Healthcare delivery
the people living in our most deprived communities compared with the least deprived communities by 2024.
l We will achieve a 10% reduction in the gap in life expectancy between people with mental health conditions, learning disabilities and/or autism and the rest of the population by 2024 (approximately 220,000 people). In doing this we will focus on early support for children and young people.
l We will address the health inequality gap for children living in households with the lowest incomes. This will be central for our approach to improving outcomes by 2024. This will include halting the trend in childhood obesity, including those children living in poverty.
l By 2024 we will have increased our early diagnosis rates for cancer, ensuring at least 1,000 more people will have the chance of curative treatment.
l We will reduce suicide by 10% across West Yorkshire and Harrogate by 2020/21 and achieve a 75% reduction in targeted areas by 2022.
l We will achieve at least a 10% reduction in antimicrobial resistant infections by 2024 by, for example, reducing antibiotic use by 15%.
l We will achieve a 50% reduction in stillbirths, neonatal deaths, brain injuries and a reduction in maternal morbidity and mortality by 2025.
l We will have a more diverse leadership that better reflects the broad range of talent in West Yorkshire and Harrogate, helping to ensure that the poor experiences in the workplace that are particularly high for Black, Asian and Minority Ethnic (BAME) staff will become a thing of the past.
l We aspire to become a global leader in responding to the climate emergency through increased mitigation, investment and culture change throughout our system.
l We will strengthen local economic growth by reducing health inequalities and improving skills, increasing productivity and the earning power of people and our region as a whole.
It can be seen that, despite these documents being written some years ago, and with no published outcomes as yet, health inequalities were very much core to the development of the aforementioned ambitions. It is to be hoped that they have been successful on any number of the targets they set themselves. It is also assumed that many of the ICBs in writing their first workplans for the initial period of their development will have reviewed and set similar ambitions as West Yorkshire, although the geography may alter the scene somewhat.
Conclusion NICE guidance followed the Marmot review recommendations and mapped their guidance to a set of six policy objectives which seem to sum up what we need to be doing and what every health professional would be able to agree to.8
These objectives are:
l Give every child the best start in life. l Enable all children, young people and adults to maximise their capabilities and have control over their lives.
l Create fair employment and good work for all.
l Ensure healthy standard of living for all. l Create and develop healthy and sustainable
Data from 2017-2019 state that people living in the least deprived areas could expect to live almost two decades longer in good health than those in the most deprived areas.
places and communities.
l Strengthen the role and impact of ill-health prevention.
These objectives seem to be a suitable mantra for a good life for everyone – and that is after all what we strive for.
References 1. National Audit Office no date, no author. Introducing Integrated Care Systems: joining up local services to improve health outcomes, NAO press release. Accessed: https://www.
nao.org.uk/press-releases/introducing- integrated-care-systems-joining-up-local- services-to-improve-health-outcomes/
2. Davis M. (2024) What is the scale of the challenge to address health inequalities affecting children and young people? Quality Watch: Nuffield Trust and Health Foundation. Accessed at:
https://www.nuffieldtrust.org. uk/news-item/what-is-the-scale-of-the- challenge-to-address-health-inequalities- affecting-children-and-young-people
3. Williams E, Buck D, Babalola G, Maguire D Kings Fund 2022 What are health inequalities?
https://www.kingsfund.org.uk/insight- and-analysis/long-reads/what-are-health- inequalities
4. Ibid 5. Morris L, Robertson R, Cited in Kings Fund 2024 Tackling health inequalities: seven priorities for the NHS. Accessed at: https://
www.kingsfund.org.uk/insight-and-analysis/ long-reads/tackling-health-inequalities-seven- priorities-nhs
6. Ibid 7. Holt L . and Murray L. 2022 Children and Covid -19. Accessed at
https://www.tandfonline.com/ doi/epdf/10.1080/14733285.2021.1921699?need Access=true
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www.clinicalservicesjournal.com 17
8. NICE (no date, no authors cited). Accessed at:
https://www.nice.org.uk/about/what-we-do/ nice-and-health-inequalities
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