⬆️health inequalities & association with ⬇️LA funding The Michael Marmot Institute of Health Equity UCL

Natl LE stalled since 2010/11

17 LAs ⬆️LE inequality

⬇️LA spending power since 10/11
41%/58%⬇️ Natl Gov £ to LAs by 15/16 / 19/20
Local revenue gen post-15/16
34%⬇️spending pwr by 19/20
instituteofhealthequity.org/resources-repo…

Blog on outdoor advertising making HFSS products normal & ubiquitous

'If you advertise something it makes it acceptable'

Low income areas more exposed due to more HFSS advertising, eg transport routes

TfL ban estimated to have prevented 100k cases of obesity & saved NHS £200k

A 'whole government' approach to health thru action on 'building blocks of health' The Health Foundation

Challenges:
Limited resources
Competing priorities
Inadequate investment
Insufficient focus on prevention
Lack of accountability
Sustaining change long term
health.org.uk/a-whole-govern…

Guidance on talkimng long-term approach to health inequalities PHW WHO Collaborating Centre (WHO CC)

Includes:
5 ways of working
Getting started
4 stage process (rationale, idea formulation, objective setting, implementation)
Tools
phwwhocc.co.uk/resources/beyo…

Guidance for a whole systems, public health approach to early intervention crime reduction

Outline a public health approach:
Whole systems & multi-component approaches
Primary prevention
Secondary prevention
Tertiary prevention

Insightful work affordable homes for health & well-being

Considers 7 themes:
Quality homes
Affordable homes
Functional homes
Secure homes
Green homes
Communities
Infrastructure

Toolkit 4 evaluating behaviour change interventions

Tools across 6 steps:
Decide
Diagnose
Select intervention
Select implementation
Build
Delivery

Study in Wales on housing warmth behaviours and changes 2022 to 2023

⬇️putting heating on as 1st response (10.2% V 17.2% in 2022)

⬆️stress due to heating costs (66.5% V 57.2%)

⬇️main room temp (19.3dg V 19.9)

>1 in 10 (11.3%) reducing/skipping meals due to heating costs(9.1%)

Role of mental health & inequalities in post-COVID school absence crisis

1 in 5 CYP persistently absent (150k CYP)
CYP with MH issues 17x⬆️missed 15 dys/term
CYP carers 2x ⬆️persistent absence

12 reccs:
Attendance measures
Whole education approach
⬆️support
⬇️underlying causes

Attend our workshop to learn how to embed your vision into your people’s everyday and keep your vision on track. Our workshops are for NIHR Academy Members and NIHR Senior Leaders. Applications close 17 May 2024.

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Early analysis suggests NHS digital weight management service➡️ clinically significant weight loss

Weight change @ 12 wks:
−2.2kg those who had time to finish
−3.9 kg those who completed

Not associated with participants' socioeconomic status

onlinelibrary.wiley.com/doi/full/10.10…

The rise in alcohol-specific deaths in the UK has been particularly high among women, with a 91% increase from 2001-2022.

Deaths among men have risen by 69% in this time.

Far more men still die from alcohol, with a rate twice that of women.

Interesting 2016 study on 'Glasgow effect'

30%⬆️premature death V other de-industrialised,poor cities

Suggests ⬆️vulnerability due to:
Historical deprivation
Unhealthy urban changes
Skilled/healthy moved out
Lack of social capital
Physical env
Education
gcph.co.uk/publications/6…

Natural decline in aerobic fitness increases with age (1% in 30s, 2-3% in 50s)

Meta analysis finds similar effectiveness in offsetting this of moderate & high intensity exercise

Suggests focus on promoting aerobic exercise with age regardless of intensity

Cancer diagnosis targets off trajectory

Significant inequalities by:
Ethnicity-1 in 3 non-white pts required 3+ conversations with GP staff V 1 in 5 for White
Age-50% 16-24yo needed 3+ conversations
Deprivation- Most deprived 21% less likely 2 b referred

Advice not understood

Latest ALS survey shows progress, but not scale improvement needed

>1 in 4 (25.7%) doing less than 30 mins PA/wk

>1 in 3 (36.6%) not achieving guidelines for good health

⬆️inequalities by economic group & geography

Strengthening remains low at <1 in 2 to <1 in 3 by age

3 Physical Activity posts as part of Moving Social Work at Dept of Sport & Exercise Sciences, Durham Uni. Durham University Disability Rights UK

Moving Social Work #Disability #ConversationAnalysis #PhysicalActivity

Postdoctoral Research positions x 2
jobs.ac.uk/job/DHC515/pos…

Fully funded PhD scholarship
jobs.ac.uk/job/DGL639/phd…

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