creating a good public health country - hearts and minds into practice
TRANSCRIPT
“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
Ris
e in
ant
i-dep
ress
ant p
resc
riptio
nspe
r 100
,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
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 ReevesDr. Jasmine FledderjohannDr. Gregori Galofre-Vila*Dr. Rachel LoopstraDr. Paulo Serodio*
Dr. Amy ClairDr. Joana LimaDr. Veronica Toffalutti*Ms. Pepita Barlow*Mrs. Jane Greig
*- not shown