Report to Sheffield First Partnership Health & Well-being Board
1. T
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Healthy City Co-ordinator l
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Healthy City Application
Author
Date Of Meeting
September 7th 2009
Purpose
For the Board to agree the content of the Healthy City Phase V Application.
For Decision 
Progress Update
For Information
Summary
Phase IV of the Healthy City Programme has now finished. Sheffield must now re-apply to
be designated as part of Phase V.
The Decision to re-apply has been agreed by the Health and Wellbeing Partnership Board,
Sheffield First Board, Executive Management Team and Cabinet. In that paper, it outlined
the strategy for our involvement in the next phase of WHO Healthy Cities.
As Sheffield is an existing Healthy City, the on-line, fast track application has been made
available to us (enclosed). All information must be in this application, no suplimentory
information can be included in appendices. There is a strict 250 word limit to each section
within this application.
Recommendations
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As the Steering Group for Sheffield’s Healthy City Programme, the Board is asked to agree
the content of the application.
b. Background Documents
SFHW Healthy City Paper
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1. Health and health equity in all local policies
How will your city take forward the overarching Phase V theme of health and health equity in all local
policies? Please outline no more than three actions in less than 250 words.
2. Strategic sign up
Sheffield will embed Health and Health Equity in all policy by enhancing existing structures
/strategy and developing new ones.
Strategy

The City Strategy is Sheffield First Parntership’s strategy that sets out the city’s strategic
commitment to improve health for all people living and working in the city.

Underpinning this is strategy is the Sheffield First Health and Wellbeing Plan. This strategy
reflects both local and national priorities. Each priority within the strategy has both a
Strategic and Delivery Lead from a range of partners, ensuring city wide commitment.

The City Strategy is influenced by Sheffield City Council’s strategy City of Opportunity
setting out the specific role local government has in delivering improvements in health.
Also, the National Health Service local strategy Achieving Balanced Health setting out the
specific role of NHS Sheffield.
Structure

Political: Cabinet Member portfolio for Healthy and Independent Living

Director of Public Health: Directing health policy and strategy for both NHS Sheffield and
Sheffield City Council, ensuring a co-ordained approach.

Director of Health Improvement: Senior post supporting Director of Public Health with a
specific role of improving health through local government.
3. Leadership Programme for Health
Equipping city wide leaders with the knowledge and the skills to develop policy and strategy
that maximises health gains for people living and working in Sheffield. Moving to more
sustainable health interventions across the city.
4. Development of everyday Health Impact Assessment (HIA)
Building from the experience from Healthy Cities Phase IV, NHS Sheffield and Sheffield City
Council have committed to developing (HIA) protocol for the city that ensures a structured
approach to assessing health for all policy developed.
2. Core themes of Phase V
Core theme 1: Caring and supportive environments
(important issues: better outcomes for all children, age-friendly cities, migrants and social inclusion,
active citizenship, health and social services and health literacy)
Please describe (in less than 250 words) how you intend to address the core theme of caring and supportive environments overall and
which issues you intend to especially emphasize. These should be relevant to your local conditions, interests and priorities.
1. Health and Wellbeing Plan
The Health and Wellbeing Plan sets out our partnership approach to ensuring the city creates caring and
supportive environments.
Priorities include:
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Safeguarding adults from abuse and neglect
Supporting more people to move from supported to independent living
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Giving people choice and control of their support
Supporting older people to lead a full and active life
Enabling people with a severe mental health condition to work
Enabling people with a learning disability to work
Supporting Carers: We will develop a stronger city wide approach to supporting carers
Sub structures supporting the Health and Wellbeing Plan include groups with a focus on:
 Older People
 Learning Disabilities
 Mental Health
 Physical Disability, Sensory and Cognitive Impairment
 Vulnerable Adults- homeless, rootless
 Carers
(Subject to SFHW Board Approval)
2. Health Inequalities Audit
The Inequalities Action Plan written in response to the audit will deliver improvement for Sheffield in reducing
Health Inequalities.
3. Active Citizenship
Consultation with communities through partners. New politically lead groups set up to support delivery of local
government activity at a neighbourhood levels. Active Citizenship is enhanced in this process through Area
Based Grants giving local people influence over delivery of services in their community. ‘Health’ is also
included in the Community Development Plans
4. Community Development and Health
Improved Health Literacy is being address through the delivery of Community Development and Health
courses and structured support for local people to become Community Health Champions and deliver health
and social care through volunteering.
Core theme 2: Healthy living
(important issues: preventing noncommunicable diseases, local health systems, tobacco-free cities,
alcohol and drugs, active living, healthy food and diet, violence and injuries, healthy settings and
well-being and happiness)
Please describe (in less than 250 words) how you intend to address the core theme of healthy living overall and which issues
you intend to especially emphasize. These should be relevant to your local conditions, interests and priorities.
1. Health and Wellbeing Plan
The Health and Wellbeing Plan ensures healthier choices are made easier, by providing better access,
information and support. Priorities include:
 Reduce inequalities in mortality between the least healthy one third of our population and our city
average
 Reducing harm from Tobacco use: Increase the number of people who successfully stop smoking
through the NHS Sheffield Stop Smoking Service Reduce the number of cheap and illicit sales of tobacco

Increasing physical activity
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Access to leisure activities: We will develop a measure around improving access to leisure activities.
2. Obesity Strategy
The city’s comprehensive obesity strategy has taken a holistic approach to reducing childhood obesity and
includes the following strands of activity:
 Create a breastfeeding friendly city
 Empower parents to become positive role models for healthy living
 Make schools the heart of healthy communities
 To create living neighbourhoods by removing barriers and creating local environments that promote
wellbeing
 Achieve behaviour change through social marketing
 Establish a network of Community Health Champions to support people in their communities to have
healthier lives.
3. City Food Strategy
Develop a comprehensive city wide food strategy to tackle access, quality and education issues.
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4. Partnership
The Health and Wellbeing partnership will support the our Environment, 0-19, Safer and Sustainable
Communities and Economy Partnerships to be health promoting.
Core theme 3: Healthy urban environment and design
(important issues: healthy urban planning, housing and regeneration, healthy transport, climate
change and public health emergencies, safety and security, exposure to noise and pollution, healthy
urban design and creativity and liveability)
Please describe (in less than 250 words) how you intend to address the core theme of healthy urban environment and design overall and
which issues you intend to especially emphasize. These should be relevant to your local conditions, interests and priorities.
1. Health and Wellbeing Plan
Building on the activity from Phase IV, Sheffield is actively engaged in improving health through
urban development and design. The Health and Wellbeing Plan sets out the following priorities:
 Reducing deaths and injuries on our roads: Reduce the number of people killed or seriously
injured in road traffic accidents
 Improving housing to improve health
 Increase visits to cultural activities
2. Climate Change
The Health and Wellbeing Partnership will support the Environment Partnership in activity for prevention and
adaptation to climate change. Including improving quality environments with a focus on air quality and
encouraging a move to more sustainable forms of transport. Emergency Planning, including extreme
weather incidents resulting from climate change continues to be a city wide priority including health partners..
3. Urban Planning
Sheffield’s Healthy Urban Planner, is building capacity within the Planning Department for
improving public health through city design and Development Control.
4. Safety and Security
The Health and Wellbeing Partnership will support the Safer and Sustainable Communities
Partnership, to develop communities with a reduced fear of crime.
3. Capacity-building
How will your city address training and capacity-building for health and health equity throughout
Phase V? Please identify no more than three actions in less than 250 words.
1. Leadership Programme
Sheffield is developing a city Leadership Programme for improving Health and wellbeing. This
programme aims to equip our city leaders form different sectors and organisations to be able to
maximise the health benefits of policy and strategy development. This programme will support the
business case for moving health interventions further up stream, supporting the prevention agenda.
The development of this programme will be informed by international collaboration with other
Healthy Cities in the EU funded DECiPHEr project.
2. Public Health Statements
Sheffield City Council has co-ordinated a new Public Health Co-ordination group with Health
Champions from each service. This new group is designed to ensure health is embedded across
the council. Annual Public Health Statements will identify what activity a service is delivering to
improve health and what they intend to do to improve health for the next year. The development of
these statements will be supported by the Health and Wellbeing Partnership
3. Healthy Sheffield Network
To develop a network for people working or volunteering in Sheffield with an interest in health and
to create a mechanism for people to meet and make new connections with partners across the city.
To support better awareness of activity across the city that contributes to the improvement of health
of Sheffield’s communities. To have tangible actions for improvement of health developed by the
members of the network.
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4. Networking
What are the particular strengths or experience your city could contribute to the overall work of the
WHO European Healthy Cities Network? Please identify three areas:
1. Leadership
The development of the Leadership Programme, which will be influenced by working with the other
cities of the DECiPHEr project will give good insight to international needs of city leaders, for their
development of health issues. This comprehensive overview will support other Healthy Cities in the
development of their city leaders to act as advocates for health.
2. Obesity Strategy
Sheffield has been awarded £5mllion from the Department of Health for their holistic, partnership
approach to the city’s obesity strategy. Through innovation of new practice and evaluation of the
programme, Sheffield will be able to support other Healthy Cities with evidence of interventions for
obesity
3. Informatics
Sheffield has excellent data and informatics systems that highlight the state of the city’s health.
Sheffield’s Basket of Indicators include social indicators of health to get a better picture of health for
communities. The informatics ensures we target the right areas and can monitor changes in health
more accurately. The cities knowledge and experience for collecting and using this data to inform
policy development would be of value to other Healthy Cities
How does your city expect to gain from the WHO European Network during Phase V?
1. Commitment to health
Continuing to be part of WHO Healthy Cities reinforces our commitment to health in Sheffield
2. Evidence
For Phase V, Sheffield would like to make better use of the evidence, experience and knowledge
available to us form other Healthy Cities and develop an innovation programme to incorporate new
ideas into policy development.
3. Comparison
Sheffield would like to gain a better understanding of how it compares to the other cities in Europe,
to have a better understanding of the progress we are making in improving health for our
communities.
5. Monitoring and evaluation
Confirm that:
The city agrees to be externally evaluated by WHO
YES
Is your healthy city project systematically monitored or evaluated?
1. Scrutiny Processes
Sheffield First Health and Wellbeing Performance Group, is responsible for monitoring outcomes
and activity, ensuring positive health outcomes are being achieved by the implementation of the
Health and Wellbeing Plan.
Sheffield City Council Scrutiny Panel, is a political structure for scrutinising local policy.
that policy development is in line with the local political agenda
It ensures
2. Evaluation
Projects within the Health and Wellbeing plan will be evaluated for their impact and effectiveness.
Building on the evaluation of Phase IV Healthy Cities in Sheffield, Phase V will also undergo
evaluation including a wide range of partners to assess the effectiveness of being a WHO Healthy
City in improving the health of our communities.
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