Sheffield Fairness Commission

Professor Alan Walker

Health and Wellbeing Board

12th December 2013

Today

1. Brief Recap of the Commission’s Work

2. Responses

3. Next Steps

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No. 83 bus

• From Ecclesall to

Ecclesfield

• 66 minute journey

• Life Expectancy

in years by ward:o Ecclesall 86.3o Burngreave 76.9 o E. Ecclesfield 81.1

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A Bold Vision

A city that is eventually free from damaging disparities in living conditions and life chances, and free from stigmatising

discrimination and prejudice, a place in which every citizen and community knows

and feels that they will be treated fairly. We aspire to be the fairest city in the country.

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Sheffield Fairness Framework

1. Those in greatest need should take priority2. Those with the most resources should make the

biggest contributions 3. The commitment to fairness must be a long-term one4. The commitment to fairness must be city-wide5. Prevention is better than cure6. Be seen to act in a fair way as well as acting fairly 7. Civic responsibility for fairness 8. An open continuous campaign for fairness in the city9. Fairness must be a matter of balance 10. The city’s commitment to fairness must be both

demonstrated and monitored in an annual report.

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Themes

• Health and Wellbeing for All• Fair Access to High Quality Jobs and Pay• Fair Access to Benefits and Credit• Aspiration and Opportunities for All

• Housing and a Better Environment

• A Safe City• Transport for All• What Communities and Citizens Can Do

Four Specific Targets Within the Health Theme

• Tackling the wider determinants of poor health

• Inequalities in the health system

• Mental health and Wellbeing

• Carers

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Positive Responses

• Clinical Commissioning Group:“fully supports the work of the Commission and its recommendations. Contributing to reducing health inequalities is one of our four priorities”

• Sheffield City Council “We are committed to tackling health inequalities and the public health strategy will outline our planned actions to achieve this.”

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Positive Responses II

• Sheffield Teaching Hospitals:“very much welcomes the Fairness Commission report both as an important contribution to promoting health and wellbeing within the city and because it aligns well with the Trust’s strategy ‘Making a Difference’.”

• Sheffield Health and Social Care Trust“welcomes the report and the Commission’s vision … we endorse the principles”

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Positive Responses III

Health and Wellbeing Strategy:

•Principle on fairness & tackling inequality – “Fairness and tackling inequalities will

underpin all that we do.”

•Action– “Those groups especially impacted by health

inequalities to have early support and sensitive and appropriate services that meet their needs and improve their health and wellbeing” 10

Some questions

• Some recommendations not being picked up. Gap analysis as part of the Annual Review to look at which recommendations need an owner.

• Have the fairness principles been embedded? i.e. are they part of everyday decision making?

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Annual Review - February 2014

• Assessment one year on following publication of the Commission’s Report:

• Are the principles being used?

• Are the recommendations being implemented?

• Do the headline outcome indicators show the city becoming fairer?

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Summary

• Very positive responses to the Fairness Commission report

• We all need to ensure that welcoming words are turned into action– Are you and your organisation using the

Fairness Framework in decision making?– Are you going as far as you can, as fast as

you can, in trying to make Sheffield a fairer city?

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Challenge to the Health & Wellbeing Board

“Health and Wellbeing Board (HWB) members must fully utilise their individual and collective position, influence and resources to achieve better health outcomes for Sheffielders in most need. … The Board must act to address the wider determinants, champion and challenge Government and partners in the city (e.g. employers) to contribute to a holistic approach to wellbeing in Sheffield and stand up for the city’s health needs.”

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