Ways to make the NHS – and all of us – more healthy | Letters

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Ways to make the NHS – and all of us – more healthy | Letters

Medicalising problems chiefly caused by health inequalities is not a long-term solution, says Emeritus Professor David J Hunter. Plus letters from Jennifer Marshall, Amanda Baker and Chris Clough

Re the article by Wes Streeting (I love the NHS: it saved my life, but the operation to rescue it must be led by the people and its staff, 21 October), the government’s health plan must devote serious attention to the public’s health. Focusing on individual lifestyle behaviour change because it’s the easier option will not result in sufficient progress in tackling preventable illnesses such as obesity. Nor is prescribing more weight-loss drugs the answer. Medicalising problems chiefly caused by health inequalities is not a long-term solution. Only by tackling the causes of much avoidable ill-health at source will sufficient and lasting progress be made. This means getting a grip on the commercial determinants of health, thus reducing the demand for addictive, ultra-processed foods.

As part of this crusade, attention needs to be given to the public health function, nationally and locally. It has been eviscerated by the previous government, as noted by the recent Darzi review. Restoring the funding cuts to local government and to public health is an urgent first step. The organisation of the public health function nationally also needs attention having been seriously weakened by the sudden abolition of Public Health England in 2021. The Office for Health Improvement and Disparities should be replaced with a more visible and independent body. The government could look to Wales and Scotland for models. Without a strong public health function, independent of government and able to speak truth to power, progress risks being desultory.

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Three local NHS CEOs join NHS England as directors

Three local NHS CEOs join NHS England as directors
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Two integrated care board chief executives and a trust CEO have been appointed as part-time national directors at NHS England.

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by Health Service Journal

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NHS privatisation and PFI - what Lord Darzi’s review missed

NHS restricting access to obesity services across England, BMJ finds

NHS restricting access to obesity services across England, BMJ finds

<p>Budget cuts to local services fell disproportionately on care for obese patients, leading to ‘postcode lottery’</p><p>The NHS is restricting access to obesity services across England, leading to patients in nearly half the country being unable to book appointments with specialist teams for support and treatments such as weight-loss jabs.</p><p>An investigation by the British Medical Journal found budget cuts to local services fell disproportionately on obesity care, with patients living with the condition often deemed less worthy of care than others.</p> <a href="NHS restricting access to obesity services across England, BMJ finds">Continue reading...</a>

Budget cuts to local services fell disproportionately on care for obese patients, leading to ‘postcode lottery’

The NHS is restricting access to obesity services across England, leading to patients in nearly half the country being unable to book appointments with specialist teams for support and treatments such as weight-loss jabs.

An investigation by the British Medical Journal found budget cuts to local services fell disproportionately on obesity care, with patients living with the condition often deemed less worthy of care than others.

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By Ian Sample Science editor

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