Scotland and UK co-operation needed to end health disparities, says Brown

Former prime minister Gordon Brown has warned the NHS will “not be able to cope” with increasing demand unless significant health inequalities are closed.

A new report by Mr Brown’s Our Scottish Future think tank has urged Scottish ministers to work with their Westminster counterparts to eradicate poverty-related health inequalities.

The poorest Scots are 72% more likely to end up in hospital emergency beds than their affluent peers, according to the Closing The Gap survey written by researcher Andrew Mooney.

They are 66% more likely to attend A&E and, on average, spend 22% longer in hospital than the wealthiest Scots.

The report analyses Public Health Scotland figures and blames the disparity on the lack of access to early healthcare intervention in areas of deprivation and the more complex health needs faced by poorer communities.

Mr Mooney’s report outlines a series of recommendations to both of Scotland’s governments, including a UK-wide health insights unit led by the four chief medical officers, passing power to councils to create a “preventative health subsidy” to boost spending in poorer areas, and country-wide consultation on the future of social security.

The former prime minister is set to hold an event with the UK’s leading health inequalities researcher, Sir Michael Marmot, in Kirkcaldy.

The experts claim a joint UK-Scotland approach to tackling health inequalities would effectively solve the NHS crisis, with the report suggesting 1,510 emergency beds would be freed up every day as a result.

In response, a Scottish Government spokesperson said: “We are determined to increase healthy life expectancy and reduce health inequalities, and we are already taking decisive action to do so.

“That includes the delivery of a range of benefits unavailable anywhere else in the UK, such as the Scottish Child Payment which we increased to £25 per eligible child per week in November – an increase of 150% within eight months. This benefit, only available in Scotland, also opened to eligible under-16s from that date.

“Despite the huge pressures on Scotland’s NHS, exacerbated by the pandemic, we are taking a range of actions to reduce health inequalities. That includes the National Cancer Plan and our Heart Disease Action Plan, which places an emphasis on the equitable provision of care for people with heart disease in Scotland.

“We have also ensured that NHS Scotland’s budget and staffing levels remain at historically high levels – and while we will always work with the UK Government when we believe it is in the best interests of the people of Scotland, health and social care are entirely devolved policy areas and will remain so.”