Marmot Review: The National Health Service

Tobacco has and still is the most important public health issue faced in Australia and internationally. (Jochelson, 2006). Many countries such as North America, England, Australia, Canada and Ireland have introduced policies regarding smoking in public areas and restriction of smoking in indoor areas. (Thomson, Wilson & Edwards, 2009). The government, community leaders and policy makers work towards introducing policies that will stop consumers from smoking in public areas. (Pizacani, maher, Rohde, Drach & Stark, 2012). Government intervention should extend public smoking bans so that second hand smokers can be safe, a better environment and less death incidents relating to smoking.

The need to distribute wealth amongst the population is another way to promote health equity as it pertains to ensuring that the balance of power is not too one-sided by the rich. Another example of improving the health state is to improve the gap of economic levels by making sure that the poor does not get poorer and the middle class does not become too strained. Lastly, health is dependent on the resources available. If communities are empowered and advocate for change in their health, there is a better chance of improving the health disparities within communities (Adelman, 2008).

“Health is a state of complete physical, mental, spiritual and social wellbeing, and not just the absence of disease” (WHO, 1974). Health inequalities are the differences in health or healthcare opportunities in different societies this may be due to income,

The National health services (NHS) provides a comprehensive healthcare services across the entire nation. It is considered to be UK’s proudest institution, and is envied by many other countries because of its free of cost health delivery to its population. Nevertheless, it is often seen as a ‘political football’ as it affects all of us in some way and hence everyone carry an opinion about it (Cass, 2006). Factors such as government policies, funding, number of service users, taxation etc all make up small parts of this large complex organisation. Therefore, any imbalances within one sector can pose a substantial risk on the overall NHS (Wheeler & Grice, 2000). This essay will discuss whether the NHS aim of reducing the nations need

“Without a lifespan view of women’s health… we are unlikely to be successful in advancing women’s health” (Woods 2009, pg. 400). A Global Health Imperative (2009) by author Nancy Fugate Woods explains the issues about health status and opportunities for the health of girl-children world-wide, which includes sex and gender disparities. Girl and women’s health is important, but just not as important as men’s health. Woods gives example of women’s health issues that are extremely serious. “Health issues or problems that occur predominantly in women are breast cancer and menopause” (Woods 2009, pg. 400). Women all over the world have the risk of getting breast cancer, HIV and Aids. Women that are affected by these diseases in some countries may

There are many different reasons why health inequalities exist due to many factors one extremely important one is social class. Socio-economic inequalities have been researched in the UK for many years. In the early 20th century the government started an occupational census which gave the researchers the opportunity to examine health outcomes of social class. The five class scheme was introduced in 1911 and a variation has been used since. In 2001 the National Statistics Socio Economic Classification replaced the older version. Social class is a name used to identify people who are similar in their income

Every typical high school student is required to take math, science, and English courses to graduate to gain a sufficient amount of skills to go off to college and the big world that lies ahead; but college level classes held at a medical center taught by doctors, nurses and other healthcare professionals is anything but ordinary.

Lifestyle choices such as smoking, drinking alcohol, poor diet and lack of physical exercise have many diseases associated with them. In 2006-07, patients with these diseases cost the NHS a combined total of £18.4bn (Scarborough et al. 2011). If the NHS limited treatment to these groups of people, it would be able to invest this money into other areas of need. This could lead to improved facilities for people who become ill through no fault of their own.

Health inequalities are preventable and unjust differences in health status experienced by certain population groups. People in lower socio-economic groups are more likely to experience health inequalities than people in higher socio-economic classes. Health inequalities are not only found between people of different

classes are perhaps not as clear as they used to be. But it is just as

For a better understanding of the policies, it is necessary to define the term health inequality. The term health inequality is defined as a differences in health status or the differences among the different populations (WHO, 2015). The purpose of a policy to address health inequality is to reduce the gaps in the differences that arises due to race, gender, and ethnicity (Healthy people, 2015). For example, health policies help to promote healthy behavior and ban cigarette and tobacco advertisements (WHO, 2015). There are policies that do not focus on such practices and thus they do not impact the people (WHO, 2015). Furthermore, creating a policy helps people to meet the goals of reducing health disparity (WHO, 2015). There has been a national level policy named “Saving Lives: Our Healthier Nation”, which aims to improve health for the population in England (WHO, 2015). By implementing

Inequalities in health still exist and are mainly blamed on the stratification system in the UK. The Black Report suggested there were 4 main reasons for this:

This essay will be discussing the extent to which social class and poverty affects health and illness. Firstly, what is social class? Each person’s perception of social class can be different; is social class defined by a person’s accent, the area they live in, or something as simple as their income? Project Britain describes social class as “The grouping of people by occupations and lifestyle”. (Cress, 2014). To find social class Sociologists group people according to common factors, they compare people and various criteria can be conveniently used to place people in social groups or classes. Next we ask the question what determines a person’s health, the NHS defines health as “Physical and mental, it is the absence of disease”. (NHS 2017).

This paper discusses the ideas presented by Richard Wilkinson, in the video How economic inequality harms societies (2011). Three compelling concepts arise from the video which are that there was no longer a correlation between gross national income and health and social problems; it is also possible to attain greater equality as evidenced by what some countries are doing to reduce the income gap; and inequalities vary based on their health impact across the social gradient but nonetheless is present from top to bottom. In order to tackle the health problems and improve the health of individuals within societies, social justice actions geared at the inequalities seen in the healthcare system and other institutions are crucial. This paper also

Rowlingson (2011) agrees with Wilkinson and Pickett that there is indeed a strong correlation between income and health and social problems. In her report she includes the ‘Marmot Review’ (Marmot, 2010) which shows evidence that people living in England in the poorest areas compared to those living in the richest will, on average, die 7 years earlier. This suggests a clear link between class and health. The report further notes other additional factors, such as infant mortality, and mental and physical well being go hand in hand with inequality.