Healthy Ireland Strategic Action Plan 2021-2025 - Building on the first seven years of implementation

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Healthy Ireland
Strategic Action Plan 2021–2025

Building on the first seven years
of implementation
Contents

Foreword by An Taoiseach Micheál Martin                                              2

Foreword by Minister of State Frank Feighan                                          3

1. Introduction                                                                      4

2. Stakeholder Engagement                                                            6

3. Healthy Ireland Outcomes Framework                                                8

4. Framework for Phase II (2021–2025)                                                9

5. Healthy Ireland Focus 2021–2023                                                 11

6. Healthy Ireland Strategic Action Plan 2021–2025                                 19

  Theme 1 - Governance and Policy                                                  19

  Theme 2 - Partnerships and Cross-Sectoral Work                                   22

  Theme 3 - Empowering People and Communities                                      26

  Theme 4 - Sláintecare Health Reform                                              27

  Theme 5 - Research, Evidence, Monitoring, Reporting and Evaluation               28

  Theme 6 - Reducing Health Inequalities                                           29

7. Implementation of the Strategic Action Plan                                     31

Appendix 1 - Methodology                                                           32

                                                                  Healthy Ireland Strategic Action Plan 2021–2025   1
Foreword                                                                                                                       Foreword
An Taoiseach Micheál Martin                                                                                                    Minister of State Frank Feighan, TD
Improving and supporting the health and wellbeing                                                                              Recent times have been unlike any other. The challenges of the
of the people of Ireland is central to work of                                                                                 last year have brought the issue of health and wellbeing to the
Government.                                                                                                                    forefront of all our lives like never before.

The Healthy Ireland Framework, which was launched in 2013, provided for the first                                              As we navigate our way through this time we are reminded again and again of the importance
time, a cross-Government focus to deliver the vision for a Healthy Ireland, where                                              of simple needs of good health, access to services, healthy environments, and the promotion of
“everyone can enjoy physical and mental health and wellbeing to their full potential,                                          resilience, and that is why the timing of the publishing of this Healthy Ireland Strategic Action Plan
where wellbeing is valued and supported at every level of society and is everyone’s                                            is so important. It gives us a clear roadmap of how we as a society can work together to bring
responsibility”.                                                                                                               about these things, and to make sure to reach everyone, and that no one is left behind.

Since the publication of the Healthy Ireland Framework, significant progress has been made to implement this vision. A         Good health and wellbeing involves many factors and covers all aspects of life, from how you eat to where you live and
dedicated team was established within the Department of Health, working collaboratively across Government Departments          work. Because of this, a collaborative approach is needed. Partnership has been the cornerstone of Healthy Ireland, it has
and with a huge network of partners across all sectors of society. Government policies were developed and are being            highlighted the importance of bringing together key players and stakeholders, to work together to a common goal, both at
implemented across a range of health behaviours that impact the health and wellbeing of our people, including physical         a local and a national level. This next phase of Healthy Ireland is no different. I greatly welcome and wish to acknowledge the
activity, obesity, smoking, alcohol and sexual health. Major national surveys, including the Healthy Ireland Survey and the    huge engagement from all across Government with the development of this action plan and indeed with the implementation
Health Behaviours in School Aged Children, provide a strong evidence base to guide the work of Healthy Ireland and the         of the Healthy Ireland Framework so far.
Healthy Ireland Outcomes Framework was developed to track the impact of the measures taken as part of the Healthy
Ireland Framework. Public engagement and communications campaigns have highlighted the important role that each of             Resilience is the ability to adapt to challenging circumstances. Many of us face challenging circumstances every day and over
us plays in supporting our own health and wellbeing and providing supports to everyone to do so. I commend all of those        this past year, we as a nation, have seen our resilience tested like never before. Looking after our wellbeing, both physical
who have been involved in establishing and implementing the Framework, in various Government Departments and across            and mental, is key to building resilience. This cross-sectoral plan provides the building blocks for how we as a society can
the huge network of partners involved.                                                                                         empower ourselves and influence those around us, to take charge of our own health and wellbeing, to make healthier
                                                                                                                               choices and to make disease prevention a priority in all our lives.
Building on the first seven years of the implementation of the Healthy Ireland Framework, this Healthy Ireland Strategic
Action Plan will provide a roadmap for the next five years of implementation. It builds on the cross-society approach          It has been said that the true measure of any society is how it treats its most vulnerable. The vision of Healthy Ireland is to
that is central to Healthy Ireland by involving Government Departments, local authorities, public bodies, schools and          ensure that “everyone can enjoy physical and mental health and wellbeing to their full potential” and in this next phase of
education institutions, businesses and employers, sports, cultural, creative and voluntary groups, communities, families and   Healthy Ireland this issue has been brought to the fore with an emphasis on challenging health inequalities and ensuring that
individuals.                                                                                                                   those that are hardest to reach are empowered to achieve their own health and wellbeing goals. I particularly welcome the
                                                                                                                               focus on the Sláintecare Healthy Communities Programme, which will place an emphasis on the areas of highest deprivation
The Oireachtas Committee on the Future of Healthcare strongly highlighted in its report the importance of prevention of        to reach the most marginalised in our society.
illness. From the outset, Healthy Ireland has been a core framework for the implementation of Sláintecare. The Framework
provides the central platform to address the social determinants of health that impact how well people can live their lives.   I wish to thank everyone who contributed to the development of the Strategic Action Plan.
We know that health and wellbeing is not evenly distributed across the population, with the most deprived communities
bearing a higher burden of chronic disease and increased levels of mortality.
                                                                                                                               Frank Feighan
In order to drive the change that achieves the vision of Healthy Ireland we know that it requires the involvement of
                                                                                                                               Minister of State with responsibility for
the whole of society. Healthy Ireland has built significant partnerships towards the realisation of this. It is therefore
                                                                                                                               Public Health, Well Being and National Drugs Strategy
especially important that this plan has gained the agreement of fourteen other Government Departments to lead on
the implementation of actions. These actions will work to directly address the determinants of health which have a direct
impact on health outcomes. The greatest strength of the Healthy Ireland Framework is this continued commitment across
Government to work in partnership toward better health and wellbeing.

I wish to sincerely thank everyone who was involved in the development of this plan, from all across Government and
beyond. Those who took part and facilitated stakeholder workshops and consultations, those who took part in the
online survey, and to everyone who took the time to provide advice and feedback during the development stage. This is
testament to the dedication, hard work and expertise of so many, and has been delivered in a time of trying circumstances.

As we as a society look forward in uncertain times, Healthy Ireland provides the foundation on which to build a healthier
society and a brighter future.

Micheál Martin
An Taoiseach

2   Healthy Ireland Strategic Action Plan 2021–2025                                                                                                                                                                       Healthy Ireland Strategic Action Plan 2021–2025   3
1. Introduction                                                                                                               1. Introduction continued
Healthy Ireland: A Framework for Improved Health
and Wellbeing 2013–2025, is the national Framework
for action to improve the health and wellbeing of
everyone living in Ireland.

The Healthy Ireland (HI) Framework                    Healthy Ireland takes a ‘whole of Government’ and ‘whole of             Healthy Ireland Framework Themes
aims to:                                              society’ approach, reflecting the multiple factors that influence
                                                      our ability to support our own health and wellbeing. Healthy            Phase 1                                                     Phase 2
• bring a concerted focus on life-long
                                                      Ireland is led by the Health and Wellbeing Programme within
  wellbeing, prevention of illness                                                                                                            Theme 1                                                     Theme 1
                                                      the Sláintecare Programme Implementation Office (SPIO) in the
• seeks to reduce health inequalities                 Department of Health.                                                                   Governance and Policy                                       Governance and Policy
• address the settings in which health
                                                      Sláintecare is the all-party Oireachtas policy to transform health
  and wellbeing is impacted, and                                                                                                              Theme 2                                                     Theme 2
                                                      and social care services for the Irish people, the implementation
• emphasise the need to empower                                                                                                               Partnerships and                                            Partnerships and
                                                      of which is led by the Sláintecare Programme in the Department
                                                                                                                                              Cross-Sectoral Work                                         Cross-Sectoral Work
  people and communities to better                    of Health. One of the key principles of Sláintecare is to promote
  look after their own health and                     health and wellbeing and prevent illness and this principle                             Theme 3                                                     Theme 3
  wellbeing.                                          embodies all that Healthy Ireland seeks to achieve. The ongoing                         Empowering People                                           Empowering People
                                                      implementation of Healthy Ireland is a key action under the                             and Communities                                             and Communities
                                                      Sláintecare Report and the Sláintecare Implementation Strategy                          Theme 4                                                     Theme 4
                                                      and Action Plan 2021–23. The Healthy Ireland Framework will                             Health and Health Reform                                    Sláintecare Health Reform
                                                      deliver the Healthy Living workstream of the Health Service
                                                      Capacity Review (2018) through the implementation of a range
                                                      of prevention strategies. Prevention of illness, in addition to                        Theme 5                                                      Theme 5
                                                      supporting people to live healthier lives, is also a vital element in
                                                                                                                                             Research and Evidence                                        Research, Evidence, Monitoring,
                                                                                                                                                                                                          Reporting and Evaluation
                                                      reducing the demand for hospital services and improving quality
                                                      of life.                                                                               Theme 6                                                      Theme 6
                                                                                                                                             Monitoring, reporting                                        Reducing Health Inequalities
                                                      Since the publication of the Healthy Ireland Framework in 2013,                        and evaluation
                                                      significant progress has been made on its implementation. To
                                                      build on that progress, capitalise on further opportunities to          Figure 1: Healthy Ireland Framework Themes in first phase   Figure 2: Healthy Ireland themes for the second phase of implementation
                                                      involve more sectors and scale and expand the activity across all       (2013-2020)                                                 (2021-25)

                                                      strands of Government and partners, the Health and Wellbeing
                                                      Programme within the Department of Health has developed this            The clear message from stakeholders is that all six         In addition to continuing the cross-sectoral implementation of
                                                      cross-sectoral and strategic Action Plan to guide delivery of the       themes remain valid. However stakeholders also believe      the Healthy Ireland Framework, key areas of focus for this next
                                                      Healthy Ireland Framework over the next five years.                     that, whilst substantial progress has been made in the      phase of Healthy Ireland will be on:
                                                                                                                              implementation of Healthy Ireland across the broader        • Prevention, through healthy behaviours and the implementation
                                                      In order to develop this Plan, Healthy Ireland undertook a review       population, there is now a pressing need to address           of national strategies to support better health and wellbeing.
                                                      of the progress made to date in the implementation of the               health inequalities and place a greater emphasis on
                                                      Framework; reviewed the promotion of health and wellbeing                                                                           • The full implementation of the Health Service Capacity Review
                                                                                                                              promoting Healthy Ireland amongst disadvantaged and
                                                      in other jurisdictions; and carried out extensive stakeholder                                                                         (2018) recommendations under the Healthy Living workstream.
                                                                                                                              harder to reach communities. As a result, the six themes
                                                      engagement with over 400 partners and colleagues across                 were reconfigured to merge Theme 5 and 6 into one           • The Sláintecare Healthy Communities Programme, taking an
                                                      Government and non-governmental organisations (NGOs) at                 research and evidence theme and introduce a new Theme         area-based approach to tackling health and wellbeing with a
                                                      national and local levels. Throughout the review of progress to         6, Reducing Health Inequalities (Figure 2).                   strong focus on areas of highest deprivation to address health
                                                      date and the stakeholder engagement, it was considered whether                                                                        inequalities.
                                                      the six themes (Figure 1) of the Framework remain valid.                As Healthy Ireland enters its next phase, we will work
                                                                                                                              with our partners and colleagues across Government          This Action Plan is a cross-Government, cross-sectoral plan that sets
                                                                                                                              to implement the Healthy Ireland Strategic Action Plan      out the key actions by theme for the period 2021-2025, the specific
                                                                                                                              to promote health and wellbeing and prevent illness         implementation actions that will be achieved by end of 2023 and
                                                                                                                              amongst all populations in Ireland. Our focus will          identifies the lead Department for each action.
                                                                                                                              remain on working in partnership with colleagues across
                                                                                                                              all sectors to empower people from all walks of life to
                                                                                                                              achieve their health and wellbeing goals.

4   Healthy Ireland Strategic Action Plan 2021–2025                                                                                                                                                                 Healthy Ireland Strategic Action Plan 2021–2025   5
2. Stakeholder Engagement                                                                                                                           2. Stakeholder Engagement continued

The Healthy Ireland Strategic Action Plan was developed following
extensive stakeholder engagement within the Department of Health,
with our partners in national and local government, the Health Service
Executive (HSE) and key stakeholders in health and wellbeing.
                                                                                                                                                                                                                                                        Sláintecare Implementation Strategy & Action Plan 2021 — 2023

+400                                                                                                                Survey

                                                                                                                    HSE
                                                                                                                                              331

                                                                                                                                              20
                                                                                                                                                    The realignment of the Healthy Ireland themes to include a new Theme six addressing
                                                                                                                                                    health inequalities demonstrates Healthy Ireland’s renewed focus on addressing
We consulted with over 400                                                                                                                          the social determinants that result in health inequalities within our population.
stakeholders as set out in                                                                                          Other Government          17
                                                                                                                    Departments
Figure 3.                                                                                                                                           This dovetails with the Sláintecare principles, shown below in Figure 4, and one of the two Reform
                                                                   STAKEHOLDERS                                     NGOs                      12    Programmes, ‘Addressing Health Inequalities’, which are set out in the Sláintecare Implementation
These included one-to-one meetings                                                                                  HI Team                   11    Strategy and Action Plan 2021–23.
with leadership within the Department
                                                                                                                    Leaders & policy makers    8
of Health, HSE, wider government and                                                                                1-on-1 meetings
previous Healthy Ireland Council Members.                                                                                                              Sláintecare Fundamental
                                                                                                                    DoH                        7
In addition, a series of workshops were
conducted with Government Departments,                                                                              Research Groups            6
                                                                                                                                                       Principles
HSE, NGOs and leading researchers in the
health and wellbeing area.                            Figure 3: Key Stakeholders consulted to input the Strategic Action Plan

                                                                                                                                                                                                                                                 04
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                                                                                                                                                                                                    Principles

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                                                      as a key Government priority. Healthy Ireland is now a recognisable

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                                                      brand with a clear vision, and the first seven years of the Healthy Ireland                                                  W                                     TH r
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                                                      Many stakeholders addressed Healthy Ireland’s success in developing
                                                                                                                                                                                                                                                 06
                                                      partnerships and connecting with communities, engaging with local
                                                      authorities, and working with organisations, including Children’s and
                                                                                                                                                        01                                                                                       Public Money and Interest
                                                                                                                                                                                                                                                 Public money is only spent in the public interest for
                                                                                                                                                        Patient is Paramount                                                                     the public good (ensuring value for money, integration,
                                                      Young People’s Services Committees (CYPSCs) and the Local Community                               All care is planned and provided so that the patient/service                             oversight, accountability and correct incentives).
                                                      Development Committees (LCDCs). Accordingly, Healthy Ireland will                                 user is paramount, ensuring appropriate care pathways
                                                                                                                                                        and seamless transition backed-up by full patient record
                                                      maintain and strengthen the existing partnership approach to address
                                                      the issues that impact on the health and wellbeing of the nation.
                                                                                                                                                        and information.
                                                                                                                                                                                                                                                 07
                                                                                                                                                                                                                                                 Engagement
                                                      There was a clear message from across the stakeholder groupings that
                                                      whilst Healthy Ireland was successful in promoting health and wellbeing
                                                                                                                                                        02                                                                                       Create a modern, responsive integrated public health system,
                                                                                                                                                                                                                                                 comparable to other European countries. through building
                                                                                                                                                        Timely Access                                                                            long-term public and political confidence in the delivery and
                                                      across the broader population, those who are marginalised or who are                              To all health and social care according to medical need.                                 implementation of this plan.
                                                      living with disadvantage or deprivation in their daily lives were not as
                                                      effectively reached by Healthy Ireland’s whole population approach.
                                                                                                                                                        03                                                                                       08
                                                                                                                                                        Prevention and Public Health                                                             Accountability
                                                                                                                                                        Patients accessing care at the most appropriate, cost                                    Effective organisational alignment and good governance
                                                                                                                                                        effective service level with a strong emphasis on                                        are central to the organisation and functioning of the
                                                                                                                                                        prevention and public heath.                                                             health system.

                                                                                                                                                        Figure 1: Sláintecare Principles from Sláintecare oireachtas report 2017
                                                                                                                                                    Figure 4: Sláintecare Fundamental Principles

                                                                                                                                                                                                                                                                                                                   7

6   Healthy Ireland Strategic Action Plan 2021–2025                                                                                                                                                                                                                                        Healthy Ireland Strategic Action Plan 2021–2025   7
3. Healthy Ireland Outcomes Framework                                                                                                            3. Healthy Ireland Outcomes Framework continued

The establishment of the Healthy Ireland Outcomes Framework                                                                                        Health Status
(2018), to collate, monitor and evaluate the achievement of Healthy
                                                                                                                                                   Preventative Measures                                               Lifestyle and Behaviour Risks
Ireland’s targets and performance indicators, was a key action in
                                                                                                                                                   > Breast Cancer Screening Rate                                      > Overweight and Obesity
the Healthy Ireland Framework.                                                                                                                     > Cervical Cancer Screening Rate                                    > Physical Activity Levels
                                                                                                                                                   >M
                                                                                                                                                     easles Mumps and Rubella                                         > Current Smoking Rate
                                                                                                                                                      (MMR) Immunisation Rate
                                                                                                                                                                                                                       > Harmful Use of Alcohol
The Healthy Ireland                                   The Healthy Ireland Outcomes Framework sets out four high level outcomes which               > Meningitis C Immunisation Rate
                                                                                                                                                                                                                       > Breastfeeding Rates
                                                      reflect the broad determinants of health and wellbeing across the life course.
Outcomes Framework was                                                                                                                             > Bowel Cancer Screening Rate
                                                                                                                                                                                                                       > Condom Use (young people)
developed through an
                                                      These outcomes are:                                                                                                                                              > Screen Time (young people)
iterative process, involving
consultations with a range                                                                                                                                                                                             > Illicit Drug Use
                                                      1.      Responsibility is shared in addressing the social
of Government Departments                                     determinants of health and wellbeing.
and key stakeholders.
                                                                                                                                                   Health Outcomes
                                                      2.      People of all ages and abilities participate in education,
                                                              work, and leisure activities to their full potential.                                Mortality and Morbidity                                             Wellbeing Factors
                                                                                                                                                   > Healthy Life Years                                                > Self‑Perceived Health
                                                      3.      Children are active and healthy, with positive
                                                                                                                                                   > Premature Non-Communicable Disease Mortality                      > Positive Mental Health
                                                              physical and mental wellbeing.
                                                                                                                                                   > Cancer Incidence                                                  > Probable Mental Health Problem

                                                      4.      We live longer healthier lives in safe, healthy                                      > Excess Winter Mortality                                           > Moderate and Severe Depression (age 50+)
                                                              environments in resilient communities.                                                                                                                   > Social and Cultural Participation (age 50+)
                                                                                                                                                   > Road Traffic Mortality
                                                                                                                                                                                                                       > Safety and Security (age 50+)
                                                                                                                                                   > Drug-induced Mortality
                                                      The outcomes are supported by three indicator sets, which work together to create                                                                                > Feeling Safe (young people)
                                                      an overall picture of health and wellbeing and will, in time, provide a holistic view of
                                                                                                                                                                                                                       > Access to Green Space
                                                      the effectiveness and impact of current policies, as trends become apparent. These
                                                      are shown in Figure 5. The Strategic Action Plan for the Healthy Ireland Framework                                                                               > Active Travel
                                                      seeks to deliver on, and improve the outcomes set out in the Healthy Ireland
                                                      Outcomes Framework. Thirteen additional indicators have been included, such as
                                                      housing and homelessness, these factors can have a significant impact on mortality           Social Determinants
                                                      and morbidity. Further wider environmental indicators on noise pollution, fuel
                                                      poverty and the incidence of skin cancer have also been included.
                                                                                                                                                   Environmental Factors                                               Socio‑Economic Factors
                                                                                                                                                   > Air Quality Index                                                 > Long‑term Unemployment
                                                                                                                                                   > Water Quality                                                     > Jobless Households
                                                                                                                                                   > Radon                                                             > Education: Retention
                                                                                                                                                   > Noise Pollution                                                   > Education: Attainment
                                                                                                                                                   > Fuel Poverty                                                      > Literacy and Numeracy
                                                                                                                                                   > Skin Cancer Incidence                                             > Consistent Poverty Rate
                                                                                                                                                                                                                       > Inequality of Income
                                                                                                                                                                                                                       > Homelessness
                                                                                                                                                                                                                       > Inadequate Housing (Affordability)
                                                                                                                                                                                                                       > Housing Quality (BER)

                                                                                                                                                 Figure 5: Board Indicator Sets – Healthy Ireland Outcomes Framework

8   Healthy Ireland Strategic Action Plan 2021–2025                                                                                                                                                                                         Healthy Ireland Strategic Action Plan 2021–2025   9
4. Framework for Phase II (2021–2025)                                                                            5. Healthy Ireland Focus, 2021–2023
     Vision                                                                                                      The Healthy Ireland Strategic Action Plan 2021-2025 was
     A Healthy Ireland, where everyone can enjoy physical and mental health and                                  developed following stakeholder engagement and the
     wellbeing to their full potential, where wellbeing is valued and supported at                               methodology as set out in Appendix 1.
     every level of society and is everyone’s responsibility

     Goals
     1. Increase the proportion of people who are healthy at all stages of life
                                                                                                                 This detailed Plan is shown in Section 6 below and priority focus areas for 2021-2023 extracted from
     2. Reduce health inequalities                                                                               this are shown below in Table 1, illustrated using the themes of the current Healthy Ireland and wider
     3. Protect the public from threats to health and wellbeing                                                  Government ‘Keep Well’ campaign to support resilience during COVID-19, and other key initiatives.

     4. Create an environment where every individual and sector can play their
                                                                                                                 Table 1a: Priority Focus Areas for Healthy Ireland for 2021–2023
        part in achieving a healthy Ireland

                                                                                                                  Keep Well
     Ethical Principles
     > Equity                                                             > Openess and Accountability                            2021                                    2022                                        2023
     > Fairness                                                           > Solidarity                            Keeping         Review and renew the National           Continue implementation of a                Ongoing implementation of the
                                                                                                                  Active          Physical Activity Plan (NPAP).          refreshed Physical Activity Plan            National Physical Activity Plan and
     > Proportionality                                                    > Sustainability
                                                                                                                                                                          and support its monitoring and              support its monitoring and oversight
                                                                                                                                                                          oversight, contribute to sport              as per 2022, in continued partnership

     Framework of Actions                                                                                                                                                 and physical activity promotion in
                                                                                                                                                                          partnership, through the NPAP IG
                                                                                                                                                                                                                      with DTCAGSM, Sport Ireland and
                                                                                                                                                                                                                      other key stakeholders.
           Theme 1:                                                            Theme 4:                                                                                   and Department of Tourism, Culture,
           Governance and Policy                                               Sláintecare Health Reform                                                                  Arts, Gaeltacht, Sport and Media
                                                                                                                                                                          (DTCAGSM) Sports Leadership
           Theme 2:                                                            Theme 5:                                                                                   Group.
           Partnerships and Cross-Sectoral                                     Research, Evidence, Monitoring,
           Work                                                                Reporting and Evaluation                           Continue monitoring and oversight       Continue engagement with the                Encourage close collaboration
                                                                                                                                  of implementation of the NPAP           Department of Education (DoE) to            between the Departments of
           Theme 3:                                                            Theme 6:                                           aligned to the Healthy Ireland          develop an education programme              Education, Health, and Tourism,
           Empowering People and Communities                                   Reducing Health Inequalities                       Outcomes Framework and compile          in schools to promote physical              Culture, Arts, Gaeltacht, Sport and
                                                                                                                                  the NPAP Progress Report for 2020.      literacy and enhance students’              Media and sporting organisations
                                                                                                                                                                          understanding of the benefits               to encourage and enable physical
 Guiding Principles for Implementation                                                                                                                                    of physical activity, and work to           activity among children, in particular
                                                                                                                                                                          encourage increased participation           at primary school.
     > Better Governance and Leadership                                   > Better use of Evidence                                                                        in physical education and physical
     > Better use of People and Resources                                 > Better Measurement and Evaluation                                                             activity in primary and secondary
                                                                                                                                                                          education.
     > Better Partnerships                                                > Better Programme Management
                                                                                                                                  Continue Healthy Ireland’s              Explore the merit and feasibility           Encourage workplaces to facilitate
     > Better Systems for Healthcare                                                                                              representation on the DTCAGSM           of setting up a tailored sport and          workers who cycle and run to work.
                                                                                                                                  Sports Leadership Group, managing       physical activity national sports
                                                                                                                                  the implementation of the National      insurance policy to better guide and
     How We Will Deliver                                                                                                          Sports Policy, ensuring a coordinated   facilitate community-based initiatives
                                                                                                                                  approach to implementation of both      in these fields.
     > Cabinet Committee on Social Policy                                                                                         policies.
     > Health and Wellbeing Programme, Department of Health                                                                       Commence the development of             Ramp up the Cycle Right Programme           Widen the eligibility of the Bike to
     > High-Level Implementation Plan                                                                                             an online Living Well platform and      to ensure that all children are offered     Work scheme to provide an increased
                                                                                                                                  portal for citizen engagement.          cycling training in primary school.         proportionate allowance for e-bikes
     > Implementation Plans for Specific Priority Areas                                                                                                                   Progress the development of the             and cargo bikes.
     > Outcomes Framework                                                                                                                                                 online Keep Well platform.

Figure 6: The Healthy Ireland Framework with the updated themes 5 and 6

10    Healthy Ireland Strategic Action Plan 2021–2025                                                                                                                                                    Healthy Ireland Strategic Action Plan 2021–2025       11
5. Healthy Ireland Focus, 2021–2023 continued                                                                                                      5. Healthy Ireland Focus, 2021–2023 continued

Table 1a: Priority Focus Areas for Healthy Ireland for 2021–2023 continued                                                                         Table 1a: Priority Focus Areas for Healthy Ireland for 2021–2023 continued

 Keep Well                                                                                                                                          Keep Well

                        2021                                     2022                                    2023                                                      2021                                       2022                                        2023

 Staying                Sustain Community Call ethos as we       Engage with the Department              Support the Department of Children,        Eating Well    Review and refresh Obesity Policy and      Implementation of the refreshed             Ongoing implementation of
 Connected              emerge from COVID-19 and examine         of Social Protection to develop         Equality, Disability, Integration and                     Action Plan.                               Obesity Policy and Action Plan.             Obesity Policy and Action Plan.
                        the merits of maintaining it on a more   initiatives in the community that       Youth (DCEDIY) in transitioning the
                        permanent footing.                       leverage local resources such as the    housing of International Protection                       Support the design and implementation      Support the implementation of               Continue roll-out of the
                                                                 Intreo offices.                         applicants from direct provision                          of an end-to-end child and adolescent      Reformulation Roadmap.                      end-to-end child and adolescent
                                                                                                         to the community and ensure that                          overweight and obesity prevention and                                                  overweight and obesity
                                                                                                         appropriate community-based                               treatment policy, building on the HSE                                                  prevention and treatment policy.
                                                                                                         supports are provided.                                    Model of Care for the Management of
                                                                                                                                                                   Overweight and Obesity.
                        Continue the ‘Keep Well’ campaign        Engage with established local
                        in line with the Government’s            structures to review and enhance                                                                  Finalise Reformulation Roadmap for         Undertake an evaluation of the sugar        Ongoing engagement to
                        COVID-19 Resilience and Recovery         their roles and increase capacity at                                                              foods high in saturated fats, sugar,       sweetened drinks tax against the            support the implementation of
                        2021 - The Path Ahead.                   community level through CYPSC and                                                                 and salt.                                  stated aims of the tax.                     Reformulation Roadmap.
                                                                 LCDCs and others.
                                                                                                                                                                   Set up an implementation and               Work with Government to support             Set out a nutrition and healthy
                        Continue to identify and build                                                                                                             monitoring framework, to preserve          the planning restrictions on outlets        eating policy.
                        relationships with relevant                                                                                                                the integrity of the implementation of     selling high calorie ‘junk-food’ and
                        stakeholders at national and local                                                                                                         the Voluntary Codes of Practice on the     beverages adjacent to schools.
                        level including NGOs, private sector,                                                                                                      advertising and marketing of food and
                        and community groups.                                                                                                                      non-alcoholic beverages.

 Switching              Engage with DTCAGSM in the               Continue appropriate engagement         Ongoing engagement with                                   Implement HSE Healthy Weight for           Develop a comprehensive                     Continue the implementation of
                        ongoing implementation of the            with DTCAGSM in the                     DTCAGSM in the implementation of                          Children (0-6 years) Framework (2018) in   programme of work to further                the commitment to use planning
 Off and Being
                        Creative Ireland Programme.              implementation of the Creative          the Creative Ireland Programme.                           line with plan and funding.                explore the drivers of food poverty         to address the obesogenic
 Creative
                                                                 Ireland Programme.                                                                                                                           and to identify mitigating actions.         environment.

                        Work with local authorities to allow     Continue work with local authorities    Continue engagement with local                            Explore with key stakeholders, potential   Implementation of the commitment
                        the fulfilment of long-term strategic    on their long-term strategic cultural   authorities on their long-term                            issues around the introduction of a        to use planning to address the
                        cultural and arts planning at a local    and arts planning at a local level.     strategic cultural and arts planning at                   Public Health (Obesity) Act, including     obesogenic environment.
                        level.                                                                           a local level.                                            examining restrictions on promotion
                                                                                                                                                                   and advertising aimed at children.
                        Explore the potential impact and
                        interventions for lifelong learning in                                                                                                     Work with the Department of Children,      Develop a guideline to address
                        creativity.                                                                                                                                Equality, Disability, Integration and      the issue of sponsorship of sports,
                                                                                                                                                                   Youth (DCEDIY) in the provision of         festivals and other activities by food
                                                                                                                                                                   parenting programmes that support          and alcohol providers.
                                                                                                                                                                   healthy eating.

                                                                                                                                                                   Support the commencement of the EU
                                                                                                                                                                   Farm to Fork Strategy.

                                                                                                                                                                   Strengthen participation in nationally
                                                                                                                                                                   recognised community healthy eating
                                                                                                                                                                   programmes.

                                                                                                                                                                   Commence the exploration of
                                                                                                                                                                   addressing food poverty.

                                                                                                                                                                   Form a working group in partnership
                                                                                                                                                                   with relevant stakeholders to look at
                                                                                                                                                                   how planning can be used to address
                                                                                                                                                                   the obesogenic environment.

12   Healthy Ireland Strategic Action Plan 2021–2025                                                                                                                                                                                         Healthy Ireland Strategic Action Plan 2021–2025   13
5. Healthy Ireland Focus, 2021–2023 continued                                                                                                 5. Healthy Ireland Focus, 2021–2023 continued

Table 1a: Priority Focus Areas for Healthy Ireland for 2021–2023 continued                                                                    Table 1a: Priority Focus Areas for Healthy Ireland for 2021–2023 continued

 Keep Well                                                                                                                                     Keep Well

                        2021                                      2022                                      2023                                              2021                                     2022                                         2023

 Minding your           Work across the Department                Finalise and launch Mental Health         Continue implementation of         Minding your   Implement public engagement              Ongoing engagement with partners             Continue engagement
                        of Health, HSE and other                  Promotion Policy.                         Mental Health Promotion Policy.                   messaging targeting key lifestyle        to implement public engagement               with partners to implement
 Mood                                                                                                                                          Body
                        partners to implement relevant                                                                                                        behaviours, together with partners.      messaging targeting key lifestyle            messaging targeting key lifestyle
                        recommendations of Sharing the                                                                                                                                                 behaviours.                                  behaviours.
                        Vision: A Mental Health Policy for
                                                                                                                                                              Work with HSE to ensure full             Continue with implementation of a            Ongoing implementation of the
                        Everyone and develop a
                                                                                                                                                              restoration of sexual health services    refreshed Sexual Health Strategy,            Sexual Health Strategy 2021-2025.
                        coordinated approach to mental
                                                                                                                                                              impacted by COVID-19.                    2021-2025.
                        health promotion.
                                                                                                                                                              Review Sexual Health Strategy and        Continue to work with Government             Ongoing engagement with
                        Implement the extended Connecting         Develop a plan aimed at tackling                                                            develop new strategy for 2021-2025.      to provide smoking cessation                 Government to provide smoking
                        for Life Policy, focused on reducing      loneliness and isolation, particularly                                                                                               initiatives for disadvantaged groups.        cessation initiatives targeted at
                        the loss of life by suicide and           among older people, as outlined in                                                                                                                                                disadvantaged groups.
                        reducing cases of self-harm.              the Roadmap for Social Inclusion,
                                                                  including promoting active                                                                  Work with Government to provide          Progress and expand the creation of          Development of Tobacco Free
                                                                  retirement and positive ageing                                                              smoking cessation initiatives targeted   Tobacco Free spaces in community             campuses across all preschools and
                                                                  initiatives to tackle social isolation.                                                     at disadvantaged groups.                 settings.                                    schools through engagement with the
                                                                                                                                                                                                                                                    DoE and DCEDIY.
                        Launch Social Prescribing Policy.         Seek to expand social prescribing
                                                                                                                                                              Conduct a midway review of the           Examine taxation regimes in relation         Develop legislation to prohibit
                                                                  where patients are referred to
                                                                                                                                                              Tobacco Free Policy.                     to novel tobacco products and                the advertisement of electronic
                                                                  non-clinical activities, as a means of
                                                                                                                                                                                                       electronic cigarettes in consultation        cigarettes at events/ locations
                                                                  positively influencing mental health
                                                                                                                                                                                                       with the Department of Finance               primarily intended for children
                                                                  and wellbeing and consider scaling
                                                                                                                                                                                                       following the revision of the EU             under 18 years of age.
                                                                  of successful Sláintecare Integration
                                                                                                                                                                                                       Tobacco Products Tax Directive.
                                                                  Fund projects.
                                                                                                                                                              Refresh and oversee implementation       Oversee ongoing implementation of            Oversee ongoing implementation of
                        Increase access to talk therapies                                                                                                     of the Healthy Ireland Alcohol policy    the Healthy Ireland Alcohol policy to        the Healthy Ireland Alcohol policy to
                        and improve access to specialist                                                                                                      to reduce harm and support recovery.     reduce harm and support recovery.            reduce harm and support recovery.
                        expertise, when it is required, in line
                                                                                                                                                              Implement the Public Health              Provide measures at community
                        with Sharing the Vision – a Mental
                                                                                                                                                              (Alcohol) Act and commitment to          level to delay the initiation of alcohol
                        Health Policy for Everyone and
                                                                                                                                                              introducing minimum unit pricing in      consumption by children and young
                        successful projects funded by the
                                                                                                                                                              consultation with Northern Ireland.      people.
                        Sláintecare Integration Fund.
                                                                                                                                                              Implement an innovative pilot of a
                        In partnership with local authorities                                                                                                 ‘whole system’ response to childhood
                        explore the feasibility of developing                                                                                                 obesity in line with the Sláintecare
                        guidelines for access to green                                                                                                        Healthy Communities Programme
                        space and other health promoting                                                                                                      and the HSE Model of Care for the
                        infrastructure for communities.                                                                                                       Management of Overweight and
                                                                                                                                                              Obesity, similar to the approach taken
                                                                                                                                                              in Amsterdam and UK cities where
                                                                                                                                                              more disadvantaged communities are
                                                                                                                                                              supported.

                                                                                                                                                              Continue implementation of the
                                                                                                                                                              National Drugs Strategy, Reducing
                                                                                                                                                              Harm and Supporting Recovery.

                                                                                                                                                              Continue to work with the NCCP,
                                                                                                                                                              the HSE, and other partners on the
                                                                                                                                                              implementation of the National Skin
                                                                                                                                                              Cancer Prevention Plan 2019-2022.

14   Healthy Ireland Strategic Action Plan 2021–2025                                                                                                                                                                                   Healthy Ireland Strategic Action Plan 2021–2025      15
5. Healthy Ireland Focus, 2021–2023 continued                                                                                                                  5. Healthy Ireland Focus, 2021–2023 continued

Health is created and lived by people within the settings of their everyday life; where they                                                                   Table 1b: Priority Focus Areas for Healthy Ireland for 2021–2023 Place-Based Settings continued
learn, work, play, and love. A settings-based approach to health promotion maximises
disease prevention by utilising a whole systems approach, thereby addressing the wider                                                                          Healthy Places
determinants of health. Settings enables the support of populations that experience health
inequalities and address the challenges specific to the identified area. The settings that will                                                                Setting           2021                                   2022                                   2023
be addressed include, homes, communities, cities and counties, schools, campuses clubs and
                                                                                                                                                               Healthy Cities    Publish the Healthy Cities             Work in partnership with Healthy       Work in partnership with Healthy
workplaces. Many of these settings have existing health and wellbeing activity underway.                                                                       and Counties      and Counties Strategic                 Cities and Counties of Ireland         Cities and Counties of Ireland
                                                                                                                                                                                 Development Plan.                      Network to improve health and          Network to improve health and
                                                                                                                                                                                                                        wellbeing at a local level.            wellbeing at a local level.
Table 1b: Priority Focus Areas for Healthy Ireland for 2021–2023 Place-Based Settings
                                                                                                                                                                                 Develop the Healthy Cities and         Promote the implementation             Promote planting of ‘protection
 Healthy Places                                                                                                                                                                  Counties of Ireland Network.           of the Design Manual for Urban
                                                                                                                                                                                                                        Roads and Streets (2013) which
                                                                                                                                                                                                                                                               forests’ along rivers and lakes
                                                                                                                                                                                                                                                               to protect water quality and
                                                                                                                                                                                                                        incorporates good planning and         assist in managing flood risks.
                                                                                                                                                                                                                        design practice to support and
Setting                   2021                                         2022                                      2023                                                                                                   encourage active travel (walking
                                                                                                                                                                                                                        and cycling) in urban areas.
Healthy                   Support the Department of                    Continue to support the Department        Ongoing engagement with the
Homes                     the Environment, Climate and                 of the Environment, Climate and           Department of the Environment,                                  Work in partnership with local         Strengthen the Healthy Cities
                          Communications (DECC) to                     Communications in their work              Climate and Communications                                      authorities to develop the Healthy     and Counties infrastructure
                          combat energy poverty.                       to combat energy poverty.                 to support their work to combat
                                                                                                                                                                                 Cities and Counties Network.           to deliver on the Healthy
                                                                                                                 energy poverty.
                                                                                                                                                                                                                        Cities and Counties goals.
                          Work with the SEAI to support                Continue to support the clean             Ongoing engagement with the clean air
                                                                                                                                                                                 Ensure that health and wellbeing       Work with HSE to develop,
                          initiatives that deliver on the Healthy      air unit in their work to support         unit to support their work with initiatives
                                                                                                                                                                                 is an integral part of the             define, and embed the health
                          Ireland Outcomes Framework.                  initiatives that deliver on the Healthy   that deliver on the Healthy Ireland
                                                                       Ireland Outcomes Framework.               Outcomes Framework.                                             guidelines for the Local Economic      and wellbeing promotion and
                                                                                                                                                                                 and Community Plans.                   improvement officers’ functions
                          Establish the Sláintecare                    Roll-out the Sláintecare Age-             Continue development and                                                                               at local level and provide
                          Age-Friendly Healthy Homes                   Friendly Healthy Homes Scheme,            implementation of the Sláintecare                                                                      adequate resourcing and training.
                          Scheme.                                      in partnership with Age Friendly          Healthy Homes Scheme.
                                                                       Ireland and local authorities, to                                                                         Empower local authorities to
                                                                       support people to live in their                                                                           identify local needs and align their
                                                                       own home with dignity and                                                                                 policies to meet the Healthy Ireland
                                                                       independence, for as long as                                                                              objectives for the local population.
                                                                       possible, being and feeling part of
                                                                       their community, by ensuring they                                                                         Embed ageing-in-place
                                                                       are in a suitable living environment,                                                                     options for older people into
                                                                       for accessibility, size, safety, and                                                                      the planning system, as the
                                                                       environment, including warmth.                                                                            County and City Development
                                                                                                                                                                                 Plans and Local Economic and
                          Explore the issue of digital poverty,                                                                                                                  Community Plans are redrawn.
                          including access to Broadband as a
                          barrier to access for older people within                                                                                                              Work to ensure that through
                          the Sláintecare Healthy Homes Scheme.                                                                                                                  the Healthy Cities and Counties
                                                                                                                                                                                 Network, all local authorities
                          Explore how Universal Design                                                                                                                           embed actions on obesity
                          Principles can be incorporated                                                                                                                         prevention in future County and
                          into housing supply.
                                                                                                                                                                                 City Development Plans and Local
                                                                                                                                                                                 Economic and Community Plans.
Healthy                   Develop the Sláintecare Healthy              Develop initiatives in the community       Ongoing implementation of
Communities               Communities Programme, an area-              that leverage local resources              initiatives in the community
                                                                                                                                                               Healthy Schools   Establish a new Primary School         Ongoing support and further            Continue our engagement
                          based approach to community health           such as the Intreo offices, and            that leverage local resources.                                 Healthy Eating education               development of the Active              with the Active School Flag
                          and wellbeing improvement with a             Family Resource Centres.                                                                and Pupils
                                                                                                                                                                                 programme and build on a range         School Flag Programme, through         Programme, through the Healthy
                          particular focus on areas of deprivation.
                                                                                                                                                                                 of current initiatives to support      the Healthy Ireland Fund.              Ireland Fund.
                          Engage across Government Departments         Continue to support local                  Ongoing engagement with local                                  healthy eating education.
                          and agencies to empower local                government to develop initiatives          government to support initiatives
                          government to mobilise available             that empower people to make                that empower people to make                                    Develop a Healthy School                                                      Explore funding mechanisms
                          resources to address local needs to          informed decisions about their             informed decisions about their                                 model for post-primary school in                                              to enable access to sports
                          promote health and wellbeing.                wellbeing in their community.              wellbeing in their community.                                  consultation with young people.                                               and physical activity for
                                                                                                                                                                                                                                                               secondary school pupils.
                          Develop initiatives to address health        Review implementation of                   Implement Healthy Communities
                          inequalities in marginalised groups.         first tranche of areas.                    Programme in further wave of areas.                            Continue our support of the
                                                                                                                                                                                 Active School Flag Programme,
                          Develop the positioning of Healthy Ireland   Continue to roll-out the Healthy           Provide ongoing support to cross-                              through the Healthy Ireland Fund.
                          as the trusted source of information         Communities Programme                      Sectoral approach to deliver a holistic
                          on wellbeing in every community.             to additional areas.                       approach to healthy communities.

                                                                       Continue to work with children and
                                                                       youth organisations to improve the
                                                                       decision-making capacity of children
                                                                       regarding health and wellbeing.

16   Healthy Ireland Strategic Action Plan 2021–2025                                                                                                                                                                                              Healthy Ireland Strategic Action Plan 2021–2025   17
5. Healthy Ireland Focus, 2021–2023 continued                                                                                  6. Healthy Ireland Strategic Action Plan 2021-2025
Table 1b: Priority Focus Areas for Healthy Ireland for 2021–2023 Place-Based Settings continued

                                                                                                                                           Theme 1
 Healthy Places                                                                                                                            Governance and Policy

Setting                   2021                                2022                             2023                            Timeframe 2021–2025                                    Timeframe 2021–2023                                                   Lead
                                                                                                                               Ref Strategic Action                                   Ref    Implementation Actions                                         Department
Healthy                   Launch Healthy Campus               Commission the development       Commission interim
Campuses and              Framework and develop               of Toolkit to support Higher     report of progress.             1.1   Strengthen the mechanisms for planning and                                                                             Department of
                          a National Network of               Education Institutions                                                 coordination of the Healthy Ireland Framework                                                                          Health (DoH)
Students
                          Healthy Campuses.                   with implementation.                                                   within the Department of Health and HSE.

                                                                                                                               1.2   Develop the implementation of Healthy Ireland    1.2.1 Define the roles and responsibilities of the various            DoH
                          Engage with the Department of       Develop evaluation guidelines.   Host National Conference
                                                                                                                                     within the Department of Health in terms               structures (internally and externally) that have been
                          Further and Higher Education,                                        for the National Network              of alignment to Sláintecare and the other              created to support the implementation of Healthy
                          Research, Innovation and                                             of Healthy Campuses.                  structures required to support implementation.         Ireland to ensure they are mutually supportive.
                          Science to develop the Healthy
                          Campus Programme.                                                                                    1.3   Establish a high level inter-Departmental        1.3.1 Define terms of reference and put in place a                    DoH
                                                                                                                                     group to support ongoing implementation                high level inter-Departmental group to promote
                                                                                                                                     and oversight of Healthy Ireland across                and support a cross-Government approach to
                          Establish Healthy Campuses          Host meetings of National        Identify models of good
                                                                                                                                     Government and across sectors.                         the implementation of Healthy Ireland.
                          Advisory Group and                  Network of Healthy Campuses.     practice in healthy
                          agree seed funding.                                                  campus initiatives.             1.4   Establish a second Healthy Ireland Council       1.4.1 Set out the terms of reference and the                          DoH
                                                                                                                                     to provide intersectoral leadership to                 appropriate membership of the Healthy Ireland
Healthy                   Complete Phase 4 with               Recruit 150-200 clubs for        Complete Phase 5 of project.          implement actions to realise the strategic             Council and convene the Council.
                          150 GAA clubs.                      Phase 5 of project.                                                    outcomes of Healthy Ireland.
Clubs
                                                                                                                               1.5   Build the scope and capacity of the existing     1.5.1 Define and refresh the role of the Healthy Ireland Network      DoH
                          Scope the potential for extending   Agree action plan to             Review and evaluate progress.         Healthy Ireland Network to establish                   and establish appropriate governance and processes to
                          the Healthy Club Programme with     drive implementation.                                                  appropriate governance at local level to               leverage the network to achieve Healthy Ireland goals.
                          other sporting organisations.                                                                              facilitate engagement, empower citizens
                                                                                                                                     and facilitate the bringing together of all      1.5.2 Engage with the Healthy Ireland Network to                      DoH
                                                                                                                                     Healthy Ireland policies to leverage shared            identify and support local initiatives to promote
Healthy                   Launch Healthy Workplace            Recruit worksites to             Develop Healthy Ireland                                                                      and scale up Healthy Living initiatives.
                          Framework.                          engage in Phase 1 of the         Award for workplaces.                 knowledge and resources to improve health
Workplaces                                                                                                                           and wellbeing at national and local level.
                                                              implementation of the Healthy                                                                                           1.5.3 Engage with relevant NGOs to collaborate and                    DoH
                                                              Workplace Framework.                                                                                                          build partnerships to leverage shared knowledge
                                                                                                                                                                                            and resources to improve health and wellbeing.
                          Launch website to support           Develop evaluation               Continue implementation and     1.6   Establish the governance and policy              1.6.1 Implement the required processes to                             DoH
                          workplaces in implementing the      guidelines for workplaces.       recruitment of workplaces             processes to implement the Healthy                     support the implementation of the Healthy
                          Healthy Workplace Framework.                                         to the National Network               Ireland Outcomes Framework.                            Ireland Outcomes Framework.
                                                                                               for Healthy Workplaces.
                                                                                                                               1.7   Refresh and support implementation of            1.7.1 Progress priority initiatives aimed at tackling obesity through DoH
                                                                                                                                     A Healthy Weight for Ireland: Obesity                  the Obesity Policy Implementation Oversight Group.
                          Establish Implementation Group      Continue to support              Host National Conference              Policy and Action Plan 2016–2025.
                          for the Healthy Workplace           the implementation and           to showcase good practice                                                              1.7.2 Support the implementation of the HSE Healthy Weight            DoH
                          Framework and develop action        evaluation of ‘On Feirm          in Healthy Workplaces.                                                                       for Children (0-6 years) Framework (2018) and HSE
                          plan with key stakeholders.         Ground’ health and wellbeing                                                                                                  Model of Care for the Management of Overweight
                                                              programme for farmers                                                                                                         and Obesity in line with plan and funding.
                                                              and the rural population.                                                                                               1.7.3 Set up an implementation and monitoring framework,              DoH
                                                                                                                                                                                            with respect to determining the most robust monitoring
                                                              Launch National Network                                                                                                       mechanism to preserve the integrity of the implementation
                                                              for Healthy Workplaces.                                                                                                       of the Voluntary Codes of Practice on the advertising
                                                                                                                                                                                            and marketing of food and non-alcoholic beverages.

                                                                                                                                                                                      1.7.4 Participate in EU joint action on best practices in             DoH
                                                                                                                                                                                            reformulation, marketing, and food procurement.

                                                                                                                                                                                      1.7.5 Develop a guideline to address the issue of                     DoH & Department
                                                                                                                                                                                            sponsorship of sports, festivals and other                      of Tourism, Culture,
                                                                                                                                                                                            activities by food and alcohol providers.                       Arts, Gaeltacht,
                                                                                                                                                                                                                                                            Sport and Media
                                                                                                                                                                                                                                                            (DTCAGSM)

                                                                                                                                                                                      1.7.6 Undertake an evaluation of the sugar sweetened                  DoH
                                                                                                                                                                                            drinks tax against the stated aims of the tax.

                                                                                                                                                                                      1.7.7 Implement the roadmap for reformulation                         DoH
                                                                                                                                                                                            of food and drink with industry.

                                                                                                                                                                                      1.7.8 Explore with key stakeholders potential issues                  DoH
                                                                                                                                                                                            around the introduction of a Public Health
                                                                                                                                                                                            (Obesity) Act, including examining restrictions on
                                                                                                                                                                                            promotion and advertising aimed at children.

18   Healthy Ireland Strategic Action Plan 2021–2025                                                                                                                                                                          Healthy Ireland Strategic Action Plan 2021–2025      19
6. Healthy Ireland Strategic Action Plan 2021–2025 continued                                                                                          6. Healthy Ireland Strategic Action Plan 2021–2025 continued

              Theme 1                                                                                                                                             Theme 1
              Governance and Policy                                                                                                                               Governance and Policy

Timeframe 2021–2025                                     Timeframe 2021–2023                                                   Lead                    Timeframe 2021–2025                                   Timeframe 2021–2023                                                    Lead
Ref Strategic Action                                    Ref     Implementation Actions                                        Department              Ref Strategic Action                                  Ref    Implementation Actions                                          Department

1.7    Refresh and support implementation of            1.7.9 Set out a nutrition and healthy eating policy.                  DoH                     1.11 Develop an updated National Sexual Health        1.11.1 Review and update the Sexual Health Strategy in 2021            DoH
       A Healthy Weight for Ireland: Obesity Policy                                                                                                        Strategy and implementation plan.                       and continue and expand monitoring and evaluation of
                                                        1.7.10 Work with Government to support the planning                   Department of
       and Action Plan 2016–2025 (continued).                                                                                                                                                                      implementation in line with the Healthy Ireland Outcomes
                                                               restrictions on outlets selling high calorie ‘junk-            Housing, Local                                                                       Framework.
                                                               food’ and beverages adjacent to schools.                       Government and
                                                                                                                              Heritage (DHLGH)                                                              1.11.2 Continue roll-out of national PrEP HIV prevention               DoH
1.8    Refresh and oversee implementation               1.8.1   Provide measures at community level to delay the initiation   DoH                                                                                  programme in line with national standards.
       of the Healthy Ireland Alcohol Policy to                 of alcohol consumption by children and young people.
                                                                                                                                                                                                            1.11.3 Oversee roll-out of HIV Fast Track Cities with city level       DoH
       reduce harm and support recovery.
                                                        1.8.2   Introduce minimum unit pricing in consultation                DoH                                                                                  stakeholders in Dublin, Galway, Limerick, and Cork.
                                                                and collaboration with Northern Ireland.                                                                                                    1.11.4 Continue to implement SHCPP Sexual Health Promotion             DoH
                                                                                                                                                                                                                   Training Strategy to provide training and associated
1.9    Promote and oversee implementation               1.9.1   Support an increase of the excise duty on tobacco in          DoH
                                                                                                                                                                                                                   resources to professionals and parents to enable
       of the Tobacco Free Ireland Policy.                      the years ahead to further discourage smoking.
                                                                                                                                                                                                                   them to promote sexual health within their roles.
                                                        1.9.2   Progress and expand the creation of Tobacco                   DoH
                                                                Free spaces in community settings.                                                    1.12 Renew and manage the Healthy Ireland             1.12.1 Collate and review all relevant policies and identify           DoH
                                                                                                                                                           policy portfolio to ensure all policies linked          programme for renewal as appropriate.
                                                        1.9.3   Examine taxation regimes in relation to novel tobacco         Department of                to the Healthy Ireland Framework are aligned
                                                                products and electronic cigarettes in consultation            Finance (DoF)                and work together across Government.
                                                                with the Department of Finance following the revision
                                                                of the EU Tobacco Products Tax Directive.                                             1.13 Increase the availability and uptake of          1.13.1 Support the ongoing protection of the nation’s                  DoH
                                                                                                                                                           immunisation programmes.                                health and wellbeing through immunisation
                                                        1.9.4   Conduct a midway review of the Tobacco Free Policy.           DoH                                                                                  and infectious disease control.
                                                        1.9.5   Develop legislation to prohibit the advertisement             DoH                                                                           1.13.2 Examine the possibility of introducing a                        DoH
                                                                of electronic cigarettes at events/locations primarily                                                                                             national immunisation register.
                                                                intended for children under 18 years of age.
                                                                                                                                                                                                            1.13.3 Examine the inclusion of the chickenpox vaccine                 DoH
                                                        1.9.6   Development of Tobacco Free campuses across all               DoH, DCEDIY &                                                                        in the children’s immunisation schedule.
                                                                preschools and schools through engagement with                Department of
                                                                                                                                                                                                            1.13.4 Continue to develop the National Vaccine                        DoH
                                                                the Department of Education and the Department of             Education (DoE)
                                                                                                                                                                                                                   Alliance in promoting the uptake of childhood
                                                                Children, Equality, Disability, Integration and Youth.
                                                                                                                                                                                                                   vaccines and reducing vaccine hesitancy.
                                                        1.9.7   Ban the sale of nicotine-inhaling products, including         DoH
                                                                                                                                                                                                            1.13.5 Following completion of the work of the Health                  DoH
                                                                electronic cigarettes, to people under 18 years,
                                                                                                                                                                                                                   Research Board on approaches to vaccination in other
                                                                introduce a licensing system for the retail sale of
                                                                                                                                                                                                                   countries, act on its advice and recommendations.
                                                                nicotine-inhaling products, and restrict the types
                                                                of retailers that can sell these products.                                            1.14 Improve public understanding, confidence         1.14.1 Support the age extension of BreastCheck.                       DoH
                                                                                                                                                           and uptake of population-based screening
                                                        1.9.8 Work with Government to provide smoking cessation               DoH                          programmes.                                      1.14.2 Support the age extension of BowelScreen.                       DoH
                                                              initiatives targeted at disadvantaged groups.                                                                                                 1.14.3 Support a collaborative communications strategy to              DoH
                                                                                                                                                                                                                   improve public understanding and trust in screening.
1.10 Refresh and oversee implementation                 1.10.1 Review and renew the National Physical Activity Plan in 2021   DoH
     of Get Ireland Active, the National                       and continue monitoring and oversight of implementation                                                                                      1.14.4 Promote uptake of screening through Healthy Ireland               DoH
     Physical Activity Plan for Ireland.                       aligned to the Healthy Ireland Outcomes Framework.                                                                                                  networks and initiatives, including those targeting inequalities.
                                                        1.10.2 Promote more physical exercise among all                       DTCAGSM                 1.15 Develop an assessment of excess                                                                                         DoH
                                                               sections of the community, young and old, for                                               winter deaths policy.
                                                               the long-term health and benefit of society.
                                                                                                                                                      1.16 Implement the Sláintecare                        1.16.1 Establish and roll-out the Sláintecare Healthy Homes            DoH
                                                        1.10.3 Continue Healthy Ireland's representation on the               DoH                          Healthy Homes Scheme.                                   Scheme, in partnership with Age Friendly Ireland and local
                                                               DTCAGSM Sports Leadership Group, managing the                                                                                                       authorities, to support people to live in their own home
                                                               implementation of the National Sports Policy, ensuring a                                                                                            with dignity and independence, for as long as possible,
                                                               coordinated approach to implementation of both policies.                                                                                            being and feeling part of their community, by ensuring
                                                                                                                                                                                                                   they are in a suitable living environment, for accessibility,
                                                        1.10.4 Encourage workplaces to facilitate workers                     DoH/Department of                                                                    size, safety, and environment, including warmth.
                                                               who cycle and run to work.                                     Enterprise, Trade and
                                                                                                                              Employment (DETE)       1.17 Support gender-based health promotion            1.17.1 Progress implementation of relevant recommendations             DoH, DCEDIY,
                                                                                                                                                           on women’s and men’s health, building on                of the Period Poverty Report 2021 (produced by a Sub-           other relevant
                                                        1.10.5 Widen the eligibility of the Bike to Work                      Revenue                      existing initiatives, for example the Women’s           Group of the National Strategy on Women and Girls).             Departments.
                                                               scheme to provide an increased proportionate                   Commissioners                Health Taskforce and HSE Men’s Action Plan.             Consider relevant recommendations and associated
                                                               allowance for e-bikes and cargo bikes.                                                                                                              implementation requirements and contribute to Oireachtas
                                                                                                                                                                                                                   legislative process regarding access to period products.
                                                        1.10.6 Ramp up the Cycle Right Programme to ensure that all           DoH & DTCAGSM
                                                               children are offered cycling training in primary school.                                                                                     1.17.2 Develop gender-based approaches to specific areas of            DOH & DTCAGSM
                                                                                                                                                                                                                   health promotion, such as physical activity in men and
                                                                                                                                                                                                                   collaboration with the Women’s Health Taskforce on
                                                                                                                                                                                                                   physical activity promotion aimed at women and girls.

20    Healthy Ireland Strategic Action Plan 2021–2025                                                                                                                                                                                                Healthy Ireland Strategic Action Plan 2021–2025   21
6. Healthy Ireland Strategic Action Plan 2021–2025 continued                                                                                      6. Healthy Ireland Strategic Action Plan 2021–2025 continued

              Theme 2                                                                                                                                         Theme 2
              Partnerships and Cross-Sectoral Work                                                                                                            Partnerships and Cross-Sectoral Work

Timeframe 2021–2025                                      Timeframe 2021–2023                                                Lead                  Timeframe 2021–2025                                 Timeframe 2021–2023                                                   Lead
Ref Strategic Action                                     Ref   Implementation Actions                                       Department            Ref Strategic Action                                Ref   Implementation Actions                                          Department

2.1    Continue the successful partnership with the      2.1.1 Continue engagement with the Department of Education     DoH, DoE &                2.3   Engage and collaborate with the               2.3.1 Implement the Climate Action Plan.                              Department of the
       Department of Education to further align policy         to develop an education programme in schools to promote DTCAGSM                          Department of the Environment, Climate                                                                              Environment, Climate
       and initiatives in schools with Healthy Ireland         physical literacy and enhance students’ understanding of                                 and Communications to align policy and                                                                              and Communications
       policy and support the development of curricula         the benefits of physical activity, and work to encourage                                 initiatives with Healthy Ireland policy.                                                                            (DECC)
       that include, for example, physical education           increased participation in physical education and
       and relationship and sexual education.                  physical activity in primary and secondary education.                                                                                  2.3.2 Work to ensure that older people who are at                     DoE & DoH
                                                                                                                                                                                                            greater risk of fuel poverty and the respiratory
                                                         2.1.2 Engage with the Department of Education                      DoE & DoH                                                                       illnesses associated with air pollution be prioritised
                                                               on the development of the follow-on                                                                                                          in climate action and climate-mitigation plans.
                                                               literacy and numeracy strategy.
                                                                                                                                                                                                      2.3.3 Extend the Smoky Coal ban to new towns and, over the            DECC
                                                         2.1.3 Complete the new DEIS identification model.                  DoE                                                                             term of Government, move towards a full nationwide ban.

                                                         2.1.4 Provide additional supports for students who are             DoE                                                                       2.3.4 Publish the first ever clean air strategy.                      DECC
                                                               homeless, resident in family hubs, or in direct provision.
                                                                                                                                                                                                      2.3.5 Develop a regional approach to air                              DECC
                                                         2.1.5 Establish a new Primary School Healthy Eating                DoE                                                                             quality and noise enforcement.
                                                               education programme and build on a range of current
                                                               initiatives to support healthy eating education.                                                                                       2.3.6 Invest in the network of monitoring stations, to provide        DECC
                                                                                                                                                                                                            scientific evidence of air quality across different parts of
                                                         2.1.6 Continue support of the Active School Flag                   DoH                                                                             the country, including real-time and localised air quality
                                                               Programme, through the Healthy Ireland Fund.                                                                                                 information.

                                                         2.1.7 Develop a Healthy School model for post-primary              DoE & DoH                                                                 2.3.7 Develop a multi-agency approach to clamping down on the DECC
                                                               schools in consultation with young people.                                                                                                   sale of high-sulphur content fuel imported from the UK, with
                                                                                                                                                                                                            local authorities and the Revenue Commissioners involved.
                                                         2.1.8 Encourage close collaboration between the                    DoH, DoE &
                                                               Departments of Education, Health, and Tourism,               DTCAGSM                                                                   2.3.8 Implement the EPA National Radon                                DECC
                                                               Culture, Arts, Gaeltacht, Sport and Media and sporting                                                                                       Control Strategy 2019-2024.
                                                               organisations to encourage and enable physical activity
                                                               among children, in particular at primary school.                                                                                       2.3.9 Enable the Department of the Environment, Climate               DECC
                                                                                                                                                                                                            and Communications to combat energy poverty.
2.2    Engage and collaborate with the                   2.2.1 Implementation of the Housing First Programme.               DHLGH
       Department of Housing, Local Government                                                                                                    2.4   Build capacity and structures at all levels   2.4.1 Work with all Government Departments to include Healthy         DoH
       and Heritage to align policy and                  2.2.2 Implementation of the commitment to use planning             DHLGH                       across national and local government and            Ireland actions in each Department’s Statement of Strategy.
       initiatives with Healthy Ireland policy.                to address the obesogenic environment.                                                   various settings to improve the health
                                                                                                                                                        and wellbeing of the population.              2.4.2 Promote Healthy Ireland engagement with                         DoH
                                                         2.2.3 Invest in a multi-annual capital funding programme           DHLGH                                                                           local government to develop local governance
                                                               to improve the quality of drinking water in group                                                                                            for Healthy Ireland funded initiatives.
                                                               water schemes, while protecting water quality.
                                                                                                                                                                                                      2.4.3 Work in partnership with local authorities to develop           DoH
                                                         2.2.4 Implement Irish Water’s Small Towns and Villages             DHLGH                                                                           the Healthy Cities and Counties Network.
                                                               Growth Programme 2020-2024, which will provide
                                                               water and wastewater growth capacity in smaller                                                                                        2.4.4 Work with relevant partners to continue development of          DoH
                                                               settlements that would otherwise not be provided for                                                                                         existing settings-based health and wellbeing programmes
                                                               in Irish Water’s capital investment plan.                                                                                                    and progress new settings-based approaches.

                                                         2.2.5 Reduce the incidence of the release of                       DHLGH                 2.5   Continue the strong partnership with the      2.5.1 Promote a more cross-Divisional and cross-Unit support          DoH
                                                               wastewater into waterways.                                                               HSE to ensure alignment of health services          network between the Department and the HSE, and
                                                                                                                                                        and priorities with the Healthy Ireland             wider health delivery partners, so that the Healthy Ireland
                                                         2.2.6 Engage with local authorities to work with Approved          DHLGH                       Framework, and further develop partnerships         Framework is considered across all new polices and all
                                                               Housing Bodies, co-operatives, private developers,                                       with General Practice, Pharmacy and                 aspects of delivery of the health system, and work with
                                                               and Age Friendly Ireland on the development/                                             other key health delivery stakeholders.             the National Clinical Care Programmes in this regard.
                                                               redevelopment of older person housing.
                                                                                                                                                                                                      2.5.2 Establish a Health and Wellbeing cross-Unit group,              DoH
                                                         2.2.7 Embed ageing in place options for older people               DHLGH &                                                                         incorporating relevant Departmental Units, Sláintecare and
                                                               into the planning system, as the County and City             Department of Rural                                                             the HSE, to work on the prevention workstream to support
                                                               Development Plans and Local Economic and                     and Community                                                                   the implementation of the Health Capacity Review (2018).
                                                               Community Plans are redrawn this year.                       Development (DRCD)
                                                                                                                                                  2.6   Working with the Department of Enterprise,    2.6.1 Engage with private sector organisations to explore             DoH & DETE
                                                         2.2.8 Promote the implementation of the Design Manual for          DHLGH &                     Trade and Employment engage with relevant           ways that Healthy Ireland goals can be aligned with
                                                               Urban Roads and Streets (2013) which incorporates good       DTCAGSM                     private sector organisations to leverage            organisational goals and opportunities for co-funding.
                                                               planning and design practice to support and encourage                                    their experience and expertise in areas of
                                                                                                                                                        shared interest around health and wellbeing   2.6.2 Launch the Healthy Workplace Framework, establish an            DoH & DETE
                                                               active travel (walking and cycling) in urban areas.
                                                                                                                                                        and align their organisational goals, where         implementation group, develop an implementation plan
                                                                                                                                                        appropriate to those of Healthy Ireland.            and launch the National Healthy Workplaces Network.

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