Health inequality gap

Never-Mind-The-Gap-Managing-Debt-Still-A-Priority.“The biggest cause of death in all deprivation bands is circulatory disease and this also shows the biggest inequality gap. The second highest inequality gap is in respiratory disease. The third largest inequality gap is in all cancers” informs the Harrow Clinical Commissioning Group (HCCG)..
The prevalence of hypertension, stroke, coronary heart disease and diabetes is greater in Asian groups at younger ages and lower BMIs (body mass index).
The CCG asserts that if mortality rates from Coronary Heart Disease in the most deprived parts of Harrow were to reduce to the rate seen in the most affluent, life expectancy would increase by over a year in males and over 9 months in females.
Most multiple deprivation is in the centre of the Borough, with pockets of deprivation in the south east and Harrow’s least deprived areas are in the west of the borough – a sort of Labour and Tory wards situation.
The CCG believes that culturally appropriate services need to be considered for children’s services and older adults services in the future. It would like to ensure that providers of commissioned services undertake regular surveys of patient experience, identifying inequalities of access and experience as part of their contractual requirements.
The group says that the success of its work will be guided and measured by the Harrow Health and Wellbeing Board (HWB).
Easy said, than done.
While it is likely that the Care Quality Commission could help in standardising the work of the health and care providers which would ease the coordination of multiple provisions from a number of streams, at present an effective coordination in multi-agency settings is very challenging and a key factor in not narrowing the inequality gap.
What is further challenging are the difficulties in ensuring full transparency in commissioning and that the Harrow council is pre-occupied with regeneration, management restructuring and money saving.
We wonder why health and care agencies and providers have not formed a formal partnership, modelling the successful Harrow School Improvement Partnership (HSIP).