Health

Includes tools, sources and external publications

London Funders' publications
Local authorities and public health-what's in store?
(2012) This meeting helped funders learn from about the challenges facing the new system and how (separately and together) public bodies are approaching change. 

Londoners and their health
(2008) Meeting on health and health inequality in London

Tools and resources

Call to Action
NHS England (NHSE) (2013)
NHS England (London) has launched a new publication which aims to stimulate a public debate about the unique challenges facing health and care in London.  This builds on NHS England’s national Call to Action document published in July and The London Health Board endorses the call for residents and workers who use the NHS and people who work in health services to contribute to the debate.

Co-ordinated Care for People with Complex & Chronic Conditions
Nick Goodwin, Lara Sonola, Veronika Thiel, Dennis Kodner (October 2013)
This report by the Kings Fund presents the findings from a two-year research project, which aimed to understand the key components of effective strategies employed by studying five UK-based programmes to deliver co-ordinated care for people with long-term and complex needs.

Evaluating Well-being: Learning from the Big Lottery Fund's five year evaluation of the Well-being Programme
The final results of the Big Lottery Fund’s five-year national wellbeing programme have been published and confirm that positive improvement can be achieved with well-targeted action. The programme funded projects throughout England to encourage healthy eating; increase physical activity; and promote good mental health. The evaluation teases out factors that influenced different levels of improvement. Peabody’s Activate London and MIND’s national project Time to Change were both contributors to a lot of learning about what works.

These include:
1. An approach to tackling the evidence paradox that has paralysed attempts to invest in prevention and new models of out-of-hospital care – including a 15 year forward view for place and a new code of practice for investment cases in prevention.
2. A focus on the enablers for integrated local service delivery – such as the commitment devices and ‘system translation’ functions that have been vital in building collaborative delivery in Birmingham, Suffolk, Sunderland and Sutton.
3. A call to develop place-based regulation as a lever for whole-system accountability – supporting efforts to build collaborative accountability for health outcomes in a place across the purchaser-provider divide.

Health and wellbeing boards
Information on how these are developing is available from The King’s Fund website. They also have a free monthly bulletin of news, policy developments and guidance around health and wellbeing boards. Sign up for it here.

Local health profiles
The Network of Public Health Observatories, 2011
A picture of health in each local area in a user-friendly format, intended as a tool for local government and health services in helping them to understand their community’s needs, so that they can work to improve people’s health and reduce health inequalities. There is a four-page profile for each Local Authority in England, which includes: a summary description of local people’s health, maps and charts showing how the health of the area compares with the national position and information on health inequalities within the local authority. 

London's business case for employee health and well-being
GLAEconomics, 2012
London has a greater percentage of people with health problems who are workless than the national picture, with fewer people with disabilities finding work, whilst the majority of Londoners on incapacity benefits have preventable and/or treatable conditions. Employee ill health has costs to employers as well as to the individual and society. It has been estimated that an average London firm of 250 employees loses around £250,000 a year due to ill health. Evidence suggests that well designed employee welfare programmes that are integrated into the core of a firm can more than cover their costs. The benefits of these programmes accrue not only to the firms running them but to the employee and society as a whole.

Marmot indicators 2012 maps 
London Health Observatory, 2012
These health/public health indicators are now available in map form which allows easy comparison between local authorities and regions for either one or two indicators at a time. The maps also enable comparison with both the 2011 initial version of the tool and the 2012 update. Find the maps here.
All the data used in the indicators are also available in tabular format here

Moving towards a more personalised NHS
London Councils (November 2014)
This briefing welcomes the emphasis on putting patients in control in the NHS Five Year Forward View. ‘Put into practice, this shift in policy has the potential to radically change the way that the NHS works and fundamentally alter the relationship between service users and health and care services.’

Reorganising the NHS in London
A King’s Fund website that helps explain some of the current changes.

The Voluntary Sector Health and Social Care Portal
The portal is part of the Health and Care Strategic Partner Programme set up to enable voluntary and community organisations to share information, knowledge and ideas, and work with the Department of Health, NHS England and Public Health England. The programme has developed from a partnership of 11 organisations establishing a robust model for working in partnership, to 21 organisations spanning the breadth and depth of the VCS.  It is estimated that through these Strategic Partners, over 300,000 organisations across the voluntary sector can be reached. Information about the portal can be found on their website.

External Publications

Anti-Social Behaviour and Mental Health
London Councils (January 2014)
London Councils conducted a survey of all heads of community safety exploring the issues and challenges around mental health and ASB, finding out what practical responses are delivering results on the ground and listening to what the professionals feel they need to improve work in this area in the future. This report presents the results of this survey and also includes examples of practice where available.

Better Care Fund briefing
London Councils (January 2016)
April 2016 will see the Better Care Fund (BCF) enter its second year of implementation. Health and Wellbeing Boards will again be expected to sign off the 2016/17 Better Care Fund plans. This briefing sets out some of the key changes and developments expected as part of the Better Care Fund in 2016/17 and beyond.

Building resilient communities
Mental Health Strategic Partnership, 2013
This report calls on every council to make mental health a priority within its public health strategy. It brings together the evidence and people’s own accounts and practical ideas to help teams design well-being and resilience services to help prevent the development of mental health problems, and to measure their impact. See also Briefing for public health teams

Capital of debt: an update
London Health Forum, 2010
The interaction in London of debt and health, and especially mental health. Despite better than expected economic conditions, the number of Londoners seeking debt advice is rising sharply.

Change in the NHS
Regional Voices, 2013
Briefing note on new structures in health and social care that follow from the implementation of the Health & Social Care Act 2012. Written to brief the VCS, this offers short summaries of structures from local to the national.  

Clustering of unhealthy behaviours over time: implications for policy and practice
David Buck and Francesca Frosini, The King’s Fund, 2012
The effect on health and mortality of people’s lifestyles and current evidence on multiple lifestyle risks. Data from the Health Survey for England on the distribution of risks in the adult population and how this has been changing. 

Developing a national strategy for integrated care
The King’s Fund, 2012
Report written with Nuffield Trust, seeks to provide a framework for developing the Department of Health's national strategy on integrated care.

The evolution of clinical commissioning; learning from local experience
The King’s Fund, 2013
Research into the early development of clinical commissioning groups, including detailed, anonymised analysis of six CCGs.

Examining Commissioners' Leadership Behaviour
The Centre for Welfare Reform (April 2016)
Clinical Commissioning groups (CCGs) are meant to be leading the development of healthcare across England and control about two thirds of the NHS England budget. But what really goes on inside these important bodies and are they capable of offering local NHS services the necessary leadership? 

Fair Society, Healthy Lives (The Marmot Review)
World Health Organisation, 2010
Chaired by Sir Michael Marmot, the review responded to recommendations and government commitment to reducing health inequalities in England. The final review paper concludes that still overall life expectancy has been increased over the last ten years, those on low incomes are more likely to suffer disability, and live seven years less on average than the most affluent in society. The Review recommends nationwide action and the UCL Institute of Health Equity has now been established to build on this work. Executive summary here.

Get Well Soon- Reimagining Place-Based Health 
Collaborate (March 2016)


Chaired by Lord Victor Adebowale and co-hosted by Collaborate and NLGN, the Commission was established to ask how the NHS, local government and local partners could start collaborating more effectively to improve local health outcomes. The Commission report argues that five enablers hold the key to place-based transformation, and outlines a range of practical functions that are already supporting more collaborative practice. 

Glass half-full: how an asset approach can improve community health and well-being
Improvement and Development Agency, 2010
The case for an asset-based approach to reducing inequalities in community health and wellbeing. It focuses on public health and the role of local authorities, drawing on some examples from London (eg LB Camden), offering health practitioners a possible response to the challenges of empowering communities. Asset mapping, asset-based community development and open space technology are described in some detail. 

The Health and Care System Explained
Department of Health, 2013
Government guide to the new health and care system, which became operational from 1 April.

Health and access to health care of migrants in the UK
Race Equality Foundation, 2010
Collates evidence and outlines issues for the health of migrants and suggests ways in which research, policy and practice might address barriers to health, wellbeing and health care in meeting the needs of migrants. 

Health and Homelessness: Understanding the costs and role of primary care services for our homeless people
St Mungo’s (2013)
A report on how homeless people use primary healthcare services. See the full findings of the Department of Health-commissioned report.

Health care for homeless people: standards for commissioners and service providers
The Faculty for Homeless Health, College of Medicine, and London Pathway, 2011
A first set of standards for health services for homeless people, written by a collaborative group of professionals from a variety of disciplines in consultation with people with experience of homelessness. It includes a national strategy for health care for homeless people and detailed clinical standards for homeless health care. It demonstrates homeless health as a community problem that needs a community solution.

Health: children and young people, focus on London
London Health Observatory, 2010
Includes rankings, interactive charts, relationships with socio-economic indicators and comparisons across London and with other regions. 

Healthy lives, healthy people: update on public health funding
Department of Health, 2012
An update aimed at public health specialists, setting out current thinking on local authority public health finance and in particular the next steps on moving from the estimates of baseline spending published in February 2012 to actual allocations for 2013-14 (expected by the end of 2012). The report also provides further information on the high level design of the health premium which will be targeted towards areas with the worst health outcomes and most need.

Impact of economic downturn and policy changes on health inequalities in London

University College London Institute of Health Equity, 2012

Final report on the employment, income and housing impact of recent government policy change.
 
Influencing local commissioning for health and care
Regional Voices, 2012
Guidance for the VCS to understand and influence health and wellbeing boards, with an overview of these boards, joint strategic needs assessments and joint health and wellbeing strategies and the role of the voluntary sector. 
 
NAVCA, NCVO and Regional Voices, 2011
A briefing to help local voluntary and community organisations navigate their way through the NHS reforms. 
 
NPC, 2012
This report argues that funders could help to reduce the £67 billion annual cost to society of mental health problems and identifies charities and interventions that have been proven to reduce costs and improve people’s lives.

Leading health care in London, time for a radical response
Chris Ham, Nigel Edwards, Beatrice Brooke, The King’s Fund, 2013
This report argues that the complexity and urgency of the challenges facing health care in London need a radically different approach from elsewhere, e.g. through a London-wide strategic body with three provider networks so that experienced clinical and managerial leaders lead implementation of overdue service changes at scale and pace and limit risks in both finances and levels of care.

Local empowerment: How to achieve a sustainable health and care service
Localis, June 2016

This report makes the case for a devolution revolution in the National Health Service, arguing that a healthier balance between central and local control is possible and practical.

This publication recommends that local areas should negotiate health devolution deals directly with the Government. These deals should give them new powers and freedoms to enable more integrated planning and delivery between health and social care. This will mean relaxing some regulation and performance targets, delegation of key commissioning decisions and greater local financial control. 

Depaul UK, 2012
A new report finds that young homeless people have poorer health than their peers, are more likely to use emergency health services and face considerable barriers in accessing the care they need. Depaul has also put together this video highlighting some of the key findings.
 
National Audit Office (April 2016)
This report finds that full information does not exist to measure how far the NHS is from meeting the access and waiting time standards, but it is clear that meeting the standards will be a very significant challenge.

New mental health and employment guidance
The London Mental Health and Employment Executive Partnership, 2012
Guidance to help local commissioners and planners incorporate mental health and employment considerations into their joint needs assessment and health and well-being strategy. NHS London note that it is intentionally high-level and is accompanied by appendices providing links to more detailed sources of information on mapping local needs and assets, and offering practical advice and resources for effective local action.
 
Department of Health, 2011
The business and planning arrangements for the NHS in England for the next year, including the national priorities, system levers and enablers needed for NHS organisations to maintain and improve the quality of services provided, while “delivering transformational change” and “maintaining financial stability”. 
 
A place for parity: health and wellbeing boards and mental health
Jonathan Scrutton (November 2013)
This report produced by the Centre for Mental Health makes recommendations for boards, mental health organisations and policy makers, including encouraging boards to actively consult with mental health service users, carers and professionals when setting local priorities and encouraging and supporting boards to bring in or delegate a mental health 'champion'. 
 
Policy paper: Mental health: priorities for change
This policy paper sets out 25 priorities for change in how children and adults with mental health problems are supported and cared for. More information about the government’s focus on mental health can be found here.
 
Preventing Suicide in England: One year On
Department of Health, January 2014
The first annual report on England’s cross-government suicide prevention strategy sets out key actions that local areas can take to prevent suicides. It highlights the importance of responsive and high quality care for people who self-harm and includes a joint statement on better sharing of information between organisations and families, to help prevent suicide.

Providing an alternative pathway
National Housing Federation, 2013
How integrating housing with health and social care can save significant amounts in health and care costs and improve the lives of vulnerable and older people. The report is aimed at local health and social care commissioners and features five examples of people who have benefited from integrated housing, care and support services, based on local authorities, housing providers, GPs and acute health trusts working together.

Public health 2012
Factsheets providing more details on the design of the new public health system, including the role and responsibilities of local government in public health, the operating model for the new executive agency, Public Health England, and an overview of how the whole system will work.

Public health and prevention
Quality Watch (April 2016)
Combining quantitative data from 20 indicators across five key areas of public health with a survey and in-depth interviews with senior public health professionals, this report provides a glimpse into the current state of public health services and explores the potential impact on key health outcomes.

Social determinants of health and the role of local government
Local Government Improvement and Development, 2010
What local government can do to tackle the social conditions that lead to health inequalities. Contributors build on the Marmot Review report illustrating current conditions and examine the likely impact of increased powers for local authorities. 

Social and economic inequalities in diet and physical activity
Public Health England (November 2013)
A briefing paper published in November by Public Health England describes social and economic inequalities associated with two of the main determinants of obesity: diet and physical activity and provides possible explanations for these inequalities.

Social Enterprise in health care: promoting staff engagement
The King’s Fund, 2011
Argues that health care providers will need extra help if they are to set themselves up as social enterprises. One of the aims of current health reforms is to give greater autonomy to providers, but there is uncertainty about how such organisations would develop and function. Interviews with the chief executives of foundation trusts show they are receptive to the social enterprise model, but have concerns about the practicalities.  

Spreading change: A guide to enabling the spread of person- and community-centred approaches for health and wellbeing
Nesta, September 2016

This guide outlines how behavioural science can help spread the take-up of person- and community-centred approaches to health and wellbeing.

This action-focused guide is part of the NHS England-funded Realising the Value programme, which seeks to develop person- and community-centred approaches for health and wellbeing. The programme is doing so by building the evidence base and developing tools, resources and networks to support the spread and impact of these approaches.

It is aimed at people who champion these approaches in health and social care, in other statutory bodies and in community-based organisations.

State of the nation report: poverty, worklessness and welfare dependency in the UK
Cabinet Office, 2010
Almost one in ten people live in persistent poverty, and there are 800,000 more working age adults in poverty than in 1998-9. Health inequalities are higher now than they were in the 1970s and 1.4 million people in the UK have been on out-of-work benefits for nine or more of the last ten years. These are some of the Department for Work and Pensions statistics in a report intended to guide the coalition government’s policy decisions on minimising inequality gaps. 

Sustainable health and social care: a briefing for commissioners and health and wellbeing boards
SCIE Report 59, 2012
Report exploring many aspects of sustainability in adult social care provision, including environmental risks, using examples and offering further references. Highly relevant in the context of social value in commissioning.

Towards An Active Nation, Strategy 2016-2021
Sport England (May 2016)

Putting the policy from the government's publication 'Sporting Future: A New Strategy for an Active Nation' into practice to achieve these outcomes will mean significant change for Sport England and for our partners. This strategy sets out how they will deliver this task. 

Transforming our healthcare system: ten priorities for commissioners
The King’s Fund, 2013
A rapid response to changes in the health service which have given clinical commissioning groups responsibility for the majority of the NHS budget, transferred public health budgets to local authorities and asked NHS England to commission primary care and specialised services.

Transforming the delivery of health and social care: the case for fundamental change
Chris Ham, Anna Dixon, Beatrice Brooke, King’s Fund, 2012
The UK has the second highest rate of mortality amenable to health care among 16 high-income countries, and variations in health outcomes between social groups are widening. This paper explores how the current health and social care delivery system has failed to keep pace with the population's needs. It argues that incremental changes to existing models of care will not be sufficient in addressing these challenges and that a bolder approach is needed.

Untapped potential: Bringing the voluntary sector’s strengths to health and care transformation
New Philanthropy Capital (April 2016)
A report for the Doing the Right Thing project—which aims to shape health and care system reform by showcasing the voluntary and community sector’s value.

Well-being in London: measurement and use
Current issues note 35, GLA Economics, 2012
The issue examines the concept of well-being and how it can be measured, with particular reference to London, as well as exploring potential policy uses for well-being analysis. Londoners have the highest median incomes and report better health than other parts of the country. Nonetheless surveys of subjective happiness/well-being show that Londoners are not as happy as those living elsewhere in the UK. Well-being is a growing area of interest as social scientists recognise the limitations of using GDP alone as a barometer of 'how society is doing'. 

Who's who in London
London Voluntary Service Council, 2013
That is to say, who’s who in health and public health – relevant people from clinical commissioning groups, health and wellbeing boards, Care Quality Commission, NHS England area teams, commissioning support units and local Healthwatch. LVSC will keep this current and welcomes updates notified to Sandra van der Feen: 
sandra@lvsc.org.uk