T H E I N V E S T M E N T F O R H E A LT H P L A N : N A T I O N A L A N D R E G I O N A L P R I O R I T I E S
Principles of the Strategy The strategy is underpinned by four key principles: ◆
the primacy of prevention - interventions that prevent the causes and reduce the consequences of health inequalities will have the greatest long term impact, and can be directed to meet the needs of individuals and families, as well as social, economic, and environmental factors that shape individual choice and opportunity.
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public services are often poorest in the most disadvantaged areas, and a sustained impact on inequalities will only be achieved if mainstream services become more responsive to the needs of disadvantaged populations. This requires the reshaping of services, different use of resources and changes in corporate culture. “Floor” targets for key service outcome across Government, and the development of national service frameworks to raise the quality of NHS services for all is essential, driving progress fastest in the most disadvantaged areas and among the least well-served populations.
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targeted interventions can introduce innovation, tackle specific problems, or support particular groups who have difficulty in accessing services.
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locally and nationally, progress needs to be embedded in the mainstream planning
of
services,
and
performance
management
and
monitoring
arrangements, such as the NHS priorities and planning framework, the national PSA for local government, the comprehensive performance assessment for local authorities, and local public service agreements.
Priorities for Reducing Inequalities The programmes and policies to address the different dimensions of health inequalities are set out in the Programme for Action across four themes: ◆
supporting families and children, to reduce current inequalities, improve life changes, and break the inter-generational cycle of deprivation. Key initiatives include Sure Start, nursery places for 3 and 4 year olds, children’s tax credit, and the emerging National Service Framework for children. Measures will focus on supporting maternal and child health and child health development, improving life chances for children and young people, and reducing teenage pregnancy and supporting teenage mothers.
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engaging communities and individuals, in recognition of the fact that strong communities enable and empower people to take control of their lives, and help to ensure a better local environment, quality of life, and more effective services. The National Strategy for Neighbourhood Renewal emphasises the importance of this model for disadvantaged areas.
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