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:6/23/2017)... ... , ... American Farmer, will feature Chr. Hansen, Inc (CHR Hansen) in an ... 2017. American Farmer airs Tuesdays at 8:30aET on RFD-TV. Check your local listings for ... Denmark in 1874 after a groundbreaking discovery of how to industrialize enzymes. Rooted in ...
(Date:6/23/2017)... WV (PRWEB) , ... June 23, 2017 , ... ... protection services and personal financial planning to families and business owners in North ... Stones organization to help provide services to differently abled residents in the region. ...
(Date:6/22/2017)... ... 2017 , ... Groove Ring is excited to announce they've partnered with Olympic ... bands and all-purpose rings. Whether you’re an athlete, adventurer, professional, or love to venture ... , From the rock face to the auto shop, Groove Ring is the world's ...
(Date:6/22/2017)... ... June 22, 2017 , ... A June 12 article ... correspondent concerned about an apparent lack of oral hygiene by an aged parent who ... and dementia-related matters, suggests a number of steps, including scheduling a dentist visit. Northridge ...
(Date:6/20/2017)... ... June 20, 2017 , ... After months of negotiations, FaceCradle USA is proud to announce the ... June 21. , “Introducing our product on QVC is something we all worked hard to ... pillow to more than 90 million homes in the United States,” said FaceCradle USA President ...
Breaking Medicine News(10 mins):
(Date:6/5/2017)... Cincinnati location of Diplomat Specialty Infusion ... been awarded a Top Workplaces 2017 honor by ... on an employee survey administered by WorkplaceDynamics, LLC, a research ... measures several aspects of workplace culture, including alignment, execution, and ... ...
(Date:6/1/2017)... June 1, 2017 Nutriceutical Holdings (NH), parent ... Solutions (VRS), and KD Pharma Group have decided to ... by KD Pharma Group. KD Pharma Group will become ... to acquire the entire company. "We believe ... are committed to growing the NH companies by providing ...
(Date:5/29/2017)... -- Cellect Biotechnology Ltd. (NASDAQ: APOP ; TASE: APOP), ... selection of stem cells, today provided a corporate update ... March 31 st , 2017. "We ... quarter of 2017," said Dr. Shai Yarkoni, Chief Executive ... of the first blood cancer patient in the recently ...
Breaking Medicine Technology: