SlideShare a Scribd company logo
“There is no Plan B”
- George Osborne
“There is no alternative”
- Olli Rehn
Real choices
Source: ONS 2014
Red = reduced spending Blue = increased spending
Document harms
Work Capability Assessments
per 100,000
Riseinanti-depressantprescriptions
per100,000
Source: Barr et al 2016
Speak up
• “not able to manage their finances” (Michael Gove,
Education Minister)
• “[Food bank use can] become a habit” (Paul Maynard,
Conservative MP)
• “food from a food bank is by definition a free good and
there’s almost infinite demand” (Lord Freud, Conservative
minister)
• “have more money to spend on alcohol, cigarettes” (Coun
Steward, Conservative councillor)
• Trussell Trust is “Scaremongering” (Iain Duncan Smith, Work
& Pensions minister)
the data
Source: Loopstra et al BMJ 2015
Not everyone agrees
• “leaps in where they had got
the facts and figures, and
they came to the conclusion
[we] wanted to come to”
• citing internal DWP report
‘Who is responsible for the UK
debt?’
Trade Unions
European Union
Banks
Labour Party
‘Who is responsible for the UK
debt?’
Trade Unions
European Union
Banks
Labour Party
10%
30%
55%
60%
Yes, economic debates too
“We underestimated
the negative effect of
austerity on
employment and
spending power”
Fiscal multiplier
assumed: 0.5
Actual multiplier: 1.7
investing in health
Source: Reeves et al 2013
Finding Solutions
“Despite our financial
and economic
anxieties, we are still
able to do the most
civilized thing in the
world – put the welfare
of the sick in front of
every other
consideration”
Aneurin Bevan, 1948
Our History
Total Debt in the UK
% of GDP
National Health Service
founded, 1948
Listen
Source: British Social Attitudes 2012
Twitter:
@davidstuckler
Email:
david.stuckler@
chch.ox.ac.uk
Appendix Slides
New New Deal
1. ‘First do no harm’
2. Help work return to people
3. Invest in the public’s health
Dr. Aaron Reeves
Dr. Jasmine Fledderjohann
Dr. Gregori Galofre-Vila*
Dr. Rachel Loopstra
Dr. Paulo Serodio*
Dr. Amy Clair
Dr. Joana Lima
Dr. Veronica Toffalutti*
Ms. Pepita Barlow*
Mrs. Jane Greig
*- not shown

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Creating a good public health country - hearts and minds into practice

  • 1.
  • 2.
  • 3.
  • 4.
  • 5.
  • 6. “There is no Plan B” - George Osborne “There is no alternative” - Olli Rehn
  • 7. Real choices Source: ONS 2014 Red = reduced spending Blue = increased spending
  • 8. Document harms Work Capability Assessments per 100,000 Riseinanti-depressantprescriptions per100,000 Source: Barr et al 2016
  • 9. Speak up • “not able to manage their finances” (Michael Gove, Education Minister) • “[Food bank use can] become a habit” (Paul Maynard, Conservative MP) • “food from a food bank is by definition a free good and there’s almost infinite demand” (Lord Freud, Conservative minister) • “have more money to spend on alcohol, cigarettes” (Coun Steward, Conservative councillor) • Trussell Trust is “Scaremongering” (Iain Duncan Smith, Work & Pensions minister)
  • 10. the data Source: Loopstra et al BMJ 2015
  • 11. Not everyone agrees • “leaps in where they had got the facts and figures, and they came to the conclusion [we] wanted to come to” • citing internal DWP report
  • 12. ‘Who is responsible for the UK debt?’ Trade Unions European Union Banks Labour Party
  • 13. ‘Who is responsible for the UK debt?’ Trade Unions European Union Banks Labour Party 10% 30% 55% 60%
  • 14. Yes, economic debates too “We underestimated the negative effect of austerity on employment and spending power” Fiscal multiplier assumed: 0.5 Actual multiplier: 1.7
  • 15. investing in health Source: Reeves et al 2013
  • 17. “Despite our financial and economic anxieties, we are still able to do the most civilized thing in the world – put the welfare of the sick in front of every other consideration” Aneurin Bevan, 1948 Our History
  • 18. Total Debt in the UK % of GDP National Health Service founded, 1948
  • 20.
  • 23. New New Deal 1. ‘First do no harm’ 2. Help work return to people 3. Invest in the public’s health
  • 24. Dr. Aaron Reeves Dr. Jasmine Fledderjohann Dr. Gregori Galofre-Vila* Dr. Rachel Loopstra Dr. Paulo Serodio* Dr. Amy Clair Dr. Joana Lima Dr. Veronica Toffalutti* Ms. Pepita Barlow* Mrs. Jane Greig *- not shown

Editor's Notes

  1. Portugal’s debt rose from 94 percent of GDP in 2010 to 129 percent in 2013 according to Eurostat data. Prime Minister Pedro Passos Coelho said that Portugal was only going to get out of its current predicament „by becoming poorer.‟
  2. Portugal’s debt rose from 94 percent of GDP in 2010 to 129 percent in 2013 according to Eurostat data. Prime Minister Pedro Passos Coelho said that Portugal was only going to get out of its current predicament „by becoming poorer.‟
  3. Portugal’s debt rose from 94 percent of GDP in 2010 to 129 percent in 2013 according to Eurostat data. Prime Minister Pedro Passos Coelho said that Portugal was only going to get out of its current predicament „by becoming poorer.‟
  4. Portugal’s debt rose from 94 percent of GDP in 2010 to 129 percent in 2013 according to Eurostat data. Prime Minister Pedro Passos Coelho said that Portugal was only going to get out of its current predicament „by becoming poorer.‟
  5. Portugal’s debt rose from 94 percent of GDP in 2010 to 129 percent in 2013 according to Eurostat data. Prime Minister Pedro Passos Coelho said that Portugal was only going to get out of its current predicament „by becoming poorer.‟
  6. 85 billion austerity package – large cuts to family, disability, and unemployment support Certainly not the lower class – who are getting most severe budget cuts. – and with it see, predictably, rising homelessness
  7. 85 billion austerity package – large cuts to family, disability, and unemployment support Certainly not the lower class – who are getting most severe budget cuts. – and with it see, predictably, rising homelessness
  8. 85 billion austerity package – large cuts to family, disability, and unemployment support Certainly not the lower class – who are getting most severe budget cuts. – and with it see, predictably, rising homelessness
  9. 85 billion austerity package – large cuts to family, disability, and unemployment support Certainly not the lower class – who are getting most severe budget cuts. – and with it see, predictably, rising homelessness
  10. 85 billion austerity package – large cuts to family, disability, and unemployment support Certainly not the lower class – who are getting most severe budget cuts. – and with it see, predictably, rising homelessness
  11. 85 billion austerity package – large cuts to family, disability, and unemployment support Certainly not the lower class – who are getting most severe budget cuts. – and with it see, predictably, rising homelessness
  12. 85 billion austerity package – large cuts to family, disability, and unemployment support Certainly not the lower class – who are getting most severe budget cuts. – and with it see, predictably, rising homelessness
  13. It goes back to the great depression too – where stimulus was used to pour out pork to business – all but the little pig at the back, ‘the rest of us’. The real winners of these changes are the rich – who never wanted to pay into a welfare system they don’t use, and are now ‘plucking off the family jewels’ – privatising the british welfare system, by carving out the middle class. As here Richard Branson’s Virgin Care, has already taken a lead in – no pun in intended – reproductive health services. It matters for all of us. Here we are in public health, picking up the pieces after all social supports have failed. The least we can begin to do is document the stories of untold suffering. Our studies took little to do but our time. As the voices of public health in Europe, if we don’t speak up, who will?
  14. It goes back to the great depression too – where stimulus was used to pour out pork to business – all but the little pig at the back, ‘the rest of us’. The real winners of these changes are the rich – who never wanted to pay into a welfare system they don’t use, and are now ‘plucking off the family jewels’ – privatising the british welfare system, by carving out the middle class. As here Richard Branson’s Virgin Care, has already taken a lead in – no pun in intended – reproductive health services. It matters for all of us. Here we are in public health, picking up the pieces after all social supports have failed. The least we can begin to do is document the stories of untold suffering. Our studies took little to do but our time. As the voices of public health in Europe, if we don’t speak up, who will?
  15. 85 billion austerity package – large cuts to family, disability, and unemployment support Certainly not the lower class – who are getting most severe budget cuts. – and with it see, predictably, rising homelessness