Tackling health inequalities: 2007 Status Report on the Programme for Action
Available online PDF [111p.] at:
http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/DH_083471?IdcService=GET_FILE&dID=137120&Rendition=Web
Website: http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/DH_083471
“……If evidence-based policy making were to be honoured in the observance rather than the breech what might it look like? A simple description might be: review the evidence and make recommendations; use these recommendations as a base to formulate policies; monitor their effects.
By this description, action on inequalities in health in
It made 39 recommendations. Importantly, Acheson took a social model of health. Thirty-six of it’s (our) recommendations ranged across the whole spectrum of
government policy that influences health inequalities. Only three were specifically aimed at the health service. It was then appropriate that a cross-cutting review on health inequalities was conducted by the Treasury with the participation of 18 government departments and agencies.
The result was a national Programme for Action. Government Departments entered into 82 commitments aimed at tackling health inequalities. Targets on reduction of health inequalities, for infant mortality and life expectancy were set. A key part of the Programme for Action was to monitor health inequalities and a few key determinants and components. The overseeing of this monitoring task was assumed by the Scientific Reference Group on Health Inequalities.
In our first Status Report, 2005, we suggested that time was too short to see any effect of policy changes. Now, two years later, that is still a major issue. It is simply too early to say if too little has been done or the right actions were not taken.
Whatever actions were taken between 2003 and 2006 there would be little short-term impact on health inequalities. Nevertheless it is important to keep close watch on what has been happening both to important policy areas such as housing, child poverty and education, as well as to health inequalities. ….” Preface by Professor Sir Michael Marmot
Content:
Foreword by Rt Hon Dawn Primarolo MP, Minister for Public Health
Preface by Professor Sir Michael Marmot
Executive summary
Chapter 1: Introduction
Chapter 2: Some issues in tackling health inequalities
Chapter 3: Developments against the targets
Chapter 4: Lessons for delivery
Chapter 5: Conclusion
Glossary
Annex 1: The scientific reference group on health inequalities
Annex 2: List of spearhead areas
Annex 3: Spearhead Group Local Authority Performance Against Contribution to National Life Expectancy Target for Males and Females,
2004–06/2003–05/2002–04 (three-year rolling average)
Annex 4: Absolute and relative inequalities
Annex 5: Changes in definitions of social class
Press release: http://www.gnn.gov.uk/environment/fullDetail.asp?ReleaseID=360272&NewsAreaID=2&NavigatedFromDepartment=False
Health inequality gap 'widening' http://news.bbc.co.uk/1/hi/health/7293846.stm
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