There are many conceptual models and frameworks that shape and develop our thinking about wellbeing and health and what we need to do to improve it.

    Every model or framework brings certain aspects into focus, but risks hiding or overlooking other aspects.  For that reason, Summit participants were offered five different ‘aides’ to help their discussions during the today.

    Participants were asked to consider:
    • How the work they do on a daily basis links into the model or framework
    • What the model or framework is good for and what they like about it
    • What they dislike about it and what the risks of solely relying on the model or framework would be?
    • How they can bring elements of each of the models or frameworks together to enrich their understanding


    Barton and Grant “The determinants of health and wellbeing in our cities”Barton and Grant display

    Here Hugh Barton and Marcus Grant have provided a way of reminding us of the range of factors that shape wellbeing and health – it summarises a whole masse of public health research each focussing on different influences on wellbeing and health.  Some of those factors – such as lifestyle – we connect with health straight away – others may have been less familiar to some Summit Participants.

    Norwegian National Strategy: Illustration of social differentiation in a “journey” to good health

    The second one is from the Norwegian National Strategy and it was used at the Summit because it is a cartoon that conveys an important message.  The Norwegian government used this cartoon to reinforce the point that for some – the journey to good health and wellbeing is easy – nothing in the way and no 'baggage' to weigh you down on the way.  For others – those with less access to money, power and resources - this journey is more difficult.

    Marmot Review: Action across the life course model

    The third model is from the Marmot Review of Health Inequalities in England published just over 16 months ago.  Here Professor Sir Michael Marmot is bringing our attention to the fact that the effects of different positive or negative influences accumulate over time – from before we are born to old age.  Marmot also uses this model to include some of his recommended 'areas of action' for different stages of life and for the whole population.

    Newcastle Wellbeing and Health Partnership: Areas of action to address wellbeing and health

    The fourth framework also focuses on what we need to do about wellbeing and health.  This was developed through the work of the Wellbeing and Health Partnership when we were identifying areas of action that are needed to address wellbeing and health – we homed in on three different areas of action which each require different ways of working.

    Marmot Review: Conceptual Framework for Action

    And finally back to the Marmot Review.  As part of its recommendations, the review provided this conceptual framework for action on the social determinants of health.  The six policy objectives in the middle have informed a number of other documents since then so many participants were already familiar with them but the overarching aims, policy goals and underpinning mechanisms are very important parts of the review's recommendations too.

    What happened next? - Getting to know those on your table