people - Improving school transitions - The potential of Social for health equity Value to impact on inequalities - Creating good quality work for health equity - Can health literacy strategies improve health - Tackling social isolation outcomes and reduce health inequalities? - Older people The Best Start in Life Percentage of survey respondents who experienced a range of ACEs by deprivation quintile, England, 2013