Jazz Bhogal
Regional Public Health Team - London Department of Health
Introduction - Ethnic health & health inequalities
Background to partnerships for health
New partnership arrangements for public services
Impact on ethnic health
Regional & local potential for ethnic health in London
Ethnic health & health inequalities
Disproportionate rate of mortality & morbidity amongst certain ethnic groups
Non-homogenious communities
Multi-layered inequalities - multiple deprivation + discrimination
“Institutional racism knew no bounds… still doesn’t”
Public services & level of priority
Influencing action - Legislative imperative ‘v’ needs based action
Background – national perspective
Concern about health inequalities…
The Black Report 1980
The Acheson Inquiry 1998
The Wanless Reports; 2002, 2003, 2004
Comprehensive Spending Reviews; 2000, 2004, 2007
Action on health inequalities…
Neighbourhood Renewal Unit
Tackling Health Inequalities: A programme for action
Spearhead group of authorities
Local Area Agreements
National evidence and research well supported, but poor implementation
Background – local perspective
Local community action and involvement
Role of the 3rd sector & BME CVS
Engaging in local partnerships
Increasing political engagement
Priority status of ethnic health is variable and underestimated
Poor evidence to support action at a local level
New requirements for partnerships
“Strong & Prosperous Communities”
New Local Area Agreements
Duty to work in partnership
Shift from national to local emphasis
“Local Government & Health Bill”
Duty of partnership between Local Authorities & PCTs
Focus on local health & well-being needs
Local accountability ‘v’ delivery within a national context
“Choosing Health” – “Health Challenge England”
“Our Health, Our Care, Our Say” – “Health & Well-being Commissioning Framework”
Opportunities for health improvement - LONDON
Focusing national delivery targets on BME communities
Focusing on deprived wards/priority boroughs = focus on BME communities
London’s public service priorities; TB, HIV & sexual health, mental health,
school exclusions, community cohesion, 2012.
GLA & Mayor of London – Mayor’s Commissions, Mayoral Strategies & Assembly’s
Scrutiny role.
Changing culture and interest from public services.
Opportunities for health improvement - LOCAL
New local arrangements and statutory duties for partnership
Re-prioritisation of local needs against national priorities
Delivery focus on those most in need
Increase in BME civic involvement
Increased local accountability
New expectations for the 3rd sector
Partnerships at work…
Health inequalities gap is closing in London... but only just
Every LAA in London includes outcomes for BME communities (most for health)
All public service priorities in London have potential for a positive impact
on BME health
Jazz Bhogal Public Health Manager Regional Public Health Team, London Department
of Health
jazz.bhogal@dh.gsi.gov.uk
Tel: 020 7217 3729
last updated 15/06/07