Leading article
Take it with a pillar of salt or "ambitious but achievable targets"
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Introduction |
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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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