alex murdock nhprc 2013

7th Nordic Health Promotion Research Conference

PwC Seminar 18th June 2013 17. january 2013

PwC

Approach, focus and speakers in the PwC Seminar

Health Promotion

Cities

NGO’s Demo-graphy


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15. januar 2013

PhD Helle Søholt

Gehl Architects (DK)

Prof Alex Murdock

London South

Bank University (UK)

Sen. Director Gertjan Baars

PwC (NL)

PwC

Prof Alex Murdock

London South Bank University


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15. januar 2013

The role of Non Government Organisations (NGO’s) and especially social enterprise in Health Promotion

PwC

OUTLINE OF PRESENTATION

• Some background

• The importance of definition… wide or narrow?

• Engagement of the NGO and Social enterprise sector

• Some examples of how this takes place –

• Emmaus Communities

• Directions …where may we be going?

• What are the issues?

• Questions and discussion 7th Nordic Health Promotion Research Conference

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15. januar 2013

PwC

Some background • The concept of health has often been embedded in the development of the NGO sector.

• Early hospitals were typically religious or NGO based

• Visiting of the sick was seen as a charitable activity

• Healthy activity was core to many of the NGO’s such as the Youth Hostels and YMCA type organisations

• Much of the campaigning by NGO’s for better industrial conditions in factories was strongly health related. (The Salvation Army even set up its own factories to make safety matches which did not cause industrial disease)

• Many organisations focused on campaigning to inform and encourage people to live more healthier lives


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15. januar 2013

PwC

The importance of definition… wide or narrow in Health Promotion Therefore when considering the role of NGO’s and Social Enterprise it is important to consider whether you take a Broad or Narrow definition

• A Narrow Definition focuses just on NGO’s as EXPLICITLY focusing on Health Promotion

• A Broad Definition looks at whether the NGO may indirectly as well as directly have a positive impact on healthy living

• I prefer the BROAD DEFINITION ! But there are some problems doing this


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15. januar 2013

Health is (to a very significant extent) socially determined

• Social enterprises act to remedy/ameliorate social conditions (“factors in the social environment”): they have a social mission as their primary purpose

• So if all social enterprises act on the social determinants of health then can ALL social enterprises be viewed as providers of public health? Source: Roy et al 2013

"This ends the debate decisively. Health care is an

important determinant of health. Lifestyles are

important determinants of health. But... it is factors

in the social environment that determine access to

health services and influence lifestyle choices in the

first place.” Director-General Dr Margaret Chan, at the launch of the final report of the WHO

Commission on Social Determinants of Health, 2008.

Life expectancy differences between areas six railway stations apart in Glasgow Source: McCartney (2011)

PwC

Source: Improving Health and Work

Cm7492

Linked agendas:

Work and health

…and welfare

PwC

Engagement of the NGO and Social enterprise sector • Wide range of organisations

• Covering diversity of activities

• Many are small and local

• Many are run by volunteers and have few paid staff

• Engage with excluded and hard to reach

• They can be innovative and also changemakers 7th Nordic Health Promotion Research Conference

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15. januar 2013

PwC

Engagement of the NGO and Social enterprise sector • Wide range of organisations

• Covering diversity of activities

• Many are small and local

• Many are run by volunteers and have few paid staff

• Engage with excluded and hard to reach

• They can be innovative and also changemakers 7th Nordic Health Promotion Research Conference

11

15. januar 2013

Ulster

March 2011

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The Emmaus Model 3 Key features:-

• The concept of work – members (companions) agree to give up all income related state benefits

• Solidarity – Serve those worse off before yourself

• A way of life not just housing – Companions can remain in a community indefinitely, Meals are cooked communally and domestic responsibility is shared

Umurdock 2009

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The multiple policy/societal impacts of Emmaus

1. Homelessness 2. Welfare to work 3. Health 4. Social Inclusion 5. Recycling 6. Regeneration 7. Justice 8. Drugs and alcohol

All companions live in All work Improved diet and lifestyle Many moving on Furniture and electrical Buildings reuse Ex-prisoners come into

Emmaus Companions cannot bring

drugs or alcohol into Emmaus

The Future? : Co-production – third sector as very important

PwC

Approach, focus and speakers in the PwC Seminar

Health Promotion

Cities

NGO’s Demo-graphy


15

15. januar 2013

Total time: 3 Hours (alt. 2 Hours)

•Intro and presentation 10 min (5)

•3 separate speeches à 40 min(25)

•Panel dicussion 40 min (35)

•Wrap up 10 min (5)

Moderator: Hans A. Hauge – HiVe

Facilitator WS: Trygve Sivertsen - PwC

alex murdock nhprc 2013

Education