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Claire Laurent (PHE)
Ben Toombs and Daniel Clay (TNS BMRB)
Starting a conversation
on health inequality
Why have a national conversation?
2 Starting a conversation on health inequality
Who did we talk to?
Hull
St Helens
Walsall
Newquay
London
(Hackney)
5
• 19 public health stakeholders
(DPHs, councillors and voluntary
sector representatives)
• 87 members of the public
across five locations
• 130 respondents to the mailbox
3 Starting a conversation on health inequality
The three biggest issues
4 Starting a conversation on health inequality
Broaching the topic of health inequality
5 Starting a conversation on health inequality
“It depends who you're asking and what circumstances
they're living in. Some will be aware that they are more
fortunate in their circumstances and that they're likely to
live longer, healthier lives than their counterparts. Others
living in more deprived and challenging circumstances
may not be so aware. It depends on your
opportunities to compare your own circumstances
and outcomes with others and they're not always
readily available for people to have a sense of.”
The final inequality
6 Starting a conversation on health inequality
Income
Public
services Housing
Health
Bringing health inequality to life
7 Starting a conversation on health inequality
Discussion Activities Information
Health inequality?
8 Starting a conversation on health inequality
Unequal access Discrimination
Health inequality?
9 Starting a conversation on health inequality
Unequal access Discrimination
It’s a personal and multi-faceted topic
10 Starting a conversation on health inequality
It’s a personal and multi-faceted topic
11 Starting a conversation on health inequality
It’s a personal and multi-faceted topic
12 Starting a conversation on health inequality
It’s a tough decision Advantaged
Disadvantaged
Will
re
ma
in h
ea
lth
y
W
ill r
em
ain
ve
ry s
ick
13 Starting a conversation on health inequality
Four people can be
moved to reflect priorities
for resource spend
It’s a tough decision
Equality in allocation
14 Starting a conversation on health inequality
Advantaged
Disadvantaged
Will
re
ma
in h
ea
lth
y
W
ill r
em
ain
ve
ry s
ick
It’s a tough decision
Equality of outcome
15 Starting a conversation on health inequality
Advantaged
Disadvantaged
Will
re
ma
in h
ea
lth
y
W
ill r
em
ain
ve
ry s
ick
It’s a tough decision
Priority to the
disadvantaged
16 Starting a conversation on health inequality
Advantaged
Disadvantaged
Will
re
ma
in h
ea
lth
y
W
ill r
em
ain
ve
ry s
ick
It’s a tough decision
Priority to the advantaged
17 Starting a conversation on health inequality
Advantaged
Disadvantaged
Will
re
ma
in h
ea
lth
y
W
ill r
em
ain
ve
ry s
ick
It’s a tough decision
Random allocation
18 Starting a conversation on health inequality
Advantaged
Disadvantaged
Will
re
ma
in h
ea
lth
y
W
ill r
em
ain
ve
ry s
ick
?
Coming out of the first workshops
19 Starting a conversation on health inequality
Not where
I live
What’s
the
link?
Coming out of the first workshops
20 Starting a conversation on health inequality
Not where
I live
What’s
the
link?
Changing the focus
21 Starting a conversation on health inequality
Connections Discussion Stakeholders
Clearer connections
22 Starting a conversation on health inequality
But, awareness and efficacy barriers
23 Starting a conversation on health inequality
Taking the conversation forward
24 Starting a conversation on health inequality
Taking the conversation forward
25 Starting a conversation on health inequality
Lessons learnt
26 Starting a conversation on health inequality
Leave health inequalities language and evidence
at the door
Allow for an open discussion
People need help to make connections between
health outcomes and wider determinants
People need to be inspired rather than educated
Stakeholders are key to the process
1
2
3
4
5
27 Starting a conversation on health inequality
28 Starting a conversation on health inequality
