Health and Inclusion

Inclusion Cornwall attended Public Health England’s National Conference and highlighted the need to link health and work

Warwick University

Unhealthy workforce slows the economy

  • lost productivity,
  • reduces income tax receipts,
  • increases in long-term sickness
  • and increases healthcare costs.

Whenever an out-of-work claimant moves into a job at the Living Wage, the local economy benefits on average by £14,436

Professor Richard Parish, Non Executive Director of PHE with Cllr Cecilia Motely, RSN Chair

The session Inclusion Cornwall attended referred to the joint Local Government Assoc and PHE report Health and Wellbeing in Rural Areas

“A healthy population is the engine of a healthy economy, says Public Health England’s (PHE) Chief Executive.   Speaking at the opening of PHE’s annual conference, Duncan Selbie said we must look further than the NHS if we are to ensure everyone has a fair chance of good health.   PHE believes that health and wealth are 2 sides of the same coin. Having a job is the key to a long, happy and healthy life.

PHE and Healthy Working Futures, a workplace health provider, has set out advice for SMEs, which account for 60% of private sector employment.   Details in link attached.


Marmot Indicators for Local Authorities in England, 2014

Marmot Indicators link – Link

Fair Society, Healthy Lives: The Marmot Review report was published in February 2010, presenting the recommendations of the Strategic Review of Health Inequalities in England post-2010. In February 2011, the first Marmot Indicators for local authorities were released, providing information to support monitoring of the overall strategic direction in reducing health inequalities. These indicators were updated in 2012.

Launched in September 2014 by the Institute of Health Equity, the Marmot Indicators 2014 were developed in collaboration with Public Health England. They are a new set of indicators of the social determinants of health, health outcomes and social inequality, that broadly correspond to the policy recommendations proposed in Fair Society, Healthy Lives.

These 2014 indicators can be accessed below in a spine chart format, which displays data for the following:

  • Healthy life expectancy at birth – males and females
  • Life expectancy at birth – males and females
  • Inequality in life expectancy at birth – males and females
  • People reporting low life satisfaction
  • Good level of development at age 5
  • Good level of development at age 5 with free school meal status
  • GCSE achieved (5A*-C including English & Maths)
  • GCSE achieved (5A*-C including English & Maths) with free school meal status
  • 19-24 year olds who are not in employment, education or training
  • Unemployment % (ONS model-based method)
  • Long-term claimants of Jobseeker’s Allowance
  • Work-related illness
  • Households not reaching Minimum Income Standard
  • Fuel poverty for high fuel cost households
  • Percentage of people using outdoor places for exercise/health reasons


New Report

The UCL Institute of Health Equity was commissioned by Public Health England to produce a report that would illustrate how to reduce health inequalities through creating and promoting more employment opportunities in good work. It builds on a previous collaboration, culminating in the report ‘Local action on health inequalities: Increasing employment opportunities and improving workplace health’.

The way in which LEPs can shape job growth to take into account health inequalities, and how they can use job creation to help reduce these inequalities, are presented.  Find the report here


Health and Inclusion

A myriad of factors influence well-being including health and work, which themselves can be intimately related. The impacts are not only economic but can also affect people’s life chances. Recent evidence also suggests that work can be good for health, reversing the harmful effects of long-term unemployment and prolonged absence as a result of sickness.

Tackling stigma around ill-health and disability is key in helping more people with health conditions into work and stay in work.

The economic costs of ill-health and its impact on work are measurable, but the human costs are often hidden and privately borne. For many people, work plays an important role in their self-esteem, identity and standing within the community, as well as affecting their economic independence and the opportunities for their families and children.

The Dame Carol Black Review identified the need for support for working age health to span both improving health at work and support for workers with health problems to stay at work. This includes people who have not yet found work, or have become workless, to enter or return to work.

Dame Carol Black comprehensively reviewed the evidence and has set a vision that includes three principal objectives:

  • prevention of illness and promotion of health and well-being;
  • early intervention for people who develop a health condition; and
  • an improvement in the health of people out of work – so that everyone with the potential to work has the support they need to do so.

Check out the Dame Carol Black review of the health of Britain’s working age population here . . .

One people in four experience mental ill-health in their lives – which means that if there are 100 employees there will be around 25 with mental ill health, most of whom will be suffering in silence. With the right support and the right job people with mental health problems perform vital roles in workplaces across the UK.

Work from Time to Change is very revealing:

  • ‘Nearly nine out of ten people (87%) with mental health problems have been affected by stigma and discrimination’ (2008).
  • In a recent study respondents said, fear of stigma had stopped them from telling their employer or prospective employer about their mental health problems.
  • In another, conducted in 2009, 92% of the public thought someone’s employment prospects would be damaged if they admitted to having a mental health problem.

Mental ill-health such as depression, anxiety, schizophrenia and bipolar disorder do not need to stop you from working. A failure to recognise this not only leads to a lack of productivity and a real impact on bottom line profits but is a missed opportunity to develop workers’ abilities and secure genuine assets in a workforce.

Helping people find and stay in work is the cross-Government agenda, that includes the Department for Work and Pensions (DWP), the Department of Health (DoH), the Health and Safety Executive (HSE), and the Department for Business Innovation and Skills (BIS). It is designed to improve the general health and wellbeing of the working age population and to support more people with health conditions to stay in work or enter employment. The initiative is working with employers, trades unions and healthcare professionals to help ensure a joined up approach to the challenge.

Improving the health of the working age population is critically important for everyone, in order to prevent the waste of human potential and secure both higher economic growth and increased social justice.

Interesting information and links, include:

  • Pentreath – the award winning mental health organisation that strives to encourage improved awareness, health and wellbeing
  • Cornwall Mental Health website which takes an integrated approach to mental health services across Cornwall and the Isles of Scilly
  • Check out The Recovery Letters – letters written from people recovering from depression, addressed to those currently suffering. The letter writers have experienced different types of depression including clinical/major depression, bi-polar and post partum depression.
  • Article in Medical Express on study that finds that unemployment can change your core personality
  • Cornwall Health Trainers provide help and support to people who want to make a positove change to their lifestyle.
  •  Sea Sanctuary   Cornish mental health charity with a unique approach and the first of it’s kind to be commissioned by the NHS.