- Title Pages
- Dedication
- List of figures, tables and boxes
- Notes on contributors
- Acknowledgements
- Foreword
- Summary
- Introduction: Key sociopolitical changes affecting the health and wellbeing of people
-
Part I Health, social care and community wellbeing: Introduction -
1 Deaths of despair – causes and possible cures -
2 The role of English local authorities in addressing the social determinants of health: a public health perspective -
3 Health and social care systems -
4 Strictly come partnering: are health and wellbeing boards the answer? -
Part II The role of local authorities in promoting health and wellbeing in the community: Introduction -
5 Devolution and localism: metropolitan authorities -
6 A place-based approach to healthy, happy lives -
7 Inequalities in health and wellbeing across the UK: a local North-East perspective -
8 Cultural change and the evolution of community governance: a North‑West England perspective -
Part III Local authority commissioning: Introduction -
9 The changing landscape of local authority commissioning -
10 The power and value of relationships in local authorities’ and central government funding encouraging culture change -
11 The challenges facing local authorities in supporting children and families -
12 The cost of care if you don’t own your home -
13 The Human, Learning, Systems approach to commissioning in complexity -
Part IV The third sector: Introduction -
14 Commissioning and social determinants: evidence and opportunities -
15 Future generations: the role of community-based organisations in supporting young people -
16 The role of the third sector working with the hard and soft structures of public–private partnerships to promote individual health and reinvigorated, healthier communities -
17 Mutuality in the public, private and third sectors -
Part V Socio-economic political perspectives: Introduction -
18 From front-line defence to back‑foot retreat: the diminishment of local government’s role in social health outcomes -
19 Devolution and the health of Scottish housing policy -
20 Public health and local government in Wales: every policy a health policy – a collaborative agenda -
21 Steadying the swinging pendulum – how might we accommodate competing approaches to public service delivery? - Conclusion
- Appendix: COVID-19 timeline
- Further reading
- Index
The role of English local authorities in addressing the social determinants of health: a public health perspective
The role of English local authorities in addressing the social determinants of health: a public health perspective
- Chapter:
- (p.33) 2 The role of English local authorities in addressing the social determinants of health: a public health perspective
- Source:
- Local Authorities and the Social Determinants of Health
- Author(s):
Jeanelle de Gruchy
Jim McManus
- Publisher:
- Policy Press
This chapter examines the changing positioning of public health, moving between the National Health Service (NHS) and local government. The strategic movement, across both developed and developing countries, from concentrating health resources on communicable disease to a focus on non-communicable disease, is a response to modern epidemics of obesity, alcohol-related diseases, and the politics of health care. However, communicable diseases can still have major health, social, and economic impacts, as demonstrated by the potential pandemic caused by the rapid global of COVID-19 (Coronavirus). Clearly, austerity budgets have an effect on the health of particular segments of the population, with those people at the lower end of the social gradient being most affected by both quality of the environment and availability of health and social care. Public Health was incorporated into the NHS in 1974, and then, influenced by the Marmot Review (2010), it was returned to local authorities in 2013. Building on the 'science' of public health, public health professionals have been challenged to develop skills in the 'art' of public health that are required to influence policy change and systems leadership within their wider remit in local authorities.
Keywords: public health, National Health Service, local government, communicable diseases, non-communicable diseases, health care, austerity budgets, social care, local authorities, public health professionals
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- Title Pages
- Dedication
- List of figures, tables and boxes
- Notes on contributors
- Acknowledgements
- Foreword
- Summary
- Introduction: Key sociopolitical changes affecting the health and wellbeing of people
-
Part I Health, social care and community wellbeing: Introduction -
1 Deaths of despair – causes and possible cures -
2 The role of English local authorities in addressing the social determinants of health: a public health perspective -
3 Health and social care systems -
4 Strictly come partnering: are health and wellbeing boards the answer? -
Part II The role of local authorities in promoting health and wellbeing in the community: Introduction -
5 Devolution and localism: metropolitan authorities -
6 A place-based approach to healthy, happy lives -
7 Inequalities in health and wellbeing across the UK: a local North-East perspective -
8 Cultural change and the evolution of community governance: a North‑West England perspective -
Part III Local authority commissioning: Introduction -
9 The changing landscape of local authority commissioning -
10 The power and value of relationships in local authorities’ and central government funding encouraging culture change -
11 The challenges facing local authorities in supporting children and families -
12 The cost of care if you don’t own your home -
13 The Human, Learning, Systems approach to commissioning in complexity -
Part IV The third sector: Introduction -
14 Commissioning and social determinants: evidence and opportunities -
15 Future generations: the role of community-based organisations in supporting young people -
16 The role of the third sector working with the hard and soft structures of public–private partnerships to promote individual health and reinvigorated, healthier communities -
17 Mutuality in the public, private and third sectors -
Part V Socio-economic political perspectives: Introduction -
18 From front-line defence to back‑foot retreat: the diminishment of local government’s role in social health outcomes -
19 Devolution and the health of Scottish housing policy -
20 Public health and local government in Wales: every policy a health policy – a collaborative agenda -
21 Steadying the swinging pendulum – how might we accommodate competing approaches to public service delivery? - Conclusion
- Appendix: COVID-19 timeline
- Further reading
- Index
