Inequalities in health care


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Inequalities in health care

  1. 1. Geographical inequalities in health across the UK
  2. 3. Geographical Inequalities The Widening Gap <ul><li>This report was published (1999) by the Townsend Centre for International Poverty Research. </li></ul><ul><li>The study was carried out by Bristol University into health inequalities. </li></ul><ul><li>Contributors included doctors, geographers and experts on government policy. </li></ul><ul><li>They studied the statistics (health rates, education, earnings, unemployment and life expectancy) in all the constituencies in the UK and produced a league table in terms of wealth and health. </li></ul>Daily Record ‘’ Shock report reveals the poorest places in Britain are all in Scotland’’
  3. 4. Geographical Inequalities The Widening Gap <ul><li>Findings </li></ul><ul><li>They confirmed that evidence showed there was a north-south divide in health. </li></ul><ul><li>That this gap was widening. </li></ul><ul><li>That the six worst health areas in the UK were in Glasgow. </li></ul><ul><li>And that the main cause was poverty. </li></ul>
  4. 5. Geographical Findings The Widening Gap <ul><li>Findings </li></ul><ul><li>The Report identified that geographical inequalities in ill health existed in the UK on national and regional levels. </li></ul><ul><li>A north-south divide exists in terms of the wealth and health of the people. </li></ul><ul><li>The poorest places in the UK were in Scotland. </li></ul><ul><li>The worst six areas in terms of wealth and health were in Glasgow. </li></ul><ul><li>A causal link existed between poverty and ill health. </li></ul>
  5. 6. Geographical Inequalities Page 34, UK Social Issues ISBN 0 948766 62X The Widening Gap
  6. 7. Evidence of Inequalities Regional Scale (BBC News 2 December 1999) Worst Health 54% 195 180 Glasgow Baillieston 27% 100 100 UK 58% 189 173 Manchester Central 51% 176 181 Glasgow Anniesland 52% 173 187 Glasgow Pollock 63% 188 196 Glasgow Maryhill 60% 202 217 Glasgow Springburn 59% 208 234 Glasgow Shettleston Children in poverty Infant mortality rates Death rates (SMR <65)
  7. 8. Evidence of Inequalities Regional Scale (BBC News 2 December 1999) Best Health 11% 50 70 Northavon 27% 100 100 UK 11% 57 71 Buckingham 15% 57 69 South Norfolk 13% 60 66 South Cambridgeshire 12% 58 65 Romsey 12% 60 65 Woodspring 5% 51 65 Wokingham Children in poverty Infant mortality rates Death rates (SMR <65)
  8. 9. Geographical Inequalities The Widening Gap <ul><li>Findings </li></ul><ul><li>Children living in the worst households were twice as likely to die in infancy as their peers in wealthy areas in the SE of England. </li></ul><ul><li>At school they were 1.5 times more likely to fail exams and 3.6 times more likely to fail to get a job when they left. Those who did get jobs earned 25% less. </li></ul>
  9. 10. Glasgow / Edinburgh <ul><li>Their findings not only identified a north-south divide but also differences between cities. </li></ul><ul><li>Together, Glasgow and Edinburgh produced more than 52% of Scotland’s GDP in 1999. </li></ul><ul><li>But GDP per capita for Edinburgh was 33% higher than that for Glasgow - in other words, average incomes in Edinburgh are higher. </li></ul><ul><li>This reflects an era of high unemployment in Glasgow during the ’70s and ’80s and although the situation has much improved in Glasgow, it has left an accumulated legacy of poverty, social exclusion and ill health. </li></ul><ul><li>On average, people in Edinburgh live 4 years longer than people in Glasgow. </li></ul>Edinburgh: 18% of GDP Glasgow: 34% of GDP
  10. 11. The Widening Gap (1999) Regional Difference <ul><li>The Report identified the worst 6 areas in terms of ill health as being in Glasgow. </li></ul><ul><ul><li>The areas included: Shettleston, Springburn, Maryhill, Pollock, Anniesland, Baillieston and Govan. </li></ul></ul><ul><li>Glasgow had Scotland’s </li></ul><ul><ul><li>highest infant mortality rate of 103/1000 </li></ul></ul><ul><ul><li>34% of people live in poverty </li></ul></ul><ul><ul><li>18.5% of men are unemployed, 13% chronically sick </li></ul></ul><ul><ul><li>in one year, 181 people will have died under the age of 65, 63% of these deaths could have been avoided. </li></ul></ul>Glasgow
  11. 12. The Report also highlighted the huge gap in the health of people living in the poorest areas and wealthiest areas of Glasgow. Drumchapel Bearsden
  12. 13. Two babies born one mile apart <ul><li>One in Drumchapel and the other in Kelvinside. The baby born in Drumchapel will most likely be: </li></ul><ul><ul><li>born underweight </li></ul></ul><ul><ul><li>live ten years less </li></ul></ul><ul><ul><li>twice as likely to die before its first birthday </li></ul></ul><ul><ul><li>three times more likely to die of heart disease or bronchitis </li></ul></ul><ul><ul><li>three times more likely to die of breast cancer </li></ul></ul><ul><ul><li>twice as likely to die of lung cancer </li></ul></ul><ul><ul><li>four times more likely to suffer from a psychiatric disorder </li></ul></ul><ul><ul><li>2.5 times more likely to die before 65. </li></ul></ul>Drumchapel Kelvinside
  13. 14. Recommendation <ul><li>The publication of The Widening Gap led to immediate calls for urgent action to ease the problems of poverty in Glasgow and this resulted in an increased allocation of funding to Glasgow, especially the most deprived areas. </li></ul><ul><li>The Report concluded that ‘’the government would not be able to reduce inequalities across the UK unless it tackled poverty through the redistribution of income and wealth’’. </li></ul>