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Inventing our future Collective action for a sustainable economy

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Regional Social Strategy – the strategy to achieve social inclusion throughout the East of England<br />

The implementation plan stresses the importance of PCTs working with local authorities to deliver the white<br />

paper through local strategic partnerships and local area agreements.<br />

Local area agreements (LAAs)<br />

An underpinning theme <strong>for</strong> LAAs is about reducing inequalities in health through interventions which include<br />

both health care and broader determinants (SO6: 11).<br />

LAAs have some mandatory indicators to improve community cohesion. They also have indicators to reflect<br />

the needs of some socially excluded groups such as those with mental illness and the elderly, depending on<br />

local needs. There is a mandatory indicator on reducing inequalities in health in terms of ‘all age all cause’<br />

mortality rates.<br />

Valuing People: a new strategy <strong>for</strong> learning disability <strong>for</strong> the 21st century<br />

The Government published its white paper, Valuing People, in 2001. Valuing People recognises rights,<br />

independence, choice, and inclusion as key principles <strong>for</strong> services <strong>for</strong> learning disability and recommends<br />

that the services need to be tailored to individual needs.<br />

Gypsies and Travellers<br />

Since Traveller poor health has been identified as one of the biggest areas of health inequalities in the region<br />

(A Review of the Health Needs of Gypsy Travellers in the East of England, GO-East, 2006), Government<br />

Office and the Regional Public Health Group have undertaken to champion Traveller health issues, lead<br />

on the spread of good practice and continue to raise the profile of existing gaps in in<strong>for</strong>mation needed <strong>for</strong><br />

monitoring Travellers’ health. This will be achieved through the local area agreement process, working in<br />

partnership with the voluntary and community sector (SO6: 11) and by influencing the single issue review<br />

of Travellers’ sites <strong>for</strong> the Regional Spatial Strategy.<br />

Climate change<br />

Climate change poses a global health threat through an increased incidence of:<br />

• heat-related deaths and illness<br />

• food poisoning<br />

• injuries during storm events<br />

• air pollution<br />

• skin cancer.<br />

(Climate Change and Human Health: risks and responses, World Health Organisation, 2003)<br />

In the East of England in particular there is an additional increased risk of flooding, due to its large low-lying<br />

areas. Flooding leads to disruption and displacement of communities and increased risk of disease and injury.<br />

Vulnerability to these impacts of climate change will depend on a range of factors including population density,<br />

existing health status, age and socio-economic status.<br />

For this reason The Regional Health Strategy, Healthy Futures (EERA, 2005), identifies the need to<br />

‘understand and plan <strong>for</strong> the impacts of climate change and the more <strong>sustainable</strong> use of res<strong>our</strong>ces<br />

within the region, in terms of health and health inequalities issues’ (SO6: 9).<br />

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