Proposal to conceptually integrate social determinants of health research and capabilities approach to development and social justice.

Lead Research Organisation: University College London
Department Name: Epidemiology and Public Health

Abstract

Abstracts are not currently available in GtR for all funded research. This is normally because the abstract was not required at the time of proposal submission, but may be because it included sensitive information such as personal details.

Publications

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Allen J (2014) Social determinants of mental health. in International review of psychiatry (Abingdon, England)

 
Description 'Fair Society Healthy Lives' (The Marmot Review)
Geographic Reach Multiple continents/international 
Policy Influence Type Gave evidence to a government review
Impact In November 2008, Professor Sir Michael Marmot was asked by the then Secretary of State for Health to chair an independent review to propose the most effective evidence-based strategies for reducing health inequalities in England from 2010. The final report, 'Fair Society Healthy Lives', was published in February 2010, and concluded that reducing health inequalities would require action on six policy objectives: 1. Give every child the best start in life 2. Enable all children, young people and adults to maximise their capabilities and have control over their lives 3. Create fair employment and good work for all 4. Ensure healthy standard of living for all 5. Create and develop healthy and sustainable places and communities 6. Strengthen the role and impact of ill-health prevention. The executive summary and framework of indicators are available above. Some other documents are also available: - Key Messages of 'Fair Society Healthy Lives' - Task Group Reports - Presentations and the graphs from the full report - Summary of Views from the consultation - Background paper: a report of the qualitative findings from focus groups with deprived groups - Economic Costs: i. economic analysis ii. economic benefits of health inequality reduction iii. overall costs of health inequalities To mark one year since the publication of 'Fair Society Healthy Lives', the Marmot Review Team and the London Health Observatory produced baseline figures for some key indicators of the social determinants of health, health outcomes and social inequality that correspond, as closely as is currently possible, to the indicators proposed in Fair Society, Healthy Lives. There is more information available here. By The Marmot Review Team Feb 2010
 
Description Addressing the social determinants of health: the urban dimension and the role of local government
Geographic Reach Multiple continents/international 
Policy Influence Type Gave evidence to a government review
Impact This report explores the priority issues, the evidence base and future policy direction needed to address the social determinants of health in the urban context, with particular reference to the role of local government. Chapter 2 sets out evidence on the social determinants of health and the built environment and Chapter 3 provides examples of local government activity across the social gradient from several countries in the WHO European Region. It provides the background to Healthy cities tackle the social determinants of inequities in health: a framework for action for the members of the Network of European Healthy Cities Networks and the members of the WHO European Healthy Cities Network, which are committed to delivering the overarching goal of Phase V (2009-2013) of health and health equity in all local policies. This report and the framework for action were formally presented in three seminars at the 2010 Annual Integrated Business and Technical Conference of the WHO European Healthy Cities Network and the Network of European Healthy Cities Networks in Sandnes, Norway in June 2010 as part of a wide consultation process. This report also links with and will feed into the European review of the social determinants of health and the health divide commissioned by the WHO Regional Office for Europe in 2010, which will produce a consultation report in June 2011 and a final report and recommendations in 2012. By Mike Grady Jun 2011
 
Description An Equal Start: Improving outcomes in Children's Centres
Geographic Reach National 
Policy Influence Type Gave evidence to a government review
Impact The Institute of Health Equity was commissioned by 4Children to identify the most important outcomes Children's Centres should be striving for in order to give all children positive early-years experiences. The IHE have published both an executive summary (which includes the outcomes framework), and a full evidence review, which call for a renewed focus on supporting good parenting and the environment in which parents live and work. The work builds on existing frameworks and draws together the best available evidence of what is important in early years, the views of practitioners and parents, and the work that government continues to take forward around the early years. Moving on, the Institute will be involved in further work with Children's Centres to help ensure that the outcomes framework becomes a useful tool which also identifies how best to measures these outcomes. Both documents are available to download in pdf form above. The press release is available here. By Institute of Health Equity Jul 2012
 
Description Barts and the London NHS Trust - Health Promoting Hospitals Strategy
Geographic Reach Local/Municipal/Regional 
Policy Influence Type Influenced training of practitioners or researchers
Impact Three major reviews in recent years - Carol Black's review of the health of Britain's working age population, Working for a Healthier Tomorrow (2008), the Boorman Review of NHS Health & Well-being (2009) and Fair Society, Healthy Lives (2010) - have advocated a new approach to well-being through health strategies at work. The Marmot Review Team was commissioned by Barts and The London NHS Trust (BLT) to draw up a strategy for actions to improve the health and well-being of their workforce. The NHS is the largest employer in the country, so it is crucial that each Trust acts as a model employer and takes the lead in health promotion. This will only happen by first engaging staff and then engaging with the wider community. BLT is taking forward and leading the agenda as one of the first NHS Trusts to set out to implement the recent reviews' recommendations. By Institute of Health Equity, Bartls and the London Trust Feb 2011
 
Description Built Environment - Marmot Review Task Group Report
Geographic Reach Multiple continents/international 
Policy Influence Type Gave evidence to a government review
Impact As part of the 'Fair Society Healthy Lives' (Marmot Review) research, a number of expert Task Groups were set up to provide evidence and preliminary policy proposals in key areas of interest for the Review. The 'Built Environment' Task group was made up of Anne Power (Chair), Jonathan Davis, Tord Kjellstrom, and Paul Plant. They developed their understanding of area and health inequality under five main themes: • Open and Green Spaces • Housing Conditions, Fuel poverty and Inequality • Safety and Security on Streets; Anti Social Behaviour • Density, Noise, Traffic, 'Urban Stress' • Public Health (including violent incidents)
 
Description Chair, International Advisory Board, Cancer Research UK/Bupa Foundation Cancer Prevention Initiative
Geographic Reach National 
Policy Influence Type Participation in a advisory committee
 
Description Commission on Social Determinants of Health
Geographic Reach Multiple continents/international 
Policy Influence Type Gave evidence to a government review
Impact The Commission on Social Determinants of Health (CSDH) was established to support countries and global health partners to address the social factors leading to ill health and inequities. It drew the attention of society to the social determinants of health that are known to be among the worst causes of poor health and inequalities between and within countries. Overarching recommendations of the Commission: 1. Improve daily living conditions 2. Tackle the inequitable distribution of power, money, and resources 3. Measure and understand the problem and assess the impact of action Final report of the Commission The Final Report of the Commmission - 'closing the gap in a generation', was published in 2008. "This ends the debate decisively. Health care is an important determinant of health. Lifestyles are important determinants of health. But... it is factors in the social environment that determine access to health services and influence lifestyle choices in the first place." Director-General Dr Margaret Chan, at the launch of the final report of the CSDH. The Report, Executive Summaries, backgrounders, stories and multimedia By WHO; chaired by Michael Marmot Feb 2008
 
Description Delivery Systems and Mechanisms Task Group Report
Geographic Reach Multiple continents/international 
Policy Influence Type Gave evidence to a government review
Impact As part of the 'Fair Society Healthy Lives' (Marmot Review) research, a number of expert Task Groups were set up to provide evidence and preliminary policy proposals in key areas of interest for the Review. The Delivery Systems and Mechanisms Task Group consisted of Margaret Whitehead, Tim Doran, Mark Exworthy, Sue Richards and Don Matheson, and was set the task "To assess new and under-exploited evidence on the most effective structures and organisations for jointly delivering reductions in health inequalities. In particular, this will include an assessment of the roles of health services, governance arrangements, national policy organisations, government departments, local government and the third sector in reducing inequalities, in both social determinants and health outcomes". A full account of their findings and analysis can be found in the reports above.
 
Description EU Drivers report
Geographic Reach Europe 
Policy Influence Type Citation in clinical reviews
Impact Social gradients in health exist both between and within countries. This research proposal will build on the recommendations of the Commission on Social Determinants of Health (CSDH) and the Marmot Review of Health Inequalities, as well as on two European reviews commissioned by the EC and WHO Europe that are currently underway. It will focus on three of the key drivers to reduce health inequities: - early childhood development; - employment and the work environment; - income, welfare and social protection. The research will review evidence and the methods to assess the impact of policies and programmes in these three areas relating to health inequities, develop new methods and evidence, and provide policy recommendations and advocacy guidance. The three main objectives are: 1) identifying and filling key gaps in knowledge about policies driving these three social determinants, 2) analysing methods which have been applied to assess these effects, improving or developing new methods and applying and testing them in case studies across Europe. 3) assessing how the research findings are applicable to reallife situations and stakeholders, and providing advocacy guidance and policy recommendations to reduce health inequalities. The research will be undertaken by a consortium, co-ordinated by EuroHealthNet, and comprising UCL, Dusseldorf University and the Swedish Centre for Health Equity Studies in partnership with organisations representing the public health sector, civil society and business (EuroHealthNet, EAPN, Eurochild and BiTC). The project commences in January 2012 and finishes in 2014. By Eurohealthnet, Institute of Health Equity, Dusseldorf University and the Swedish Centre for Health Equity Studies Jan 2014
 
Description EU Progress
Geographic Reach Multiple continents/international 
Policy Influence Type Gave evidence to a government review
Impact The project is funded by the EU. It aims to explore the relationship between work, worklessness and social protection as social determinants of health inequalities, with an assets based approach. In particular the project will: • Raise awareness of health inequalities with those working at EU, MS and regional level working on the growth and development, anti-discrimination, and social protection agendas and their role in relation to health inequalities. • Identify effective practice in work, worklessness and social protection to help to address health inequalities. These findings will be disseminated through networks by EuroHealthNet. • Draw together the knowledge base on what works to tackle health inequalities, in areas such as work and health, back to work schemes and minimising the harmful effects of worklessness. • Contribute to the development of health inequalities strategies across Europe, making a timely contribution to the WHO European review on social determinants of health. The project is led by the Scottish Executive, managed by Health Action Partnership International (HAPI) and includes a number of partners across the EU, including WHO Euro and the Institute. The project runs until the end of 2012. By Institute of Health Equity, Scottish Executive, HAPI Dec 2012
 
Description EU Review
Geographic Reach Europe 
Policy Influence Type Citation in clinical reviews
Impact This review was commissioned by the European Commission (EC), with the aim of producing a comprehensive report on health inequalities and the actions being taken to combat them in the EU. The report will: i. document and review the health inequalities situation in the EU including recent trends. ii. document and review the policy response to health inequalities at EU, national and, where relevant, sub-national levels. iii. provide an analysis and commentary including implications and suggestions for possible future actions. The background to this review is the communication from the European Commission "Solidarity in health: reducing health inequalities in the EU". This recognised that while EU citizens live, on average, longer and healthier lives than previous generations, the EU is faced with an important challenge: the large gaps in health which exist between and within EU Member States. It points out there are indications that such gaps may be growing and that increased unemployment and uncertainty arising from the current economic crisis is further aggravating this situation. The communication launched the debate needed to define potential EU-level measures to support actions by Member States and other actors to address this issue. The Consortium comprises UCL, the Health Action Partnership International (HAPI), EuroHealthNet and the Association of Public Health Observatories (North East and London Public Health Observatories). The Consortium is led by Professor Sir Michael Marmot. The final report will be submitted in May 2012. By Institute of Health Equity, HAPI, Eurohealthnet and APHO May 2012
 
Description Early Years and Education Task Group Report
Geographic Reach Multiple continents/international 
Policy Influence Type Gave evidence to a government review
Impact As part of the 'Fair Society Healthy Lives' (Marmot Review) research, a number of expert Task Groups were set up to provide evidence and preliminary policy proposals in key areas of interest for the Review. The Early Years and Education Task Group consisted of Alan Dyson, Jane Tunstill, Helen Roberts, Clyde Hertzman and Ziba Vagheri. The report focuses on the ways in which children live, grow up and learn through their interactions with a wide range of interconnected environments - including the family, residential communities, relational communities, and the environment of child development services (such as the childcare centres or the schools that children attend). Each of these environments is situated in a broad socioeconomic context that is shaped by factors at the local, national, and global level.
 
Description Economics Task Group Report
Geographic Reach Multiple continents/international 
Policy Influence Type Gave evidence to a government review
Impact As part of the 'Fair Society Healthy Lives' (Marmot Review) research, a number of expert Task Groups were set up to provide evidence and preliminary policy proposals in key areas of interest for the Review. The Economics Task Group consisted of Peter C. Smith (Chair), John Appleby, Ronald Labonté and Marc Suhrcke, and their terms of reference were to "Examine the ways in which public expenditure and incentive mechanisms of all sorts may influence health inequalities, both directly and indirectly. Report on how policy initiatives might be evaluated and prioritized from a health inequality perspective, and give any specific examples of evaluation relevant to the UK." The summary task group is available to download above. The full report was divided into 4 parts: 1. Economic Framework 2. Early Child Development 3. Lone Parents 4. Active Labour Market By Economic Task Group Feb 2010
 
Description Employment and Work Task Group Report
Geographic Reach Multiple continents/international 
Policy Influence Type Gave evidence to a government review
Impact As part of the 'Fair Society Healthy Lives' (Marmot Review) research, a number of expert Task Groups were set up to provide evidence and preliminary policy proposals in key areas of interest for the Review. The Employment and Work Task Group consisted of Johannes Siegrist (chair), Joan Benach, Abigail McKnight and Peter Goldblatt in collaboration with Carles Muntaner. They proposed 5 main policy recommendations: 1. Increased job security 2. Enhanced participation at work 3. Promotion of control and reward at work 4. Reintegration of sick, disabled and unemployed people 5. Strengthened work-life balance. By Employment and Work Task Group Feb 2010
 
Description Employment and Work Task Group Report
Geographic Reach Multiple continents/international 
Policy Influence Type Gave evidence to a government review
Impact As part of the 'Fair Society Healthy Lives' (Marmot Review) research, a number of expert Task Groups were set up to provide evidence and preliminary policy proposals in key areas of interest for the Review. The Employment and Work Task Group consisted of Johannes Siegrist (chair), Joan Benach, Abigail McKnight and Peter Goldblatt in collaboration with Carles Muntaner. They proposed 5 main policy recommendations: 1. Increased job security 2. Enhanced participation at work 3. Promotion of control and reward at work 4. Reintegration of sick, disabled and unemployed people 5. Strengthened work-life balance. By Employment and Work Task Group Feb 2010
 
Description Healthy Places, Healthy Lives leaflet
Geographic Reach National 
Policy Influence Type Influenced training of practitioners or researchers
Impact We are currently offering support for the NHS Institute/ Department of Health programme working with early adopter sites and specifically seeking to address the recommendations made in Fair Society Healthy Lives ('The Marmot Review').
 
Description Indicators for Local Authorities in England
Geographic Reach National 
Policy Influence Type Gave evidence to a government review
Impact Fair Society, Healthy Lives was published in February 2010. The report included some suggested indicators to support monitoring of the overall strategic direction in reducing health inequalities. The London Health Observatory and the Institute have produced baseline figures for some key indicators of the social determinants of health, health outcomes and social inequality that correspond, as closely as is currently possible, to the indicators proposed in Fair Society, Healthy Lives. The indicators are listed below: • Male life expectancy • Female life expectancy • Slope index of inequality (SII) for male life expectancy • Slope index of inequality (SII) for female life expectancy • Slope index of inequality (SII) for male disability-free life expectancy • Slope index of inequality (SII) for female disability-free life expectancy • Children achieving a good level of development at age 5 • Young people who are not in education, employment or training (NEET) • People in households in receipt of means-tested benefits • Slope index of inequality for people in households in receipt of means-tested benefits The indicators were published in February 2011, and are available on the London Health Observatory website. There is also a press release which gives more details on the data. Revised and updated indicators will be published in 2012. On the 16th December 2011, the Public Health Observatories released updated health inequaliy indicators for all local authorities and primary care organisations in England. There is more information available on the Association of Public Health Observatories Website. By Institute of Health Equity Feb 2011
 
Description London Mayor's Health Inequality Strategy and other London Work
Geographic Reach Local/Municipal/Regional 
Policy Influence Type Influenced training of practitioners or researchers
Impact The Institute of Health Equity advised on the Mayor's Health Inequality Strategy, and also: - Provided expert advice to the GLA and regional Public Health Group on promoting early years development. - Provided expert advice to the GLA and RPHG on enabling Londoners to reduce alcohol related harm. - Provided expert advice to the GLA on work to define a living income for Londoners not in paid work and identify what constitutes a healthy household income in London. - Provided input into the development of an indicator set for London health inequalities and social determinants of health. - Provided input into the design and delivery of the London Health Council with a focus on health inequalities.
 
Description MSc Epidemiology Course - E Brunner
Geographic Reach Multiple continents/international 
Policy Influence Type Influenced training of practitioners or researchers
Impact Attacted 24 students to Social Epidemiology course, 17 ow which are international. Many of our graduates move on to doctoral studies at UCL, using Whitehall II data e.g. Peijue Huang Fu 2010-2013 Whitehall II and Hapiee Studies
 
Description Marmot Review Task Group Reports
Geographic Reach Multiple continents/international 
Policy Influence Type Gave evidence to a government review
Impact In February 2010, we published the Marmot Review - 'Fair Society Healthy Lives'. This was based, in large part, on commissioned task group reports in several key areas. These were: - The Built Environment - Delivery Systems and Mechanisms - Early Years and Education - Economics - Employment and Work - Priority Public Health Conditions - Social Inclusion and Social Mobility - Social Protection - Sustainable Development By The Marmot Review Feb 2010
 
Description Marmot Review Working Committee 2 Reports
Geographic Reach National 
Policy Influence Type Gave evidence to a government review
Impact As part of the preparatory work for The Marmot Review (Fair Society, Healthy Lives), the Marmot Review Team commissioned a series of reports to identify new targets for imporving health equity and the metrics needed to monitor progress both in the short and long term. The products were: Evaluating narrowing the gradient Framework for developing targets and monitoring Health inequality targets checklist of questions and issues Initial thoughts on targets and indicators Lessons to be learned based on the current PSA target Technical issues in measuring and monitoring targets By The Marmot Review Jun 2009
 
Description NICE Spatial Planning and Health
Geographic Reach National 
Policy Influence Type Gave evidence to a government review
Impact The Marmot Review Team prepared a paper for The National Institute for Health and Clinical Excellence (NICE) on their Spatial Planning for Health Project - further information is available on the NICE website. The aim of the paper was to present further analysis of evidence on health and the built environment, sustainable development and spatial planning which was outlined in the Marmot Review and associated evidence papers. The objective of the paper was to provide information and material that helps identify the opportunities for further integrating health considerations within the spatial planning process and to highlight resources for practitioners (architects, urban designers, planners, public health practitioners, NHS bodies and local authorities) working to implement the guidance. The paper: * Provides evidence about the relationships between health and spatial design, and the socio-economic gradient in environmental disadvantage. * Outlines the Marmot Review policy recommendations for the built environment and the evidence and analysis behind these proposals. * Proposes good design principles for promoting both physical and mental health and well-being within communities. * Gives examples of best practice in addressing health inequalities through spatial planning and matrices to develop best practice interventions. * Includes a review of available resources and tools to assess the health and equity needs of an area and the impact of developments and regeneration projects on health equity (both pre- and post- implementation). The guidance has been discontinued by NICE but has been taken forward by others, for example: * The spatial planning and health group. * The Town and Country Planning Association (TCPA) which has used the report to inform their recent publication 'Reuniting health with planning: healthier homes, healthier communities'. The Institute of Health Equity sat on the steering group for this project - further project information, the report, supplementary resources and a list of regional seminars is available from the TCPA web site * The report also continues to be disseminated via reactive requests for example at the Commonwealth Foundation and Greenspace Conference. By Institute of Health Equity Aug 2012
 
Description Non-Communicable Disease Monitoring
Geographic Reach Multiple continents/international 
Policy Influence Type Gave evidence to a government review
Impact The aim of this project for WHO is to identify targets and indicators, based on a social determinants of health measurement framework, to monitor progress on addressing the level and distribution of non-communicable diseases (NCDs) in high, middle and low income countries across the world. The project will feed into the preparation of recommendations for a set of voluntary global targets for the prevention and control of non-communicable diseases. It was agreed at the UN Summit on the Prevention and Control of Non-communicable Diseases, in September 2011, that these recommendations will be prepared before the end of 2012. The work on a social determinants of health measurement framework will build on the frameworks for monitoring and target setting developed as part of the Strategic Review of Health in England post 2010, the Review of the Social Determinants of Health and the Health Divide in the WHO European Region and in preparing guidance on governance of the social determinants of health in the WHO European Region. A small number of specific targets will be proposed linked to the actions and interventions known to be effective in addressing overall levels of NCDs in these countries and in narrowing socio-economic gradients. They will be based on the processes and outputs that are necessary to achieve long term goals,as well as NCD-based outcomes themselves, to ensure that timeframes for expecting measurable changes in the indicators are realistic. This approach takes into account the need to take action right across the lifecourse and that, consequently, there will be a long lead times between some types of intervention (e.g.early years and education) and evidence of successful NCD outcomes in later life. By Institute of Health Equity Dec 2011
 
Description Obesity and Community Development Programme in Tower Hamlets - 'Building Powerful Communities'
Geographic Reach Local/Municipal/Regional 
Policy Influence Type Influenced training of practitioners or researchers
Impact The partnership between MEND, Bupa and Tower Hamlets PCT/LA aims to empower over 10,000 children and adults to adopt healthier eating habits and to be more active in their daily lives by July 2013. A key part of the partnerships work is to build community development through the delivery and implementation of weight management programmes and a variety of other interventions. Key questions around community development include: • Why community-led interventions are vital to improving health and reducing health inequalities. • How can community-led interventions be implemented • Communities developing social action • Tools for developing interventions that address the social determinants of health The Institute team will be evaluating the partnership. By Institute of Health Equity, MEND, Bupa, Tower Hamlets Nov 2011
 
Description PAHO
Geographic Reach Multiple continents/international 
Policy Influence Type Gave evidence to a government review
Impact The Institute is currently advising and inputting into strategies in the PAHO (Pan American Health Organisation) region, including Costa Rica, Peru and Brazil. The Team will also input into the Health of the America's Reports.
 
Description Priority Public Health Conditions Task Group Report
Geographic Reach Multiple continents/international 
Policy Influence Type Gave evidence to a government review
Impact As part of the 'Fair Society Healthy Lives' (Marmot Review) research, a number of expert Task Groups were set up to provide evidence and preliminary policy proposals in key areas of interest for the Review. The Priority Public Health Conditions Task Group consisted of Alan Maryon-Davis (Chair), Clare Bambra, Mark Bellis, Sara Hughes, Angela Greatley, Sally Greengross, Kerry Joyce, Paul Lincoln, Tim Lobstein, Chris Naylor, Rebecca Salay and Martin Wiseman. Their work focused on inequalities in a limited number of key 'public health conditions': the big causes of premature death (cardiovascular disease and cancer); obesity; and other big public health burdens such as risktaking behaviours in younger adults (alcohol, drugs, violence), mental illhealth throughout life, and the threats to wellbeing in older people. By Priority Public Health Task Group Feb 2011
 
Description Response to the Public Health White Paper
Geographic Reach National 
Policy Influence Type Gave evidence to a government review
Impact In December 2010, the Department of Health opened a consultation on their public health white paper 'Healthy Lives, Healthy People'. The Institute of Health Equity (then known as the Marmot Review Team) issued a formal response to the consultation, in three parts: White Paper Strategy Consultation Response White Paper Outcomes Consultation Response White Paper Funding and Commissioning Consultation Response These, plus the press release, can be found here. By Institute of Health Equity Mar 2011
 
Description Royal Free Health Inequalities Steering Group
Geographic Reach Local/Municipal/Regional 
Policy Influence Type Influenced training of practitioners or researchers
Impact The Institute of Health Equity participates in the steering group for the Royal Free Hampstead NHS Trust. The Institute both advises and learns from the Trust's programme of work, including the on-going work they are doing to tackle health inequalities within their community.
 
Description Social Inclusion and Social Mobility Task Group Report
Geographic Reach Multiple continents/international 
Policy Influence Type Gave evidence to a government review
Impact As part of the 'Fair Society Healthy Lives' (Marmot Review) research, a number of expert Task Groups were set up to provide evidence and preliminary policy proposals in key areas of interest for the Review. The Social Inclusion and Social Mobility Task Group Consisted of David Piachaud (Chair), James Nazroo, Jennie Popay and Fran Bennett. Their work considered three critical dimensions of inclusion/exclusion: • Participation in the labour market • The nature of service provision • Empowerment in every day life. By Social Inclusion and Social Mobility Task Group Feb 2010
 
Description Social Protection Task Group Report
Geographic Reach Multiple continents/international 
Policy Influence Type Gave evidence to a government review
Impact Report abstract As part of the 'Fair Society Healthy Lives' (Marmot Review) research, a number of expert Task Groups were set up to provide evidence and preliminary policy proposals in key areas of interest for the Review. The Social Protection Task Group consisted of Howard Glennerster (Chair), Jonathan Bradshaw, Ruth Lister and Olle Lundberg. Their work evaluated the generosity and coverage of established social protection systems and the way they are administered in a UK context, and proposed policy recommendations to improve social protection. By Social Protection Task Group Feb 2010
 
Description Social Protection Task Group Report
Geographic Reach Multiple continents/international 
Policy Influence Type Gave evidence to a government review
Impact As part of the 'Fair Society Healthy Lives' (Marmot Review) research, a number of expert Task Groups were set up to provide evidence and preliminary policy proposals in key areas of interest for the Review. The Social Protection Task Group consisted of Howard Glennerster (Chair), Jonathan Bradshaw, Ruth Lister and Olle Lundberg. Their work evaluated the generosity and coverage of established social protection systems and the way they are administered in a UK context, and proposed policy recommendations to improve social protection. By Social Protection Task Group Feb 2010
 
Description Sustainable Development Task Group Report
Geographic Reach Multiple continents/international 
Policy Influence Type Gave evidence to a government review
Impact As part of the 'Fair Society Healthy Lives' (Marmot Review) research, a number of expert Task Groups were set up to provide evidence and preliminary policy proposals in key areas of interest for the Review. The Sustainable Development Task Group consisted of Jonathon Porritt (chair), David Colin-Thomé, Anna Coote, Sharon Friel, Tord Kjellstrom, and Paul Wilkinson. Their work explained what sustainable development is, why it matters for health inequalities, and what the practical implications are for policy making. Their summary report and final report is available above. The final report was accompanied by 3 appendixes: 1. Vision of a sustainable health system 2. Health impacts of climate change 3. Sustainable transport interventions By Sustainable Development Task Group Feb 2010
 
Description Tackling Public Health Priorities Through the Social Determinants of Health
Geographic Reach National 
Policy Influence Type Gave evidence to a government review
Impact The Institute of Health Equity (IHE) has developed an approach to interventions to improve public health through the social determinants of health (SDH). It is envisaged that the approach and the tools developed would aid Health and Wellbeing Boards (HWBs), their partners and service providers to identify, develop and enable the commissioning of health interventions which address the SDH and health inequalities. A stakeholders' workshop was run on Tuesday 6th March 2012 with around 40 delegates from local authorities, health authorities, central government, and the public health training scheme. A summary of the workshop is available below. Summary of IHE workshop The online consultation was run from Friday 27th April to Friday 25th May and received 26 responses from local authorities, health authorities, academics and charities. A summary of the consultation responses and the documents for consultation are available below. Summary of Consultation Responses A Summary Draft for Consultation Consultation Version Report List of Case Studies (Section 11 of the Report) Consultation Form to Submit your Replies All queries regarding this project should be directed to Ilaria Geddes, i.geddes@ucl.ac.uk. By Institute of Health Equity Apr 2012
 
Description The Health Impacts of Cold Homes and Fuel Poverty
Geographic Reach National 
Policy Influence Type Gave evidence to a government review
Impact The Marmot Review Team was commissioned by Friends of the Earth to write this report which reviews the existing evidence of the direct and indirect health impacts suffered by those living in fuel poverty and cold housing. It makes the case for aligning the environmental and health benefits of reducing fuel poverty and improving the thermal efficiency of the existing housing stock. The report is available to download from this page (see above). There are also some other documents which might be of interest: Michael Marmot's blog about the report. Jessica Allen's blog about fuel poverty, which is based on an article in Public Health Today. Our recent joint submission to the London Assembly on alleviating fuel poverty. On March 2011 the SoS for Energy and Climate Change announced that Prof. Hills had been requested to understake a review of the current fuel poverty target and definition. The Institute of Health Equity has submitted a response to the interim report. Fuel poverty is a long-standing health issue: the impact of cold housing on health and the stresses brought on by living in fuel poverty have been recognised for decades by researchers, medical professionals and policy makers alike. At the same time, it is an issue that often gets dismissed as the 'tough nature of things' because our housing stock is old and cold housing is so widespread that many have come to regard it as a normal state of affairs. It should not be so. Cold housing and fuel poverty can be successfully tackled through policies and interventions if there is a will to do so. There is a social gradient in fuel poverty: the lower your income the more likely you are to be at risk of fuel poverty. Inequalities that are avoidable are fundamentally unfair - fuel poverty is avoidable and it contributes to social and health inequalities. By Institute of Health Equity May 2011
 
Description The Impact of the Economic Downturn and Policy Changes on Health Inequalities in London
Geographic Reach National 
Policy Influence Type Gave evidence to a government review
Impact The UCL Institute of Health Equity was commissioned by the London Health Inequalities Network to look at the impact of the economic downturn and the government's welfare reforms on health inequalities in London to 2016, with a particular focus on the employment, income and housing impacts of the changes. A report containing a literature review of the potential impacts of the changes along with a set of recommendations of what local authorities and other actors can do to mitigate any negative impacts was published on 19 June 2012. A set of indicators for local authorities to use to measure the impacts of the changes in their area is currently in development and will undergo local testing before being published early in 2013. The press release is available here. There is also a set of presentation slides about the report available on this page. By Institute of Health Equity Jun 2012
 
Description The Marmot Review Working Committee 3 Report
Geographic Reach National 
Policy Influence Type Gave evidence to a government review
Impact As part of the preparatory work for the Marmot Review, the Marmot Review Team commissioned a report on policy and implementation. The aim of the report was to explore how the gathered evidence could be translated into appropriate and effective policy recommendations. The report is available to download above. By The Marmot Review Nov 2009
 
Description The role of the health workforce in tackling health inequalities: Action on the social determinants of health
Geographic Reach Multiple continents/international 
Policy Influence Type Gave evidence to a government review
Impact The Institute of Health Equity (IHE) has drafted a report exploring actions the Health Workforce can take to positively influence the social determinants of health and tackle health inequalities. The report focusses on three main areas of action - practice, education, and incentives, monitoring, and directives. We have held two consultation workshops with a total of over 100 delegates from a range of professions and organisations, and an online consultation which received over 50 responses. We are currently collating responses and redrafting the report, ready for publication in the autumn. If you would like further information about this work, please contact Matilda - matilda.allen@ucl.ac.uk By Institute of Health Equity Feb 2012
 
Description UCL Health and Society Summer School
Geographic Reach Multiple continents/international 
Policy Influence Type Influenced training of practitioners or researchers
Impact This year's UCL Health and Society summer school on the Social Determinants of Health will take place from the 9-13 July. Prof Sir Michael Marmot will open the summer school with a lecture on the Social Determinants of Health and the WHO Commission, and close it with a lecture on national and international policy. By UCL Mar 2012
 
Description WHO European Review
Geographic Reach Multiple continents/international 
Policy Influence Type Gave evidence to a government review
Impact The WHO Regional Director for Europe has commissioned a review of social determinants of health and the health divide in the European Region. There are major health inequalities within and between countries in the WHO European Region. The purpose of the review is to identify the relevance of the findings of the WHO Commission on the Social Determinants of Health (CSDH), the Strategic Review of Health Inequalities in England post 2010 (Marmot Review), and other new evidence to the European context and translate these into policy proposals. The review will inform the new policy for health for the European Region, Health 2020, as will a companion study on governance for health in the 21st century. It will accelerate action on socially determined health inequities by developing policies that work in low-, middle- and high-income countries. It is drawing on best practices, examples and experience of addressing social determinants of health and health inequities in the Region. One of the key goals of the review is to identify what can be implemented with sufficient scale and intensity to make a difference across the diverse contexts of the European Region. The Review is chaired by Professor Sir Michael Marmot, supported by senior advisors, task groups and secretariats at UCL and WHO. The executive summary of the Review is now available on the WHO website. The Lancet have also published an article based on the executive summary. More information is available on our articles page. By Institute of Health Equity Sep 2012
 
Description What a Local Authority that takes Social Determinants of Health Seriously Looks Like
Geographic Reach Local/Municipal/Regional 
Policy Influence Type Participation in a advisory committee
Impact The Institute of Health Equity will be working with Local Authorities and particularly Health and Well-being Boards to develop approaches to public health which tackle the social determinants of health. The team is currently working with many local areas to develop strategies and plans to embed a social determinants approach, including leading workshops and giving presentations.
 
Description English Longitudinal Study of Ageing
Amount £3,993,746 (GBP)
Funding ID 3R01AG017644-11S1 
Organisation National Institutes of Health (NIH) 
Sector Public
Country United States
Start 09/2010 
End 07/2014
 
Description English Longitudinal Study of Ageing
Amount £4,350,000 (GBP)
Funding ID PI-10/0431 (P20046) 
Organisation Office for National Statistics 
Sector Private
Country United Kingdom
Start 05/2010 
End 03/2014
 
Description Inclusion Health Programme
Amount £50,000 (GBP)
Organisation Department of Health (DH) 
Sector Public
Country United Kingdom
Start 09/2009 
End 03/2014
 
Description PrivMort: the impact of privatization on the mortality crisis in Eastern Europe
Amount £209,039 (GBP)
Funding ID ERC 2010 ADG 269036 
Organisation European Research Council (ERC) 
Sector Public
Country Belgium
Start 09/2011 
End 08/2016
 
Description Socio-economic status and heterogeneity in aging
Amount £1,542,156 (GBP)
Funding ID 2R01AG013196-14 (P64440 
Organisation National Institutes of Health (NIH) 
Sector Public
Country United States
Start 09/2009 
End 06/2014
 
Description Support for the Institute of Health Equity
Amount £19,200 (GBP)
Organisation Joseph Rowntree Foundation (JRF) 
Sector Charity/Non Profit
Country United Kingdom
Start 10/2014 
End 02/2015
 
Description Support for the Institute of Health Equity
Amount £10,000 (GBP)
Organisation World Health Organization (WHO) 
Sector Public
Country Global
Start 08/2014 
End 10/2014
 
Description Support for the Institute of Health Equity
Amount £300,000 (GBP)
Organisation Department of Health (DH) 
Sector Public
Country United Kingdom
Start 04/2014 
End 03/2015
 
Description Support for the Institute of Health Equity
Amount £100,000 (GBP)
Organisation Public Health England 
Sector Public
Country United Kingdom
Start 03/2014 
End 04/2015
 
Description Support for the Institute of Health Equity
Amount £7,920 (GBP)
Organisation 4 Children Charity 
Sector Charity/Non Profit
Country United Kingdom
Start 11/2014 
End 12/2015
 
Description Support for the Institute of Health Equity
Amount £80,000 (GBP)
Organisation Public Health England 
Sector Public
Country United Kingdom
Start 01/2014 
End 03/2014
 
Description Support of Institute of Health Equity
Amount £1,020,000 (GBP)
Organisation Department of Health (DH) 
Sector Public
Country United Kingdom
Start 10/2011 
End 09/2014
 
Description Gulbenkian Global Mental Health Platform 
Organisation Calouste Gulbenkian Foundation
Country United Kingdom 
Sector Charity/Non Profit 
PI Contribution research links between mental disorder and social determinants of health, promotion of human rights for people with mental health disabilities
Collaborator Contribution funding, high-level meeting
Impact report in progress
Start Year 2012
 
Description Health Promotion Administration, Ministry of Health and Welfare, Government of Taiwan 
Organisation Government of Taiwan
Department Health Promotion Administration
Country Taiwan, Province of China 
Sector Public 
PI Contribution The UCL Institute of Health Equity has agreed to a programme of work, to be completed in May 2015, for a post-2015 social development plan of improving health equity in Taiwan. Also, keynote addresses at the Global Health Forum in 2013 and 2014 in order to contribute to their aims to build a platform for foreign participants from the Asia-Pacific regions, Europe and Americas to interact and jointly discuss health priority issues. Professor Marmot met DG Chiou in London in 2013, and gave a keynote (via video presentation) the 2014 Global Health Forum in Taiwan", hosted by the Ministry of Health and Welfare, the Ministry of Foreign Affairs, and Health Promotion Administration. T Dr Jessica Allen attended the 2013 conference and met the president.
Collaborator Contribution collaboration with UCL Institute of Health Equity; DG Chiou and a delegation from Taiwan visited our Institute in 2014
Impact In progress (due May 2015) writing up of a report on Taiwan's health inequality (the Taiwan's report) which covers the following three parts: (1) Part I: Current status and past progress (What's happening) (2) Part II: Cases and evidence (How to improve it) (3) Part III: National plan to reduce health inequality (Making it happen)
Start Year 2013
 
Description Universidad Peruana Cayetano Heredia 
Organisation Cayetano Heredia University
Country Peru 
Sector Academic/University 
PI Contribution Research collaboration with UCL and UCL Institute of Health Equity
Collaborator Contribution Research collaboration with UCL and UCL Institute of Health Equity
Impact new collaboration
Start Year 2014
 
Description WHO EMRO 
Organisation World Health Organization (WHO)
Department Regional Office for the Eastern Mediterranean
Country Global 
Sector Public 
PI Contribution The agreement is still under discussion. Professor Marmot gave an address to the 61st Regional Committee meeting in October 2014 in Tunis on inequality and redistribution of wealth. The agreement is still under discussion. We plan to work with EMRO to develop national and regional programmes for action • Provide evidence, material and support to the WHO review process • To improve monitoring and provide more national and local data. • Begin advocacy and discussion with other government ministers for whole of government approaches using a social determinants of health lens
Collaborator Contribution Support a regional review of evidence. • Work on the regional strategy for social determinants of health. • Host a meeting in January/February 2015 to further develop regional activity and plans. • Support for countries with social determinants of health as a priority theme to be exemplars and partners. • Provide technical advice on monitoring and surveillance. • Draw in other sectors - UN agencies, civil society, NGOs and donors • Develop a methodology for making the economic case for countries to use • Identify data gaps and initiate talks with UN agencies regarding support available to improve monitoring through national and local data • Help WHO develop policy standards for healthy living • Work with others to prioritise systems such as birth and death birth registration
Impact Still to be decided
Start Year 2014
 
Description 2016 Boyer Lecture Series titled Fair Australia: Social Justice and the Health Gap on ABC radio in Australia - 
Form Of Engagement Activity A broadcast e.g. TV/radio/film/podcast (other than news/press)
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Media (as a channel to the public)
Results and Impact The 2016 Boyer Lecture Series titled Fair Australia: Social Justice and the Health Gap on ABC radio in Australia - http://www.abc.net.au/radionational/programs/boyerlectures/
Four hour-long lectures including a live broadcast in Sydney. This national radio reaches a very wide audience, and gave Michael the opportunity to discuss the social determinants of health - the conditions in which people are born, grow, live, work, and age, and inequities in power, money and resources; what we can do to give every child the best start; living and working - unemployment is bad for health, but when work is no longer the way out of poverty, health suffers; social justice and health.
Year(s) Of Engagement Activity 2016
URL http://www.abc.net.au/radionational/programs/boyerlectures
 
Description BBC Interview with Dominic Hughes, BBC Health Correspondent 
Form Of Engagement Activity A broadcast e.g. TV/radio/film/podcast (other than news/press)
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Media (as a channel to the public)
Results and Impact BBC Interview with Dominic Hughes, BBC Health Correspondent on 14th November 2016, which ran across BBC Breakfast, and the BBC One o'clock news. Positive feedback, including from Cancer Research UK
Year(s) Of Engagement Activity 2016
 
Description Gave evidence to the UK Parliament Health Committee report 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Policymakers/politicians
Results and Impact Gave evidence to the UK Parliament Health Committee report http://www.parliament.uk/business/committees/committees-a-z/commons-select/health-committee/news-parliament-20151/public-health-report-published-16-17/
Year(s) Of Engagement Activity 2016
URL http://www.parliament.uk/business/committees/committees-a-z/commons-select/health-committee/news-par...
 
Description Interviewed on R4 Today on 7 Jan 2017 talking about air quality and health inequalities. 
Form Of Engagement Activity A broadcast e.g. TV/radio/film/podcast (other than news/press)
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Public/other audiences
Results and Impact Michael Marmot, as President of the British Lung Foundation, was on R4 Today this morning, talking about air quality and health inequalities. This broadcast generated a lot of response, including 5-6 letters to Michael personally.
Year(s) Of Engagement Activity 2017
URL http://www.bbc.co.uk/programmes/b087p13c
 
Description Most cited researcher in the Department of Epidemiology & Public Health every month since March 2016 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Most cited researcher in the Department of Epidemiology & Public Health on https://www.researchgate.net/profile/Michael_Marmot/stats/citations every month for several years now, including every month since March 2016. His work has achieved 61,737 'reads'; 86,863 citations; 4,800 profile views since joining the website in 2006. In 2016: 4,410 citations. He has the highest RG score in the department, 54.45 - this RG score is based on all his research and is calculated based on the research and how other researchers interact with his content
Year(s) Of Engagement Activity 2016,2017
URL https://www.researchgate.net/profile/Michael_Marmot/stats/citations
 
Description Op-ed piece in The Guardian 
Form Of Engagement Activity A press release, press conference or response to a media enquiry/interview
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Public/other audiences
Results and Impact Op-ed piece in The Guardian, 15 November 2016 on the health risks of climate change, challenging https://www.theguardian.com/commentisfree/2016/nov/15/malcolm-turnbull-must-address-the-health-risks-of-climate-change
Year(s) Of Engagement Activity 2016
URL https://www.theguardian.com/commentisfree/2016/nov/15/malcolm-turnbull-must-address-the-health-risks...
 
Description Parliamentary reception 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Policymakers/politicians
Results and Impact Parliamentary reception arranged at House of Commons on 21 November 2016: discussion chaired by Sarah Wollaston MP. The meeting was held to keep up pressure on public health ahead of the chancellor's autumn financial statement and an expected parliamentary debate on health inequalities. Attended by around 100 people
Year(s) Of Engagement Activity 2016
URL http://www.bmj.com/content/355/bmj.i6319
 
Description President of the World Medical Associatin 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Policymakers/politicians
Results and Impact President of the World Medical Association in 2015-2016, and now Immediate Past President 2016-2017. This high profile role reaches all the Medical Associations world-wide and Michael used it as an opportunity to influence policy and promote engagement with the social determinants of health.
Year(s) Of Engagement Activity 2015,2016,2017
URL http://www.wma.net/en/10home/index.html
 
Description The City of Coventry in England has become a 'Marmot City'. http://www.coventry.gov.uk/info/176/policy/2457/coventry_a_marmot_city 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Policymakers/politicians
Results and Impact The City of Coventry in England has become a 'Marmot City'. http://www.coventry.gov.uk/info/176/policy/2457/coventry_a_marmot_city
Year(s) Of Engagement Activity 2016
URL http://www.coventry.gov.uk/info/176/policy/2457/coventry_a_marmot_city
 
Description Twitter 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Media (as a channel to the public)
Results and Impact 11,000 followers, and an average of 17 likes, and 16 retweets a day. Michael uses this as a platform to reach an awful lot of people, and to spread the word about social determinants of health, and health inequalities. We can analyse this effectiveness in detail, by analysing his followers: https://moz.com/followerwonk/dXek . His Social Authority is 61 https://moz.com/followerwonk/social-authority . Stand out stats: 7907 engagements with his Tweets in past 3 month 356,558 impressions (his tweet's potential to be viewed) in the past 3 months
Year(s) Of Engagement Activity 2014,2015,2016,2017
URL http://www.instituteofhealthequity.org