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

1. 7th Nordic Health Promotion
Research Conference
PwC Seminar 18th June 2013
17. january 2013

2. PwC
Approach, focus and speakers in the PwC Seminar
Health
Promotion
Cities
NGO’s
Demo-
graphy
7th Nordic Health Promotion Research Conference
2
15. januar 2013
PhD Helle Søholt
Gehl Architects (DK)
Prof Alex Murdock
London South
Bank University (UK)
Sen. Director Gertjan Baars
PwC (NL)

3. PwC
Prof Alex Murdock
London South Bank University
7th Nordic Health Promotion Research Conference
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15. januar 2013
The role of Non Government
Organisations (NGO’s) and
especially social enterprise in
Health Promotion

4. PwC
OUTLINE OF PRESENTATION
• Some background
• The importance of definition… wide or narrow?
• Engagement of the NGO and Social enterprise
sector
• Some examples of how this takes place –
• Emmaus Communities
• Directions …where may we be going?
• What are the issues?
• Questions and discussion7th Nordic Health Promotion Research Conference
4
15. januar 2013

5. PwC
Some background
• The concept of health has often been embedded in the
development of the NGO sector.
• Early hospitals were typically religious or NGO based
• Visiting of the sick was seen as a charitable activity
• Healthy activity was core to many of the NGO’s such as the
Youth Hostels and YMCA type organisations
• Much of the campaigning by NGO’s for better industrial
conditions in factories was strongly health related. (The Salvation
Army even set up its own factories to make safety matches which
did not cause industrial disease)
• Many organisations focused on campaigning to inform and
encourage people to live more healthier lives
7th Nordic Health Promotion Research Conference
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15. januar 2013

6. PwC
The importance of definition… wide
or narrow in Health Promotion
Therefore when considering the role of NGO’s
and Social Enterprise it is important to consider
whether you take a Broad or Narrow definition
• A Narrow Definition focuses just on NGO’s as
EXPLICITLY focusing on Health Promotion
• A Broad Definition looks at whether the
NGO may indirectly as well as directly have a
positive impact on healthy living
• I prefer the BROAD DEFINITION ! But there
are some problems doing this
7th Nordic Health Promotion Research Conference
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15. januar 2013

7. Health is (to a very significant extent) socially
determined
• Social enterprises act to remedy/ameliorate social conditions
(“factors in the social environment”): they have a social mission as
their primary purpose
• So if all social enterprises act on the social determinants of health
then can ALL social enterprises be viewed as providers of public
health?
Source: Roy et al 2013
"This ends the debate decisively. Health care is an
important determinant of health. Lifestyles are
important determinants of health. But... it is factors
in the social environment that determine access to
health services and influence lifestyle choices in the
first place.”
Director-General Dr Margaret Chan, at the launch of the final report of the WHO
Commission on Social Determinants of Health, 2008.

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

9. PwC
Source: Improving Health and Work
Linked agendas:
Work and health
…and welfare

10. PwC
Engagement of the NGO and
Social enterprise sector
•Wide range of organisations
•Covering diversity of activities
•Many are small and local
•Many are run by volunteers and have few
paid staff
•Engage with excluded and hard to reach
•They can be innovative and also
changemakers
7th Nordic Health Promotion Research Conference
10
15. januar 2013

11. PwC
Engagement of the NGO and
Social enterprise sector
•Wide range of organisations
•Covering diversity of activities
•Many are small and local
•Many are run by volunteers and have few
paid staff
•Engage with excluded and hard to reach
•They can be innovative and also
changemakers
7th Nordic Health Promotion Research Conference
11
15. januar 2013

12. Ulster
March 2011
12
The Emmaus Model
3 Key features:-
• The concept of work – members
(companions) agree to give up all income related
state benefits
• Solidarity – Serve those worse off before
yourself
• A way of life not just housing –
Companions can remain in a community
indefinitely, Meals are cooked communally and
domestic responsibility is shared

13. Umurdock 2009
13
The multiple policy/societal
impacts of Emmaus
1. Homelessness
2. Welfare to work
3. Health
4. Social Inclusion
5. Recycling
6. Regeneration
7. Justice
8. Drugs and alcohol
All companions live in
All work
Improved diet and lifestyle
Many moving on
Furniture and electrical
Buildings reuse
Ex-prisoners come into
Emmaus
Companions cannot bring
drugs or alcohol into
Emmaus

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

15. PwC
Approach, focus and speakers in the PwC Seminar
Health
Promotion
Cities
NGO’s
Demo-
graphy
7th Nordic Health Promotion Research Conference
15
15. januar 2013
Total time: 3 Hours (alt. 2 Hours)
•Intro and presentation 10 min (5)
•3 separate speeches à 40 min(25)
•Panel dicussion 40 min (35)
•Wrap up 10 min (5)
Moderator: Hans A. Hauge – HiVe
Facilitator WS: Trygve Sivertsen - PwC