Framing sustainable economic
development to health
professionals
David Pencheon
NHS England / Public Health England:
Sustainable Development Unit
LEEDS Northern SD conference, Monday 29th June 2105
www.sduhealth.org.uk
Examples of framing currently used
• We can't afford NOT to take sustainability seriously.
Doing nothing is not an option (used this morning by
John Holden, NHS England)
• Co-benefits
• Triple Bottom Line (see next slides)
• Circular economy
• “Product based” to “service based”
• If business are taking this seriously, then why are not
we in the health system (where the co-benefits are
much more aligned with our objectives)
www.sduhealth.org.uk
Health co-benefits:
“What is good for addressing climate change and creating a sustainable
world......is ALSO good for health, healthcare, and the economy NOW”
1. For the public’s health
– More physical activity, better diet, improved mental health, less
road trauma, improved air quality, less obesity/ heart
disease/cancer, more social inclusion/cohesion...
2. For the healthcare system
– More prevention, care closer to home, more empowered / self
care, better use of drugs, better use of information and IT,
fewer unnecessary admissions, better
models of care…
3. For global health inequalities / social justice
– Global social justice, reducing inequalities, poverty reduction,
MDGs > SDGs, “Contraction and convergence”, technology
leapfrogging (Photovoltaics, renewables..)
www.sduhealth.org.uk
Triple bottom line: Improving health and well-being by
valuing the environment, enhancing social determinants
and by promoting economic development
Environmental
protection/
improvement
Health co-benefits
Financial co-benefits
Sustainable, fair
health and wellbeing
Prevention,
social value,
inequalities
and resilience
Economic
prosperity
Financial co-benefits
www.sduhealth.org.uk
Cont’d
•
•
•
•
Workforce is c. 10%
Health scouter is c. 10% of GDP
>£20bn purchasing power
Commissioning power potentially even
greater
• Provider side source of huge innovation if
success scaled
www.sduhealth.org.uk
• Don’t necessarily engage using sustainability a
the most important/exclusive priority…
• Avoid GROWTH: remember “Prosperity Without
Growth” Tim Jackson (later slide ref)
• Make use of other entry points:
– Jobs “Without a healthy planet making healthy
people, there are no jobs”
– Inequalities and Social justice: (Living wage: “sharing
opportunities not just money” << some Trust / CCGs
take Living wage approach very explicitly)
www.sduhealth.org.uk
Examples of combining local
economic development with
environmental sustainability
• Place based: e.g. Nottingham
– (see data in notes section of next slide)
• Theme based: e.g. travel
• Other: from audience
www.sduhealth.org.uk
How one NHS Trust has led a county wide sustainable food SYSTEM
James Jarrett, James Woodcock, Ulla K. Griffiths, Zaid Chalabi, Phil Edwards , Ian Roberts , www.sduhealth.org.uk
Andy Haines Lancet 2012
• Don’t always engage people FIRST with
sustainable development or climate change.
The other co-benefits (e.g. financial savings,
economic development may be a better entry
point).
• Let THEM make the connection with economic
development ad help them make their
proposals/visions/dreams practical and
possible
• See next slide:
www.sduhealth.org.uk
www.sduhealth.org.uk
Sustainable,
Resilient,
Healthy,
Places
and
People
Reduce the
negatives
Enable the
positives
www.sduhealth.org.uk
Available no-line as a
downloadable pdf
•
•
•
•
UN
OECD
International
Monetary Fund
World Bank
Co-chaired by Lord
Nicholas Stern and
Jeremy Oppenheim
“Realising the twin benefits of
lower carbon emissions and
health requires deliberate policy
choices”
"Reducing emissions is not only
compatible with economic
growth and development – if
done well it actually generates
better growth than the old highcarbon model," said Lord Stern.
www.sduhealth.org.uk
www.sduhealth.org.uk
www.sduhealth.org.uk
Conclusions (post workshop)
• Framing is crucial
• Examples with data that are “good enough” crucial.
• Is the biomedical research paradigm to improve the
data (RCT) always going to be appropriate?
• Need some very simple data for front line
practitioner sot show cost environmental savings
simultaneously (Frank Swinton/Chris Bem/Andy
Cassels Brown)
www.sduhealth.org.uk
Regional/local leads – June ‘15
PHE
South of
England
James
Mapstone
NHS England Local Gov’t
network
leaders
Frances Chinemana
Caroline
Mark Summers
Angela Raffle, Adrian
Jessel
Davis
London
Marc
Beveridge
Midlands
and East
Giri
Alistair Lipp,
Rajaratnam Christine
Macleod
Stephen
Clare Duggan
Morton
North of
England
Kathie Binysh
Malti Varshney
Mike Robinson
Kate Conlon
Steve Shaffelburg
Meradin Peachey
Helen Ross
Sue Frossell
Sion James
Akeem Ali
Tessa Lindfield
Dominic Harrison
Anna Lynch
Jeremy Wight
Kate Ardern
Julie Hotchkiss
Third sector,
significant others
Jillian Owens
Mark Patterson
Pamela Akerman
Catherine Max
Larissa Lockwood
Chris Large
Chris Pryce
Julia Slay, Ali Freeman
Jessica Moll,
Mike Peverill, Simon Slater, Anna
Bright
Ian Stidston
Nigel Smith
Richard Jarvis
Natalie Glover
Mike Gent
Matt Day
Paul Davison
Frank Swinton
www.sduhealth.org.uk
28 29 Sept 2015
www.sduhealth.org.uk
For more details:
David Pencheon
T: 0113 825 3220
M: 07900 715184
E: david.pencheon@nhs.net
W: www.sduhealth.org.uk
B: BMJ Blogs / carbon
t: @pencheon1, @sduhealth
Victoria House, Capital Park, Fulbourn,
Cambridge, CB21 5XB
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