David Buck Profile picture
Sep 30, 2022 7 tweets 4 min read Read on X
1/7. 🧵 With national govt seemingly binning a serious focus on health inequalities, there is lots that can be done at regional and local level; a national govt focus & framework would obviously help that.. but we are where we are. Some positivity follows...
2/7. There's lots to learn from past health inequalities policy and it worked, much of which can be implemented regionally and with integrated care systems kingsfund.org.uk/blog/2017/08/r…
3/7. The lesson is this requires three things: partnership, disruption and endurance. National govt seems to have given up on the latter, regional and local partners must not. kingsfund.org.uk/publications/h…
4/7. Get fully behind current #core20plus5 policy and take it further still, don't stop. kingsfund.org.uk/blog/2021/12/n…
5/7. Take it further, building on public health expertise. We see lots of great work in this space now and will share what we're seeing, keep going. kingsfund.org.uk/publications/p…
6/7. Take #poverty seriously, the #NHS and partners can make a big difference, we will showing how and showcasing more of this later in the month with our friends @CentreProPolicy kingsfund.org.uk/projects/tackl…
7/7. Finally, great signs that sustained & coordinated action can make a real difference, e.g. @MattXSutton and colleagues on Greater Manchester's experience of population health and life expectancy improvement following devolution #doitandstickthecourse sciencedirect.com/science/articl… Image

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More from @davidjbuck

Jul 7, 2021
1/7. Quick thoughts on Health Bill - it's a monster, so quick thoughts won't be sufficient. NB. These are restricted to specifics on public health and inequalties, not the overall impact likely on them. But here goes.
2/7. Transposes inequality duties from 2012 Act to new bodies plus i) ineq needs to be in ICB annual plans, ii) NHSE will performance assess on ineq. Good, but as last time provision is 'due regard', this is weak and depends on implementation, lesson of 2012 was not sufficient.
3/7. Transposes SoS ability from previous acts to delegate their powers over provision of public health to new bodies, now inc general 'anyone else'. Key thing is what intent lies behind this, welcome flexibility (e.g. in a pandemic) or setting up for change. But not new per se.
Read 7 tweets
Nov 5, 2019
1/6. Four recent pieces on #publichealth #funding and #spending of interest and worth thinking about - it's all a bit of a mess. See thread 👇
2/6. Today, from @IPPR, looking at cuts to the public health grant > fallen most on poorest areas (ironically, this is most probably a result of cuts being split 'equally' as opposed to according to needs - but unclear since report not yet on website) theguardian.com/society/2019/n…
3/6. But, it is still not clear what has happened to the promised (1%) real-terms increase in the public health grant in 2020-21, with concerns it will be swallowed by staffing costs and additional burdens (£paywall) hsj.co.uk/public-health/…
Read 7 tweets

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