Navigation Links
Local Councils Should Be Responsible for Tackling Health Inequalities

The responsibility and resources for public health and tackling health inequalities should lie// with local councils rather than with the NHS, argues an expert in this week’s BMJ.

Professor Tim Blackman of Durham University says that partnerships between local government and the NHS would then become a true meeting of the two sides of health prevention and treatment.

There is little doubt that inequalities in health are difficult to tackle, he writes. In England the gap in life expectancy has continued to widen, and the government’s strategy for health inequalities is now more akin to redistributing health than to redistributing income or wealth.

Drugs seem to offer an opportunity to redistribute health, and quickly. The looming 2010 target for narrowing the life expectancy gap in England by 10% is focusing effort on pharmacological interventions, such as statins and antihypertensives, among people in their 50s and 60s.

Although extending these treatments as widely as needed is laudable, having so many people taking drugs can hardly be regarded as a public health achievement, he says. Yet the NHS is proving remarkably good at these approaches.

The reason for this, he explains, is because the NHS is a sickness service, which is what it is good at and what it should focus on.

Every attempt to push public health up the NHS agenda gets undermined by acute services trumping public health in budgetary, political, and media contests, or additional tranches of money getting diverted to priorities that are always more urgent than the slow and unglamorous interventions needed to improve the public’s health.

So where should the responsibility and resources for public health and tackling health inequalities lie, he asks?

The obvious answer is with local councils, beyond the appetite of acute services, beyond the quick fix of statin prescriptions, and in the clarity of a single organisa tion with clear accountability and leadership as an agent of public health.

He suggests that the extra resources could come from acute care. Local councils would then decide whether to transfer it back to the NHS or to use it, for example, to cut the local waiting list for social housing or to improve school meals.

Whatever it did, it would have to be mindful of its health inequality targets, which would now lie clearly with the local council as its responsibility, he concludes.

Source-BMJ
'"/>




Related medicine news :

1. A Novel Method Of Detection Of High Nuclear Grade Localized Renal Cell Carcinoma
2. Residential Locality, A New Determinant Factor For Weight Gain
3. Local Test Confirms Bird Flu Related Death Of Indonesian Man
4. Local Community Objects to Mental Facility
5. Patient Refuses To Be Treated In Local Hospital Due To The Fear Of Contracting MRSA
6. Hong Kong Citizens Fear over Poisonous Vegetables in Local Markets
7. Radiation Therapy Benefits Younger Men With Localized Prostate Cancer
8. Morning-After Pill At The Local Pharmacy Could Prevent Unwanted Pregnancies
9. Bird Flu In Zambia-Panic Among Locals
10. Increased Demand For Up-gradation Local Hospital In Tiruchy
11. WHO to Assist Local Health Services in Lebanon
Post Your Comments:
*Name:
*Comment:
*Email:


(Date:3/24/2017)... Hatboro, Pennsylvania (PRWEB) , ... March 24, 2017 ... ... and recycling solutions for contaminated soil, dredged material, and hazardous and non-hazardous materials ... headquartered in Allentown, Pennsylvania. This acquisition will add four additional processing facilities ...
(Date:3/24/2017)... ... March 24, 2017 , ... Mediaplanet today announces distribution of ... current obstacles facing infection prevention and offer strategies for the health care community ... , The print component of “Fighting Infection” is distributed within the Friday, ...
(Date:3/24/2017)... ... 24, 2017 , ... Digital Scientists, a software innovation lab specializing in web ... Greenville, South Carolina location. The lab has set up shop at the ... working with South Carolina clients for years from our office here in Atlanta,” explains ...
(Date:3/24/2017)... ... ... According to a new study by NCPA Senior Fellow John R. Graham, ... Congress has directed the CBO to follow. The CBO itself previously recognized Obamacare would ... estimates a reduction in employer-based coverage due to the GOP reform, which is not ...
(Date:3/24/2017)... (PRWEB) , ... March 24, 2017 , ... The iaedp ... and other medical professionals caring for those suffering from the full spectrum of disordered ... 800, as eating disorders professionals from nearly all 50 states and several countries converged ...
Breaking Medicine News(10 mins):
(Date:3/27/2017)... FinancialBuzz.com News Commentary  ... a new report by Arcview Market Research, the legal cannabis consumer spending ... billion and can be expected to grow at a 27 percent compound ... billion in 2016, to $22.6 billion in 2021. This more than tripled ... a doctor,s recommendation. Voters in California , ...
(Date:3/27/2017)... 27, 2017   Pulmatrix, Inc . (NASDAQ: PULM), a ... serious pulmonary diseases, today announced that it has added two ... and asthma to its Scientific Advisory Board . ... Richard B. Moss , MD, former chief of the Pediatric ... Fibrosis Center at Stanford University, and ...
(Date:3/27/2017)... SAN FRANCISCO , March 27, 2017 ...  is expected to reach USD 16.0 billion by 2025, ... Inc. The growing prevalence of chronic diseases is anticipated ... clinical chemistry analyzers, which thereby widens the scope for ... of geriatric and bariatric population, which is highly susceptible ...
Breaking Medicine Technology: