Amid a “bleak” national picture, more than 40 local authorities across England and Wales have committed to making a long term difference to the health of their communities, writes Erin Dean
Yorkshire GP Hasantha Jayasinghe knows exactly what health inequality looks like. He sees it in many forms, but what springs to mind most are the children with chronic, difficult-to-treat asthma he sees in his practice in a deprived, inner city area of Leeds. “These children live in houses that are dreadful; there is damp, decay, mould, parts falling down,” he says. “Housing is a big problem we have around here.”
He is not alone in worrying about the effects of health inequalities in Leeds: last June (2023) the city became a Marmot Place. This means following the eight principles (box 1) set out by the influential Michael Marmot, professor of epidemiology at University College London, whose work has focused on the effects of inequality on health for more than 40 years. Jayasinghe’s
All-round Guyana thrash defending champs by 42 runs
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Securing suitable childcare is a financial, mental, and emotional burden to doctors, a BMJ survey has revealed, leading some to resign, change specialties, or alter their plans to have children
Securing childcare to cover the erratic and long working hours of medicine is a financial burden and a draining source of stress for doctor parents, an exclusive BMJ survey has found.
More than nine out of 10 (93%) of the 596 respondents have struggled to find suitable childcare for their work schedule. Many doctors describe trying to arrange childcare as one of the most stressful aspects of their lives. “The whole thing is a total nightmare,” one trainee doctor says. “I am seriously considering resigning based on the stress and cost of this alone.” Respondents describe struggles with on-call and overnight childcare, leaving work on time to reach nurseries or after-school clubs before they close, and the difficulties of managing school holidays and when their children are off sick.
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