Tackling Inequalities In Life Expectancy In Areas With The Worst Health And Deprivation
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Tackling inequalities in life expectancy in areas with the worst health and deprivation
Author | : Great Britain: National Audit Office |
Publisher | : The Stationery Office |
Total Pages | : 56 |
Release | : 2010-07-02 |
Genre | : Medical |
ISBN | : 9780102965322 |
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The Department of Health has made a serious attempt to tackle health inequalities across England. But having set a target in 2000 to reduce health inequalities, it took time to embed the issue in the policy and planning framework of the NHS and to develop an evidence base of the most cost-effective interventions. Although life expectancy overall has increased, the gap in life expectancy between the national average and the Government's dedicated "spearhead" areas has continued to widen. The Department will not meet its target to reduce the health inequalities gap by 10 per cent by 2010, as measured by life expectancy at birth, if current trends continue. The Department's strategy lacked effective mechanisms to achieve the target because the evidence base was still being developed. Three key, cost-effective interventions to reduce the gap in life expectancy were identified by the Health Inequalities Intervention Tool: increase the prescribing, first, of drugs to control blood pressure and, second, of drugs to reduce cholesterol, by 40 per cent; and double the capacity of smoking cessation services. But these interventions have not yet been used on the scale required. Primary care trusts are required to address health inequalities from within their general budgets and it is not possible to identify how much money has been spent. PCTs in spearhead areas had £230 more per head to spend than the PCTs in non-spearheads, but there is evidence that some of the extra money is absorbed by higher hospital costs in deprived areas.
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