APPENDIX 4 WICKED ISSUES CARDS ISSUE CHILDREN AND HEALTHY LIVING WELL, HEALTHY CHOICES FAMILIES COMMUNITIES AGEING WELL ADDRESSING Never enough Deprived people live in Social isolation due to Poverty POVERTY, Poverty address affluent communities financial constraints Deprivation – – DISCRIMINATION poverty forget them Lack of confidence Support HIDDEN don’t AND DEPRIVATION Children with Exclusion of those Transport communities disabilities already excluded Issues of poverty and Address the Invisible vulnerable social exclusion which determinants this – populations how do prevent people playing takes a long time, – we the health a full role in society / sustained funding and ‘improve of the poorest fastest? accessing services / strategic sign up Narrowing the gap exercise choice Mental ill health Understanding needs Better know of the Reaching out to of local community diverse groups communities Long timescales to Dementia Healthy lifestyles may deliver change, needs not be available if other firm commitment over areas of peoples lives the long period are not good Entrenched problems Target communities – in communities housing tenants / neighbourhoods which mental ill health/ are the of Create the ‘victims’ short term projects environment and /funding culture to make things Taking time to gain possible knowledge of Having the confidence communities be in it for to tackle the wider long haul and no quick determinants of health fix Housing / poor
APPENDIX 4 WICKED ISSUES CARDS ISSUE CHILDREN AND FAMILIES HEALTHY COMMUNITIES LIVING WELL, AGEING WELL HEALTHY CHOICES ADDRESSING POVERTY, DISCRIMINATION AND DEPRIVATION Never enough Poverty – address poverty Children with disabilities Deprived people live in affluent communities – don’t forget them Exclusion of those already excluded Invisible vulnerable populations – how do we ‘improve the health of the poorest fastest? Narrowing the gap Understanding needs of local community Long timescales to deliver change, needs firm commitment over the long period Entrenched problems in communities neighbourhoods which are the ‘victims’ of short term projects /funding Taking time to gain knowledge of communities be in it for long haul and no quick fix Social isolation due to financial constraints Lack of confidence Transport Issues of poverty and social exclusion which prevent people playing a full role in society / accessing services / exercise choice Better know of the diverse groups Dementia Poverty Deprivation Support HIDDEN communities Address the determinants – this takes a long time, sustained funding and strategic sign up Mental ill health Reaching out to communities Healthy lifestyles may not be available if other areas of peoples lives are not good Target communities – housing tenants / mental ill health/ Create the environment and culture to make things possible Having the confidence to tackle the wider determinants of health Housing / poor