Dr Mike Grady Marmot Review Team. UCL. The Conceptual Framework Reduce health inequalities and improve health and well-being for all. Create an enabling society that maximises individual and community potential. Ensure social justice, health and sustainability are at heart of policies.
Marmot Review Team.
Reduce health inequalities and
improve health and well-being for all.
Create an enabling society that maximises individual and community potential.
Ensure social justice, health and sustainability are at heart of policies.
Give every child the best start in life.
Create fair employment and good work for all.
Create and develop healthy and sustainable places and communities.
Enable all children, young people and adults to maximise their capabilities and have control over their lives.
Ensure healthy standard of living for all.
Strengthen the role and impact of ill health prevention.
Equality and health equity in all policies.
Effective evidence-based delivery systems.
Reducing health inequalities is a matter of fairness and social justice
Action is needed to tackle the social gradient in health – Proportionate universalism
Action on health inequalities requires action across all the social determinants of health
Reducing health inequalities is vital for the economy – cost of inaction
Beyond economic growth to well-being
In England, dying prematurely each year as a result of health inequalities between 1.3 and 2.5 million extra years of life lost – the human cost- 200000 deaths of 30+.
Economic benefits in reducing losses from illness associated with health inequalities. Each year in England these account for:
productivity losses of £31-33B
reduced tax revenue and higher welfare payments of £20-32B
increased treatment costs well in excess of £5B.
Engagement of Senior managers in partnership
Lack of financial and human resources
Information sharing and best practice
Need for quick wins
Monitoring and evaluation problemsEvaluating partnerships
Perkins et al (2009) What counts is what works? New Labour and partnership in public health. Policy Press
Gaining collaborative advantage
for health improvement
Increasingly acting on social determinants of health
Little added value
Showing Added value
External contextual factors
No shared vision
Health an NHS issue
Confidence in partners
Health everyones business.
Adapted from Seymour M (2009) Do LSPs provide collaborative advantage for Health Improvement.
Statements of intent to build vision of future