Healthy Ireland A framework for improved health and wellbeing 2013

- 2025

Dr Miriam OwensWoodquay VenueFebruary 24 2016

Healthy Ireland

• Context

• Evolution

• Implementation

How healthy is Ireland?• People living longer but not necessarily healthier lives

– Many people living in Ireland and their families are affected by chronic diseases and disabilities related to • Poor diet • Smoking • Alcohol misuse• Physical inactivity• Unhealthy weight

• Burden of chronic disease growing • Persistent health inequalities• If trends continue the future is extremely costly and unsustainable• Essential to address issues now to improve lives of current population and

future generations• Complex issues with no easy solutions• New arrangements to ensure effective co-operation between health and

other sectors

Is Ireland Healthy? - key facts• Obesity

– 25% of all children are overweight– 11% health spend due to physical inactivity– annual economic cost approx. €1.13 billion

• Tobacco– 5,500 deaths per annum– annual health spend €1 - 2 billion

• Alcohol– responsible for approximately 90 deaths per month and is a factor in

half of all suicides– annual economic burden €3.7 billion

• Mental health– economic cost estimated at €11 billion per year

Smoking levels are higher amongst those living in the most deprived areas and in lower social classes

Lower levels of drinking in more deprived areas and lower social classes, but higher levels of binge drinking

15% drinking at harmful levels felt their drinking harmed their health, and 22% felt they should cut down

40% men are highly active compared to 24% of women

5.3 hours sitting each weekday

Overweight: 43% men31% women

Obesity:25% men22% women

Women more likely to be trying to lose weight

65% consume snack foods or sugar-sweetened drinks daily

29% men aged 15-24 most likely to drink sugar-sweetened drinks

Metabolic Risk and BMI

36%

26%

37%

Normal

Increased risk

Substantially increased risk

44%

27%

29%

29%

25%

46%

Waist (metabolic risk)

Waist (Metabolic Risk)

18% women aged 15-24 substantially increased risk vs 5% menSocio economic relationship substantially increased risk

31%

43%

25%

44%31%

22%

BMI

BMI

Men

Women

BMINormal 37%Overweight 37%Obese 23%

Sexual Health• 87% of eligible respondents

– 6529 aged 17 plus– Self-completion

• Risk behaviour:– Low level of condom use

among MSM (54% did not use a condom the last time they had ‘sexual intercourse’ with another man)

– 17% of all those having sex with someone outside of a steady relationship not using any form of contraception.

Healthy Ireland Framework

• Future Health

• February 2013

• Health in All Policies

• Global Action Plan for Prevention of NCDs

Healthy Ireland Vision and GoalsWhere everyone can enjoy physical and mental health and

wellbeing to their full potential, where wellbeing is valued and supported at every level of society and is everyone’s

responsibility

• 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

Healthy Ireland Action Themes

A whole-of-government approach to address the social determinants and predictors of health and wellbeing, many of which fall outside the health sector

• Governance and Policy• Partnerships and Cross-Sectoral Working• Empowering People and Communities• Health and Health Reform• Research and Evidence• Monitoring, Reporting and Evaluation

What Healthy Ireland is about Meeting the challenge of complex ‘wicked’ issues with no easy solutions Shape the national discourse on health and wellbeing Re-focus efforts on prevention and ‘keeping people well’ Empower people to look after own health and make the ‘healthier choice the

easier choice’ Connect and mobilise existing and new initiatives and partnerships around a

shared agenda and aims in a collaborative approach Agents for change rather than “targets”

Working together to make the next generation healthier Tackling health inequalities Doing things better or differently to re-focus our efforts on the key challenges Everyone has a part to play, everyone will benefit from a healthier Ireland

Implementation

• Underpinning structures

• 2015 focus on key deliverables / DH priorities– #1 Driving the Healthy Ireland Agenda

• Progressing public and ‘whole of society’ communication and engagement with support of Healthy Ireland Council

Governance Structures

Health and Wellbeing Programme,

Department of Health

Cabinet Committee on Social Policy

‘Whole of Government’Cross-Sectoral

GroupHealth

System, HSE (Health and Wellbeing Division)

‘Whole of Society’Healthy Ireland Council

Cabinet Committee on Social Policy & Public

Service Reform

Senior Officials Group

Cross-Departmental Work• DCYA on alignment with implementation of Better Outcomes, Brighter Futures

(BOBF) policy framework• DES on embedding and integrating health and wellbeing into the educational

sector across primary, post-primary, higher and further education: – Health and Wellbeing Partnership

• DTTS on National Physical Activity Plan as well as exploring alignment with transport and tourism policy developments

• DECLG on embedding health and wellbeing into new structures and arrangements in local government

– Working with HSE to develop network to support health input to LCDCs– Linking with CCMA and individual CEOs

• DJEI on alignment with the national Corporate Social Responsibility Plan Good for Business, Good for the Community, specifically on ‘healthy workplaces’ agenda

• DSP on the development of social impact assessment– (proof of concept of an integrated health and social assessment on introduction of housing

assistance payment)

Opportunities for Partnership• Specific Topics:

– Physical Activity – Positive Ageing – Positive Mental Health– Tobacco Free Ireland – Obesity– Child health and wellbeing in the education sector– Workplace

• Working Groups– EPA Health Advisory Group– Obesity policy– Positive ageing– Health in Workplace– Health and Wellbeing Partnership

Healthy Ireland Survey• Ipsos MRBI

• Robust baseline and single source of reliable measurement of behavioural factors

• Contribute to the knowledge and intelligence we require “to get things done”, to implement current policy and to develop new policy responses

• Wave 1 report published October 2015

• http://health.gov.ie/blog/press-release/healthy-ireland-survey/

• Wave 2 underway

Healthy Ireland

Health status

Determinants of health and

wellbeing

Health and social care

A Healthy Ireland, where everyone can enjoy physical and mental health and wellbeing to their full potential, where wellbeing is valued and supported at every level of society and is

everyone’s responsibility

Health Status

Mortality

Life expectancy

Infant mortality

Premature mortality

Disease-specific

mortality

Morbidity

Communicable Diseases

Non-communicable

diseases

Cancer incidence

Low birth weight

Wellbeing

Perceived and self-reported

health

Mental health and wellbeing

Suicide and self-harm

Social connectednes

s

Positive ageing

Determinants of Health and Wellbeing

Lifestyle and behaviours

Overweight and obesity

Physical activity

Smoking

Breastfeeding

Sexual health and

behaviour

Substance misuse

Socio-economic factors

Education

Work and participation

Economic resources

Relationships and care

Living and working conditions

Transport

Health and wellbeing in workplace

Housing

Environmental threats and

protective factors

Air Quality

Water Quality

Radon

Helping people stay healthy and well

Immunisation Rates

Cancer screening

Supporting people with long term

conditions

Hospitalisation rates COPD,

Asthma, Diabetes

Helping people when they are being

treated and cared for

In-hospital mortality rates

In-hospital waiting times

for surgery

Treating people in a safe environment

Health care associated infections

Supporting people to have positive experiences of

health care

Data gap

Health and Social Care

Healthy Ireland Vision

Where everyone can enjoy physical and mental health and wellbeing to their full potential, where wellbeing is valued and supported at every level of society and is

everyone’s responsibility

Working Together• Health and Wellbeing Programme in Department of Health

• www.healthyireland.ie

Follow us on Twitter

@HealthyIreland