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Starting a conversation on health inequality - gov.uk · 2014-06-23 · 5 Starting a conversation...
Transcript of Starting a conversation on health inequality - gov.uk · 2014-06-23 · 5 Starting a conversation...
Claire Laurent (PHE)
Ben Toombs and Daniel Clay (TNS BMRB)
Starting a conversation
on health inequality
Why have a national conversation?
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Who did we talk to?
Hull
St Helens
Walsall
Newquay
London
(Hackney)
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• 19 public health stakeholders
(DPHs, councillors and voluntary
sector representatives)
• 87 members of the public
across five locations
• 130 respondents to the mailbox
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The three biggest issues
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Broaching the topic of health inequality
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“It depends who you're asking and what circumstances
they're living in. Some will be aware that they are more
fortunate in their circumstances and that they're likely to
live longer, healthier lives than their counterparts. Others
living in more deprived and challenging circumstances
may not be so aware. It depends on your
opportunities to compare your own circumstances
and outcomes with others and they're not always
readily available for people to have a sense of.”
The final inequality
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Income
Public
services Housing
Health
Bringing health inequality to life
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Discussion Activities Information
Health inequality?
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Unequal access Discrimination
Health inequality?
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Unequal access Discrimination
It’s a personal and multi-faceted topic
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It’s a personal and multi-faceted topic
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It’s a personal and multi-faceted topic
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It’s a tough decision Advantaged
Disadvantaged
Will
re
ma
in h
ea
lth
y
W
ill r
em
ain
ve
ry s
ick
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Four people can be
moved to reflect priorities
for resource spend
It’s a tough decision
Equality in allocation
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Advantaged
Disadvantaged
Will
re
ma
in h
ea
lth
y
W
ill r
em
ain
ve
ry s
ick
It’s a tough decision
Equality of outcome
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Advantaged
Disadvantaged
Will
re
ma
in h
ea
lth
y
W
ill r
em
ain
ve
ry s
ick
It’s a tough decision
Priority to the
disadvantaged
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Advantaged
Disadvantaged
Will
re
ma
in h
ea
lth
y
W
ill r
em
ain
ve
ry s
ick
It’s a tough decision
Priority to the advantaged
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Advantaged
Disadvantaged
Will
re
ma
in h
ea
lth
y
W
ill r
em
ain
ve
ry s
ick
It’s a tough decision
Random allocation
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Advantaged
Disadvantaged
Will
re
ma
in h
ea
lth
y
W
ill r
em
ain
ve
ry s
ick
?
Coming out of the first workshops
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Not where
I live
What’s
the
link?
Coming out of the first workshops
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Not where
I live
What’s
the
link?
Changing the focus
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Connections Discussion Stakeholders
Clearer connections
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But, awareness and efficacy barriers
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Taking the conversation forward
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Taking the conversation forward
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Lessons learnt
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Leave health inequalities language and evidence
at the door
Allow for an open discussion
People need help to make connections between
health outcomes and wider determinants
People need to be inspired rather than educated
Stakeholders are key to the process
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