Ben Wealthy
@BenWealthy1
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The wellbeing of the people is the highest law.
Harrow, Albion
Joined September 2012
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Pinned Tweet
My personal take on Labour’s health mission for
@LabourList
.
Prevention is better than cure, Labour must be radical on creating the conditions for good health - within the walls of the NHS and beyond them.
My Labour government will throw everything at NHS reform.
We'll move care closer to home, give patients more control and prioritise prevention to build an NHS fit for the future.
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Worker at Sports Direct:
“How can you still call someone a temporary worker after 10 years?”
“No rights, no contract, nothing.”
“We are asking to be treated like humans.”
#Newsnight
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If your public health strategy is limited to personal responsibility then it’s not a public health strategy.
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.
@Keir_Starmer
highlighted the need for a more preventive model of health on
@bbclaurak
- big public health policy space ready to be seized for parties and politicians with the courage to lead change
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The commercial determinants of health in action at Waterloo station. Forget the nanny state, companies are putting profit before public health each and every day. A responsible society should question this.
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The fundamental problem with social prescribing is not with social prescribing itself, its that’s it trying to address failures of social and economic policy.
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Lots of talk about prevention-focussed NHS reform. This is really important and there is much it is doing and can do in the future.
But, when it comes to stopping people getting ill or reducing severity, there is also a huge agenda to embrace beyond the walls of the NHS.
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We need to tackle the causes - not just the consequences - of obesity.
As
@MichaelMarmot
says, "why treat people and send them back to the conditions that made them sick."
Health is bigger than the NHS.
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If we want to change this there is one thing policymakers and politicians need to understand.
80% of our health and wellbeing is determined by social and economic conditions.
When this fact lands the solutions look different.
Start with poverty.
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I have found PHE colleagues to be clever, committed and collaborative. Absolute heroes during the pandemic. Moving deckchairs causes distress and distraction. Hopefully when the music stops, resources and focus can be fully directed towards protecting and improving public health.
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How tiresome.
@George_Osborne
has popped up to pitch Austerity: The Sequel. We need new thinking please
#R4Today
.
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The biggest public health crisis for a generation but no mention of investment in the public health grant during the Chancellor's statement - remarkable. Maybe I was making a cup of tea at the time.
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The NHS and health are not the same thing. A good health service is essential to improving health + providing care and dignity. BUT, creating a healthy population also means good education, homes, incomes, jobs, parks, transport, air. Get this and change is possible
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False choice being set up between protecting public health and promoting economic recovery. The two must go hand in hand.
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Unfortunately, despite our best efforts, we cannot eradicate COVID-19 by deploying a general sense of being fed up. It is still a dangerous virus and public health measures still matter.
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Health is bigger than the NHS.
Up to 80% of our health is shaped by the social determinants (housing, income, environment).
Yet, the focus of this morning’s interview with SoS was services. Understandable but we must create good health as well as treat ill health.
#BBCLauraK
Joining
#BBCLauraK
Health Secretary Victoria Atkins
Shadow Business Secretary Jonathan Reynolds
Israeli PM adviser Mark Regev
Activist Ndileka Mandela
RCGP Council Chair Kamila Hawthorne
Historian Andrew Roberts
Broadcaster Jane Moore
Sunday 9am
@BBCOne
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We seem to be hearing a lot of people - mainly privileged celebrities - proclaim that
#coronavirus
is a great equaliser. It is not. It is exposing and exacerbating huge inequalities of wealth and power in the UK and across the world.
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I joined the National Trust to hear the full story behind some our country’s most handsome houses and lovely landscapes. Why would you be a member or visit if you weren’t curious about the past - the good, the bad and the ugly? Keep up the brilliant work
@nationaltrust
.
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You’d hope those championing levelling up might show some humility and recognise the damage a decade of austerity has done…
‘Levelling Up’ Fund Gives £1.25 Billion to Areas that Have Lost £25.5 Billion – Byline Times
@WritesBright
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.
@MattHancock
has just announced that “every local authority will see a real-terms increase in their [public health] grant allocations which I expect to publish imminently." Apparently "imminently" means "in the next couple of days."
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NHS pledges dominate election campaigns. We all love it. We want, and need, it to be properly funded. But, about 80-90% of our health is shaped by factors other than access to health services - education, housing, income etc. The health conversation must be bigger than the NHS.
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If you want a healthy economy, you need a healthy population. Simple as that.
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The government has yet to publish the 2021/22 public health grant allocations for local authorities. Even during a public health crisis public health funding seems to slip down the to do list.
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Er, what
#r4today
?
"our ability to afford nice things like the health service, like the police, like education..."
Public services are not toys.
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Just joined the Two Jabs Club. Cheers to a top jabber called David at Wembley Vaccine Centre and the epic efforts of so many to make this possible. Become a member as soon as you can!
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I do worry that there are not enough high horses to meet demand at the moment.
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Concerning on two levels - lack of discussion and engagement with the public health community and absence of leadership in tackling one of the great policy challenges of our age.
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During the pandemic, Directors of Public Health have "played an absolutely valuable role - essentially a mini Chris Whitty in every upper tier council", says
@MattHancock
.
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A short thread re influencing. Sounding off on Twitter or in the media under the guise of ‘speaking truth to power’ does not make change happen on its own. If you truly want something to be different you need to make the case; constructively, patiently - and yes forcefully too.
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What happened to prevention is better than cure? Yes to investing in services, but yes also to funding the social determinants.
Do both.
“Why treat people and send them back to the conditions that made them sick?”
@MichaelMarmot
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DHSC is yet to confirm the public health grant allocations to local councils for 2023/24. These budgets have been reduced by 24% since 2015/16. This funding pays for services like health visiting, sexual health, stop smoking and drug and alcohol treatment.
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I get asked quite a lot why the public health grant is cut - here’s the best answer I can give (feel free to improve on it):
➡️ High turnover of Ministers leads to limited political knowledge of what it is and why it matters
Spring Budget, public health grant and NHS pay offer: what do they add up to for health and care
@HealthFdn
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Perhaps a comms lesson here from history - better to frame 'low traffic neighbourhoods' as 'play streets' (for children, adults and pets)? Focus on promoting how change enables new freedoms and possibilities.
Great ideas of 20th Century:
"Play Streets" closed to traffic‚ but open to kids.
(UK once had 700 of them)
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Time for a cross-party commitment to invest in public health.
@ADPHUK
Manifesto 'Our Ambitions for a Healthier Nation' calls for an increase in funding for local public health services and the other building blocks for wellbeing from housing to transport to education.
The public health grant has been cut by 26% on a real-terms per person basis since 2015/16.
Even taking into account additional but time-limited funding for drug and alcohol treatment, real-terms funding is 21% lower.
Read more about the grant 🔽
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True prevention means investing in the social determinants of health (beyond the NHS) - public health (which the Government has cut by £700m since 2014/15) and making progress on education, skills, wages, housing, transport, poverty, our relationships
#Marr
(3/4)
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“The stress and anxiety of poverty can have such a long-term effect,”
@AliceWiseman11
said. “This is our next public health crisis. If nothing is done, it would set public health back by decades.”
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Hearing a fair few people once again talking about transforming the NHS from an illness service to a prevention service.
It’s a clever line for a podcast…
The NHS has a role in stopping people becoming ill/delaying illness/minimising severity etc.
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Same productivity levels, less hours, more wellbeing.
This will give confidence to many councils considering a four day week model.
@GuardianHeather
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We need to be curious about the causes of illness and open about ways of creating more health.
I’m afraid viewing health solely through the lens of the NHS is holding us back.
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Such a powerful point. The small minority who oppose assisted dying (they are perfectly entitled to their view of course) should not be able to deny the rest of us that choice.
"You may not want assisted dying for yourself, and be content to hang on to the bitter end, but that does not give you the right to impose your moral views on me and others who disagree."
- Dr Tim Howard
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Obesity is a disease of poverty.
The contortions policymakers and politicians are undertaking to avoid addressing this reality are breathtaking.
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Reducing poverty is fundamental to almost every public policy challenge we face, from health to growth. If we don’t prioritise the welfare of children little good can be achieved.
Our Chief Executive
@josephhowes
was on
#r4today
to discuss the findings of this year's State of Child Poverty report. Listen back to the interview and read the report here:
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A generation of politicians created, maintained and benefited from a property boom and consequently sold those of us behind them down the river - simple as that.
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Finalising a new blog about the Health Disparities White Paper.
Main message is that if the WP ignores poverty then it will have fallen at the first hurdle.
Simple.
Will post tomorrow.
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If you’re not enjoying a workout at the gym whilst listening to
@Ed_Miliband
and
@GeoffLloyd
’s latest
@CheerfulPodcast
then I’m afraid you’re doing Monday night all wrong.
Episode 22 of
@cheerfulpodcast
discusses the crisis of creativity being squeezed out of our schools and asks what a 21st curriculum should look like. Guests
@MrJamesGraham
, Headteacher Jez Bennett and parent Madeleine Holt. Plus comedian
@aliterative
. Download now.
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Good to hear
@wesstreeting
on
#PoliticsLive
talking about the need to address the social determinants of health - housing, poverty, education. These add to the pressures facing the NHS.
Important to consider health spending in the round, not just the budget for hospitals.
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Analysis by
@HealthFdn
shows public health funding has been cut by 24% since 2015-16.
Joint letter from
@ADPHUK
and over 50 organisations calls for more investment.
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Drafting a blog about public health for next week.
Sets out the need for a bigger story which puts strong state action on social and commercial determinants of health and engaged and empowered communities at its heart.
Personal responsibility is an incomplete, flawed strategy.
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New job opportunity: Director of Something. The successful candidate will be required to do a number of things. Only human beings with the ability to exist, whether in a virtual or physical form, from time to time should apply.
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Latest blog from me: Don't be poor
If the Health Disparities White Paper ignores poverty, it will have fallen at the first hurdle. It will look like what it is, walking by on the other side.
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Looking forward to attending the launch of
#Marmot2020
next week
@HealthFdn
. 10 years on the fundamental question remains the same - 'Why treat people and then send them back to the conditions that made them sick?' (The Health Gap)
A decade of austerity takes its toll on deterioriating social determinants
@TheMarmotReview
to release new evidence on health inequalities on 25 February
#Marmot2020
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Public health policy to do list for new PM and Ministers:
➡️ Effective implementation of system reforms - UKHSA/OHID/ICSs
➡️ Bold approach to reducing health inequalities and tackling the social determinants
➡️ Long-term investment and workforce planning
Anything else?
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Vital evidence from
@MichaelMarmot
and
@ProfBambra
.
Inequalities in social and economic conditions before the pandemic contributed to the high and unequal death toll from COVID-19.
Key reading
@marmotihe
@HealthFdn
Prof Sir Michael Marmot and Prof Clare Bambra have now been sworn in and begin their evidence with a brief outline of their careers and experience to date.
They are being questioned by Counsel to the Inquiry Kate Blackwell KC.
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Shocking to be reminded of the vast profits made from life-saving PPE during the pandemic. The overwhelming majority of people were acting in the national interest not their own
#bbclaurak
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Office for Health Promotion > positive to see leadership role of CMO and commitment to addressing the social determinants with a cross government board. Less positive about the name, lack of new money, fragmentation of public health, centralising tendency.
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Spot on thread.
The fundamental problem is we (the people, the thinkers, the doers, the politicians) equate health with the NHS.
Money, resources, headlines follow.
Are we willing to change?
Talking to senior NHS hospital leader recently
Said public health need to do more to prevent illness and is failing to control demand into acute care
Probably true
But....
A thread (nb some may find controversial)
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Brighton & Hove: Ban on fast food adverts to be introduced.
This is what public health leadership in
#localgov
looks like.
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[THREAD] 40 years since the publication of the Black Report .
It stated that: “Poverty remains the chief cause of disease, and it is a factor which is beyond the immediate control of medicine.”
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'This is not a very socialist experiment' - Politician from Venezuela's Popular Will on the current government's approach
#Newsnight
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Ten principles to keep us all safe over the festive period (SAGE)
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It is entirely right and proper that charities engage in public affairs. The evidence, research and influencing work undertaken by the third sector plays a fundamental role in a thriving democracy and makes a huge contribution to good policy-making.
Charities have a huge role to play in society. But they need to stick to their central purpose.
My piece in today’s
@Telegraph
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ADPH President
@felly500
quotes former CEO of PHE Duncan Selbie - “If you’re not challenging the status quo, you’re not doing your job properly”
#ADPHConf2023
@ADPHUK
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Levelling Up White Paper commits to improving the health and wellbeing of communities, but the government is only 'maintaining' (still waiting for exact 22/23 allocations to be announced) local public health budgets for the next 3 years (having cut funding by 24% since 2015/16).
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You can’t help but sigh at the promise of a green paper on social housing. The last time Britain built more than 250,000 homes a year, councils put up 40% of them. Let them borrow, let them build
#localgov
.
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It is striking how dominant the 'tough decisions' on public spending narrative has become. It is entirely possible to raise more revenue in a thoughtful and just way e.g. property wealth, taxes unhealthy food and drink.
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Whilst the UK government hesitates over smokefree 2030 commitment, New Zealand plans to make it happen by 2025. Political leadership matters in public health
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Worth looking up from the computer screen every so often isn’t it.
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You might expect long-term public health funding to rise in response to a public health crisis.
But, there is no commitment to do this
#SpendingReview
.
In the years before the pandemic, local public health budgets were cut by 24%.
Make now a turning point
#backpublichealth
.
"It is a false economy to seek to make savings in public health that help fuel growing social and health inequalities and ultimately lead to worse outcomes for all."
@SteveJFord
@NursingTimes
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Accept being poorer.
Accept lower pay.
Accept deteriorating public services.
Accept rising rents.
Accept not being able to buy a home.
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Over 500 Sure Start children's centres have closed since 2010. Over 500
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New blog: It's called 'public' health
No health challenge can be solved without people. The pandemic has demonstrated the potential and efficacy of putting the public at the heart of public health.
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6 years after the transfer of
#publichealth
to
#localgov
a "quiet revolution" is taking place - from a narrow focus on healthcare to more city and place based investment -
@felly500
. Thoughtful collection of essays compiled by
@LGAWellbeing
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I highly recommend running (or walking) first thing in the morning. The air is fresh. The park is peaceful. And it clears and calms your head for whatever chaos lies ahead.
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The risk of viewing health solely through the lens of the NHS is that we overlook the opportunities to invest in better health beyond hospital walls.
The man struggling to breathe in a council flat 'unfit to house humans' and a leak running down his walls, found to be contaminated with faeces.
A new ITV documentary, Surviving Squalor: Britain's Housing Shame, tells his story.
More:
#SurvivingSqualor
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Today we
@ADPHUK
are delighted to be publishing our Manifesto for a Healthier Nation
Comment piece by ADPH President
@jimmcmanusph
@Politics_co_uk
Look forward to discussions with partners and politicians on public health.
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Good to see the revised terms of reference for the public inquiry reflects comments from
@ADPHUK
, and many others, that a stronger focus on children and inequalities is essential
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This is brilliant and speaks to one of the central problems with politics and policy today - far too much resource and time is spent on trying to solve problems we could easily prevent from occurring in the first place.
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Profits before public health.
Firms make £53bn a year from smoking, excess drinking and junk food.
Powerful new research from
@UK_AHA
@AshOrgUK
@OHA_updates
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Deprivation is not being deprived a peerage, it is being denied food, heating, shelter, security and opportunities.
"This story is about a girl from Liverpool who had something that was offered to her removed by two privileged posh boys."
Nadine Dorries blames Rishi Sunak and James Forsyth for not getting the peerage she says Boris Johnson promised her.
@NadineDorries
|
@piersmorgan
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‘It felt futile’: young Britons swap career-driven lives for family and fun | Work-life balance | The Guardian
A generation is realising the ‘work hard, get on’ mantra we grew up with isn’t paying off.
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Today in
@thetimes
,
@ADPHUK
and 54 leading health organisations are calling for public health to be a
#SpendingReview2019
priority
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Worth remembering, on
#NHSLongTermPlan
Day, that 80% of our health and wellbeing is influenced not by our interactions with the NHS but by social determinants - education, work, housing, inequality, relationships. This needs to be reflected in funding and policy.
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New evidence shows minimum unit pricing averts alcohol deaths - strong public health leadership from Scotland
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Many thanks to
@harrow_council
for the low traffic neighbourhood in West Harrow. A modest and pragmatic change with big benefits for the health, wellbeing and safety of our community.
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Positive prevention section:
👍 National drive for health in all policies
👍 Boost capacity of local public health teams
👍 Commitment to reduce health inequalities and child poverty
👍 Smoke-free Britain
👍 Make the healthy choice the easy choice
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Mixed feelings about the
#NHSFundingBill
:
- Symbolises the love we have for the NHS
- Isn’t enough money by any measure
- Ignores other parts of the health system like
#publichealth
and
#socialcare
- Perpetuates a view that health = the NHS and vice versa
- What about outcomes?
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Understandable that we focus on today’s backlog. Many are in pain and distress because of delays to their care and treatment.
As well as addressing this, we need a twin aim: preventing tomorrow’s backlog with much bolder plans to improve public health
#r4today
.
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Bit embarrassing, public health has been missed off.
10/ Today’s Spending Review honours our historic, multi-year commitment to the NHS.
Next year, the core
@DHSCgovuk
budget will grow by £6.6bn, allowing us to deliver 50,000 more nurses and 50 million more general practice appointments.
#SR20
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Millions of children have communication needs. For powerful stats and stories check out
@ICANcharity
's impact report
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Me: what are you up to today?
My neighbour: trying to find a bird for our Christmas dinner.
Me: enjoy your wild goose chase.
*is that a pin drop I hear?*
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Prevention is back in vogue, evokes memories of the 2019 prevention green paper - whatever happened to that?
The big opportunities on prevention are outside hospital walls and that's where the political will and focus should be.
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“Overcoming poverty is not a gesture of charity. It is an act of justice. It is the protection of a fundamental human right, the right to dignity and a decent life.” Nelson Mandela
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Just doing a bit of planning for the Comprehensive Spending Review. The last full CSR took place in 2015 and included the words: "the government will make savings in local authority public health spending."
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