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Determinants Health In All Policies Public Health

Folk don’t cycle because it’s too hilly

Oft heard myth. It’s wrong. Here’s why Found it Not quite as neat a graph as I’d hoped for but still good one see this report on Govt take on cycle stats. p14 is the business end. key points: ·         No relationship between walking and topography (when looking at extremes of elevation) – slight neg […]

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Determinants Health In All Policies Inequality Public Health

Why is there a 20 year gap in healthy life expectancy between best and worst in 2018.

In case I need to remind you there is a giant gap in Healthy Life Expectancy. This is most often expressed in geographic terms, it’s equally important to remember the gap expressed in terms of poor outcomes for those with mental illness, a physical or learning disability. This blog from ONS highlighted the stalling population […]

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Determinants Health In All Policies Public Health

transport / health ROI toolkit

Transport Economics is a tricky business Car dependency needs addressing. Sitting is the new scourge etc. More and more stakeholders are interested in the health impact of policy and strategy decisions across all government depts, and beyond – so called Health in all Policies. This is true in the transport sector. Folklore says the standard […]

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Health In All Policies Public Health

Fast food zoning Policies. A note on the evidence base

There’s a lack of causal evidence linking proximity to fast food establishments (or put another way – concentration) and obesity. So we shouldn’t implement a policy restricting new venues opening So say many – industry (I’ve argued – successfully – with McDonald’s on this), doubtless the IEA, some elected councillors (coming from a range of […]

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Determinants Health In All Policies Public Health

Adverse Childhood Experiences – what does a whole town approach look liked

If you do nothing else watch this 10 minute video. It eruditely describes what ACEs are, why they are important, Adversity in Childhood (ACE) is not uncommon, in fact it is common. Studies from a number of places over the years, in many different parts of the world, are consistently highlighting that the prevalence of […]

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Determinants Health In All Policies Inequality

guide to medical conditions that are most sensitive to social determinants of health

Is there a straightforward guide to medical conditions that are most sensitive to social determinants of health Was asked this q a few months ago, did a quick tweet by answer. With promise to follow up Thanks to @mellojonny who prompted the q. He then gave me a list of eg of how we medicalise […]

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Determinants Health In All Policies

Housing & health. Starter kit

I still know relatively little about the housing sector. I do know it’s a huge area for health improvement and increasing efficiency in the health and social care sector. This blog builds on earlier one and sets out a few thoughts. I’d welcome input of those who know what they’re doing in this space to […]

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Determinants Health and Social Care Health In All Policies population health Uncategorized

The flat of the curve. Do you want more health, or health care.

Spoiler alert – If you want more health spend less on heath care and more on upstream interventions. Controversial, and I’d expect grief for this one. I once wondered whether the proportion of health outcomes that are attributable to care mattered. I once thought it didn’t. I thought about it and concluded it did. Here’s […]

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Determinants Health In All Policies

Health in All policies, why it matters to local government

I’ve written a little bit on Health In all Policies. A Previous blog on my 2017 DPH report explored the drivers of the population health problem and why it matters. Many, including me, drone on about health in all policies. Executing the rhetoric is hard. The key issue as it I see it is that […]

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Determinants Health In All Policies Prevention

Planning and healthy cities. Volume 2

Caveat I cant speak the language of planning. Nor to I have anything like anything other than a rudimentary understanding of the systems or the law in this space. Here are some cliff notes on why planning is so very important for our health. “Health” people (aka NHS or indeed public health professionals aren’t the […]