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People and Places

These are a collection of examples of best practice as undertaken by the National Conversation on Health Inequalities (NCHI) that covered a wide spectrum of public health activity. Please click on the links below to go to the case studies:



These documents outline the problem of social isolation in relation to public health.

Presented in 3 sections, they include:

  • evidence on the link between social isolation, poor health outcomes and health inequalities
  • identification of who is at risk of social isolation and what impact this has on health inequalities
  • possible interventions to reduce social isolation in identified populations

They can be accessed by clicking here:

This resource is part of the ‘Local Action on Health Inequalities’ Collection that can be accessed by clicking here:

These documents outline the effects of working conditions on public health and set out information about how local public health partnerships can influence job creation.

They can be accessed by clicking here: 

This resource is part of the ‘Local Action on Health Inequalities’ Collection that can be accessed by clicking here:

These documents set out the purpose of the Social Value Act and outline how it affects local public health bodies.

They include information about:

  • what social value means and how and it is used
  • reasons to act on social value
  • local action for local public sector commissioners

They can be accessed by clicking here:

This resource is part of the ‘Local Action on Health Inequalities’ Collection that can be accessed by clicking here:

The Marmot Review (2010) made a range of recommendations to reduce health inequalities in England.

Building on the Review, the UCL Institute of Health Equity has produced 4 papers which include evidence, and examples of practical action that can be taken at a local level to reduce health inequalities. They are designed for people working in local services, particularly:

  • directors of public health and public health teams
  • people working in local authorities services that may influence health and wellbeing, such as planning
  • health and wellbeing boards

These practice resources build on a series of papers published in 2014 to support local action on health inequalities.

You can view this resource by clicking here:


Health literacy refers to the skills, knowledge, understanding and confidence needed to use health and social care information and services.

These documents explain how:

  • these individual factors influence public health

  • local health providers can improve health literacy

They can be accessed by clicking here:

This resource is part of the ‘Local Action on Health Inequalities’ Collection that can be accessed by clicking here:

PHIT Reports are in-depth analytical reports on specific public health topics that affect the population of Bolton that have been produced by the Public Health Intelligence Team of Bolton Council. They are listed below in chronological order. Please click on a title to view report.

(any report that has been superseded by a more recent publication is highlighted in RED)

In-depth analysis of NCMP by Bolton Council Public Health Intelligence Team


  • Approximately 1 in 10 Reception children and 1 in 5 Year 6 children in Bolton are classified as very overweight
  • 22.8% of Reception aged children and 34.3% of Year 6 children are either overweight or very overweight
  • The proportion of very overweight children more than doubles between Reception and Year 6
  • Boys in Bolton are more likely to be overweight or very overweight than girls
  • Asian children (especially Asian Indian) in Bolton are more likely to be underweight than the other major ethnic group. This proportion increases 3% from Reception (4.4%) to Year 6 (7.4%)
  • The ethnic profile of the child population in Bolton plays a role in the prevalence of obesity as does the geographical distribution
  • The association between deprivation and childhood obesity prevalence seen nationally is not so clear in Bolton
  • The proportion of underweight children is higher in areas of Bolton that are considered to be more deprived



This guideline makes recommendations on improving the health and wellbeing of employees, with a particular focus on organisational culture and context, and the role of line managers.

The aim is to:

  • promote leadership that supports the health and wellbeing of employees
  • help line managers to achieve this
  • explore the positive and negative effect an organisation’s culture can have on people’s health and wellbeing
  • provide a business case and economic modelling for strengthening the role of line managers in ensuring the health and wellbeing of employees.

The guideline is for employers, senior leadership and managers (including line managers) and employees. It will also be of interest to those working in human resources, learning and development teams, professional trainers and educators, occupational health, health and safety, trade unions and professional bodies. In addition, it may be of interest to other members of the public.

This can be accessed by clicking here:

Bolton Council commissioned BRE to undertake a series of modelling exercises on their housing stock. This report describes the modelling work and provides details of the results obtained from the dwelling level model and database. The database is also provided to the council to enable them to obtain specific information whenever required.  The detailed housing stock information provided in this report will facilitate the delivery of Bolton’s housing strategy and enable a targeted intervention approach to improving housing. In addition to this there are also several relevant government policies – the Housing Act 2004, Housing Strategy Policy, Local Authority Housing Statistics (LAHS) and the Green Deal/ECO.

The main aims of this work were to provide estimates of:

  • The percentage of dwellings meeting each of the key indicators1 for Bolton overall and broken down by tenure and then mapped by COA (private sector stock only)
  • Information relating to LAHS reporting for the private sector stock - category 1 hazards and information on EPC ratings

BRE Housing Stock Models were used to provide such estimates at dwelling level with a focus on private sector housing. The key indicators provide Bolton with detailed information on the likely condition of the stock and the geographical distribution of properties of interest.

Headline results for Bolton

  • 2,548 dwellings in the private rented sector have category 1 Housing Health and Safety Rating System (HHSRS) hazards. This equates to 15% of properties in the private rented sector. See full results
  • The highest concentrations of fuel poverty in the private sector are found in the wards of Halliwell, Farnworth and Great Lever.
  • The highest concentrations of excess cold are in Bradshaw, Halliwell and Horwich and Blackrod.
  • The highest concentrations of all HHSRS hazards in the private sector are found in the wards of Halliwell, Crompton and Tonge with the Haulgh.
  • The average SimpleSAP ratings for all private sector dwellings in Bolton is 60, which is better than both England and North West (55). For the owner occupied stock in Bolton the figure is 60 and for the private rented sector it is 58.
  • Maps by COA have been provided for the above key indicators.
  • The total cost of mitigating category 1 hazards in Bolton’s private sector stock is estimated to be £25.0 million.
  • 5.0% (4,772) of private sector dwellings and 7.4% (1,248) of private rented dwellings in Bolton are estimated to have an EPC rating below band

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