Conference notes:
1. The report by Sir Michael Marmot and others: "Tackling health inequalities:
Status report on the Programme for Action" published on 11th August shows
a continuing widening of inequalities as measured by infant mortality and life
expectancy at birth.
2. Proposals made by the Secretary of State for Health on 19th July and subsequently
to introduce wide ranging consultations about the future of health and social
care and of democratic involvement in their governance.
3. The decision announced on 2nd August to postpone the abolition of the Commission
for Public and Patient Involvement in Health and to set up a review of public
involvement and accountability in the NHS.
4. In this month the 25th anniversary of the Black Report on Inequalities in
Health it is appropriate to recall that its recommendations, like those of the
much more recent Acheson Report, called for wide ranging action by all Departments
of State not just the Department of Health.
5. The publication on August 25th of research conducted by Dr Bhatti, Director
of Public Health for Huddersfield which demonstrated that while admissions to
hospital with heart attack was 38 % higher per head in deprived parts of that
town the death rate was 317% higher.
6. The absence of any mechanism in the Party where differences between policy
in England and that in Scotland and in Wales may be discussed.
Conference calls on the Government in respect of England and Wales
1. To adopt a much bolder and more radical approach to public health including
:
a. a complete ban on smoking in all public places with NO exemptions as is proposed
in Scotland
b. a comprehensive transport policy which both encourages physical exercise
and reduces environmental pollution by promoting accessible and affordable public
transport and by discouraging private motor car use by measures such as road
use charges
c. substantial improvements in the diet of children through a complete ban on
advertising of processed foods except at point of sale and through provision
of free healthy school meals to all
d. effective measures to ensure that the obstruction of breastfeeding mothers
is a criminal offence as it is in Scotland.
2. To give much higher priority to public health and to make public health the
direct responsibility of a cabinet minister.
3. To evaluate proposals for the reform of health and social care primarily
in terms of their impact on health and social inequalities and equity.
4. To transfer responsibility for public health and the commissioning of health
services at local level away from appointed quangos to elected Local Authorities
so permitting the abolition of Primary Care Trusts with their unelected boards
and high administrative overheads.
last updated 18/09/05