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David Buck Profile picture
David Buck
@davidjbuck
Senior Fellow in Public Health & Inequalities at the King's Fund. Bit of a magpie, views my own, and don't necessarily agree with those i (re)tweet.
Jul 7 • 7 tweets • 3 min read
1/7. The new govt @10DowningStreet has a #nhealthmission, underpinned by "Improve healthy life expectancy for all and halve the gap in healthy life expectancy between different regions of England" If they mean it, THIS IS HUGE and has massive implications. Quick thoughts follow. Image 2/7. Between regions is new geography for 'health', and means mayors, CAs & connecting to regional economies & actors; & the NHS playing it's part as an economic partner, as much as a deliverer of healthcare. See @HealthFdn @CLESthinkdo & us cles.org.uk/blog/combined-…
Sep 30, 2022 • 7 tweets • 4 min read
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…
Jul 7, 2021 • 7 tweets • 2 min read
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.
Nov 5, 2019 • 7 tweets • 3 min read
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…