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Health InequalitiesDebra BalfourInequalities LeadPublic Health25 September 2014
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Equality and Diversity
The Equality Act 2010 protects people with particular characteristics from discrimination, bringing together all
previous equality laws.
Equality Act 2010 Age Disability Gender reassignment Marriage and civil partnership Pregnancy and maternity Race Religion and belief Sex Sexual orientation
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Equality Impact Assessments? (EIA’s)
A practical tool for identifying the potential impact of policies, services and functions on patients and staff
An equality impact assessment will help you
analyse your policies and practices to make sure they do not discriminate or disadvantage people. EIAs also improve or promote equality.
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Health Inequalities
“There is a social gradient in health – the lower a person’s social position, the worse his or her health……People in poorer areas not only die sooner but spend more of their short lives with a disability.”
Sir Michael MarmotFair Society, Healthy Lives
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The Commission on Social Determinants of Health (CSDH) – Closing the gap in a generation
Strategic Review of Health Inequalities in England:
The Marmot Review – Fair Society Healthy Lives
Review of Social Determinants of Health andthe Health Divide in theWHO European Region
Marmot Review – Fair Society, Healthy Lives
Give every child the best start in life Enable all children young people and adults to
maximise their capabilities and have control over their lives
Create fair employment and good work for all Ensure healthy standard of living for all Create and develop healthy and sustainable places and
communities Strengthen the role and impact of ill health prevention
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Determinants of Health
Source : Dahlgren and Whitehead
Determinants of Health
Source : Dahlgren and Whitehead
‘Maslow’s Hierarchy of Need’
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Health and Social Care Act 2012
CCGs to have regard to the need to reduce health inequalities when exercising their functions and to set out in their annual commissioning plans how they intend to discharge this duty.
Public Health England has the same duty and a principle aim to reduce health inequalities.
NHS England must assess how well CCGs have discharged this duty.
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Inequalities in Service Access and Take Up
Source : London School of Economics and Political Science
Job Quality & Health
Job insecurity / temporary contracts Adverse Psychosocial
Work Environment Shift work / extended work hours Unemployment & Health
To tackle Health Inequalities
Every sector is a health sector – action across the whole of society can impact upon health.
Local Authorities, Health and Social Services, the Voluntary Community Sector, all have a key role to play at a local level.
Empower individuals and communities – create the conditions for people to take responsibility.