I was recently asked whether govts are doing enough on wellbeing and wellness, and my hopes for the prevention green paper.
I’ve blogged in this space before.
Ten short points illustrating my hopes
1 Focus on PLACES. Not silo responses by institution, or service by service.
2 avoid a response rooted individual behaviour change (often in the context of a toxic environment), whilst I have no issues with the notion of “personal responsibility” if that is played out in a toxic environment (economic, social, commercial, political, other) its a bit empty, pointless and basically leads to individualisation of social problems
2 Build well being into all policies (and budget setting). Welsh and NZ govt are ahead of us. See here, and especially this statutory guidance on the future generations act. It’s perhaps the most important bit of “public health” guidance you will ever see. (Of course I call it public health, others will see it with different language. The difference is largely semantic)
3 Ecological model. Everything in. All externalities internalized
5 address commercial determants of health at policy level. Not focused on behavour change, but toxic environment. Learn to ignore or become immunized against those who whitter about mad nanny state. Or frame them out of the policy debate.
6 address social determinants of health more robustly.
7 build the organisational machinery, finances, targets so this becomes the norm and default
8 not DHSC led but cabinet office led. All govt depts have a role. Sorry to have to say it, but I can’t see DHSC being ever interested in anything much beyond the acute bits of the NHS. That’s what doubtless fills headlines and ministers inboxes.
9 read and demonstrably understand the literature about shifting the focus from paternalism to asset based models
10 read and demonstrably understand the literature on complex adaptive systems. Apply this to policy. This stuff can’t be commanded and controlled
If I had to pick “things” – first 1001 days, poverty, jobs and houses.
The implementation guide for the Welsh Statutory guidance on the future generations act is excellent I’ve seen it Framed as the most important bit of “public health” guidance you will ever see
(Of course I call it public health, others will see it with different language. The difference is largely semantic)