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 08 01 IlITy PAT TAb PArA IEnT un Mo IS cco un A T Free at the Point of Delivery TI T Care provided free at the point of delivery, based entirely En M An online survey broadened the reach across national and local government Ely 02 GEM 07 on clinical need. Acc and agencies. EnGA ESS Sláintecare Overall, stakeholders viewed positively the progress that Healthy Ireland Fundamental 05 HE A n & Principles P u b lI T E r E lTH has made to date, recognising that the promotion and roll-out of improved & In Io bl E nT c M ST health and wellbeing is a long-term programme and welcoming its status Workforce 06 Ic on Pu Ev 0 3 The health service workforce is appropriate, accountable, Pr as a key Government priority. Healthy Ireland is now a recognisable Ey E y flexible, well-resourced, supported and valued. brand with a clear vision, and the first seven years of the Healthy Ireland W TH r or AT IvE kF orc F r E E F D El o Framework has provided an excellent foundation upon which to build. 05 E P o In T 04 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. 22 Healthy Ireland Strategic Action Plan 2021–2025 Healthy Ireland Strategic Action Plan 2021–2025 23
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