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Health InequalitiesTargets: Priorities & Planning Framework. NHS relevant targets on Reducing Health Inequalities for PCTs in Priorities and Planning Framework 2003-6 (PPF DH 2002) The PSA target on life expectancy and infant mortality (Public Service Agreement) in Appendix A
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Health InequalitiesTargets: Priorities & Planning Framework • NHS relevant targets on Reducing Health Inequalities for PCTs in Priorities and Planning Framework 2003-6 (PPF DH 2002) • The PSA target on life expectancy and infant mortality (Public Service Agreement) in Appendix A • Specific Targets under Reducing Inequalities in Appendix B • LDP targets on health inequalities reflect the PPF targets
Health InequalitiesTargets: Priorities & Planning Framework • The PSA target (Appendix A of PPF) • By 2010 to reduce inequalities in health outcomes by 10 per cent as measured by infant mortality and life expectancy at birth. (PPF 2002: Priorities & Planning Framework) • Underpinned by 2 more detailed objectives: • Infant mortality (deaths in the first year of life) • Starting with children under one year, by 2010 to reduce by at least 10 per cent the gap in mortality between routine and manual groups and the population as a whole. • Expectation of life • Starting with local authorities, by 2010 to reduce by at least 10% the gap between the fifth of areas with the lowest life expectancy at birth and the population as a whole.
Health InequalitiesTargets: Priorities & Planning Framework • The Health Inequalities targets (Appendix B of PPF) • There are some other public health relevant targets in App B of PPF: in areas like Cancer: 4 week quitters via smoking cessation, breast screening in women aged 65-70
Inequalities targets: wider determinants of health • PCTs required to work in partnership with and agree a single set of local priorities with LAs and other partners to tackle the wider determinants of health • Many local authorities have Public Service Agreement targets for reducing inequalities in determinants of health • PCTs will lead on tackling inequalities locally, and will be the key link with LSPs, which will increasingly co-ordinate local efforts to address the root causes of ill health
Other National Inequalities Targets • Saving Lives: Our Healthier Nation • Targets for Death rates Circulatory disease, Cancer, Accidents, Suicides • Accidents serious injuries • Other government departments have targets whose fulfilment would reduce health inequalities • Dept for Transport: Adult and child accidents • Home Office: Crime reduction etc • Tackling Health Inequalities: Programme for Action, DH 2003 includes 12 headline indicators • No. of primary care professionals per 100000 population • Road accident casualties in disadvantaged communities etc • Also reinforces the need for a local basket of inequalities indicators (LBOI) • CHI Star Performance ratings for PCTs for 2003/04 have a number of health inequalities targets: • Health Equity Audit • Death rates from Cancer, CHD etc