Another reason for health to engage with environmental sustainability specialists in the overlap between sustainability priorities and public health domains and outcomes.

This is highlighted in the table below which is drawn from the sustainability needs assessment chapter of the JSNA; the table also highlights relevant chapters of the Kent JSNA.

Supports PH Domains Supports PH Outcomes Links to other JSNA chapters
Sustainability Priority: Planning
  1. Improving wider determinants of health
  2. Health Improvement
  3. Health Protection
  4. Healthcare, public health and preventing premature mortality
Most outcomes are supported through sustainable development.
Sustainability Priority: Housing and Fuel Poverty
  1. Improving wider determinants of health
  2. Health Improvement
  3. Healthcare, public health and preventing premature mortality
PH1.1: Children in povertyPH1.9: Sickness absence ratePH1.17: Fuel povertyPH2.23: Self-reported wellbeingPH2.24: Injuries due to falls in people aged 65 and overPH4.4i: Age-standardised rate of mortality from all cardiovascular diseases (including heart disease and stroke) in persons less than 75 years of age per 100,000 population

PH4.4ii: Age-standardised rate of mortality that is considered preventable from all cardiovascular diseases (including heart disease and stroke) in persons less than 75 years of age per 100,000 population

PH4.7i: Age-standardised rate of mortality from respiratory diseases in persons less than 75 years of age per 100,000 population

PH4.7ii: Age-standardised rate of mortality that is considered preventable from respiratory diseases in persons less than 75 years of age per 100,000 population

PH4.14: Hip fractures in people aged 65 and over

PH4.15: Excess winter deaths

Sustainability Priority: Transport
  1. Improving wider determinants of health
  2. Health Improvement
  3. Health Protection
PH1.10: Killed and seriously injured casualties on England’s roadsPH1.18: Social isolation (Placeholder)PH2.12: Excess weight in adultsPH2.13: Proportion of physically active and inactive adults

PH3.1: Fraction of mortality attributable to particulate air pollution

  • Physical activity, diet and Obesity
  • Chronic obstructive pulmonary disease (COPD)
  • Coronary heart disease (CHD)
  • Stroke and transient ischemic attack (TIA)
  • Diabetes
Sustainability Priority: Climate Resilience
  1. Health Protection
PH3.1: Fraction of mortality attributable to particulate air pollutionPH3.6: Public sector organisations with a board approved sustainable development management plan (to include the consideration of climate resilience)PH3.7: Comprehensive, agreed inter-agency plans for responding to public health incidents and emergencies (Placeholder)PH4.3: Mortality rate from causes considered preventable

PH4.4i: Age-standardised rate of mortality from all cardiovascular diseases (including heart disease and stroke) in persons less than 75 years of age per 100,000 population

PH4.4ii: Age-standardised rate of mortality that is considered preventable from all cardiovascular diseases (including heart disease and stroke) in persons less than 75 years of age per 100,000 population

PH4.7i: Age-standardised rate of mortality from respiratory diseases in persons less than 75 years of age per 100,000 population

PH4.7ii: Age-standardised rate of mortality that is considered preventable from respiratory diseases in persons less than 75 years of age per 100,000 population

PH4.8: Mortality rate from infectious and parasitic diseases

Sustainability Priority: Air Quality
  1. Health Protection
  2. Healthcare public health and preventing premature mortality
PH3.1: Air Pollution, using a PM 2.5 indicatorPH4.3: Mortality rate from causes considered preventablePH4.4i: Age-standardised rate of mortality from all cardiovascular diseases (including heart disease and stroke) in persons less than 75 years of age per 100,000 populationPH4.4ii: Age-standardised rate of mortality that is considered preventable from all cardiovascular diseases (including heart disease and stroke) in persons less than 75 years of age per 100,000 population

PH4.7i: Age-standardised rate of mortality from respiratory diseases in persons less than 75 years of age per 100,000 population

PH4.7ii: Age-standardised rate of mortality that is considered preventable from respiratory diseases in persons less than 75 years of age per 100,000 population

  • Chronic obstructive pulmonary disease (COPD)
  • Coronary heart disease (CHD)
  • Stroke and transient ischemic attack (TIA)
Sustainability Priority: Workplace and supply chain
  1. Improving wider determinants of health
  2. Health Improvement
  3. Health Protection
PH1.9: Sickness absence ratePH2.23: Self-reported wellbeingPH3.7: Comprehensive, agreed inter-agency plans for responding to public health incidents and emergencies (Placeholder)
Sustainability Priority: Natural Environment
  1. Improving wider determinants of health
  2. Health Improvement
  3. Health Protection
PH1.16: Utilisation of outdoor space for exercise / health reasonsPH2.6: Excess weight in 4-5 and 10-11 year oldsPH2.12: Excess weight in adultsPH2.13: Proportion of physically active and inactive adults

PH2.23: Self-reported wellbeing

PH3.1: Fraction of mortality attributable to particulate air pollution

The evidence base for the links between the wider determinants of health, health promotion interventions targeting these, and health outcomes continues to improve – updates from organisations such as Public Health England and NICE should be kept under review. However, waiting until a perfect dataset is produced is not a sensible option.