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Archives of Disease in Childhood 2000;82:278-279; doi:10.1136/adc.82.4.278
Copyright © 2000 BMJ Publishing Group Ltd & Royal College of Paediatrics and Child Health.
Arch Dis Child 2000;82:278-279 ( April )

Leading article

Take it with a pillar of salt or "ambitious but achievable targets"

The first 150 words of the full text of this article appear below.

    Introduction

The document Modernising health and social services---priority guidance outlines the policy for health and social services to 2002.1 It is divided into four sections entitled "Where are we heading?", "How we get there", "What needs to be done", and "How will it work?" It is hard to disagree with a wish list to reduce inequalities in health, especially where it is backed by £17.7bn extra for the NHS.

However, several important questions must be asked:

  • To what extent can health inequalities be influenced by health or social service interventions?

  • To what extent are the effects of disadvantage reversible by creating a more favourable climate in health and social services?

  • Are the timescales realistic in terms of generating necessary changes in training and local programmes?

  • Are generations rather than years the timescale to achieve fully some of the targets?

  • Will the inertia both in the services and in the behaviour . . . [Full text of this article]


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