MC900437156 (240x240) Stitch



Involving, Engaging, Informing

HealthWatch registered Trade Mark  No. 2582262  in name of  Path-to-Health Limited, a Social Enterprise

This site has no relation whatsoever to the  HealthWatch  under development by  the Care Quality Commission and Department of Health or any other organisation of a similar name. We receive no government,local authority,  NHS or Health and Social Care Private Sector funding and are completely independent

Research published by the National End of Life Care Intelligence Network,'Deprivation and death: Variation in place and cause of death', suggests that people who live in deprived areas are more likely to die in hospital than those living in more affluent areas..


Dying in Care.... A luxury  Many Cannot Afford.

Public Health: Comparing inequalities

Sands, the national  stillbirth  charity, highlighted in their Report, the  continuing  high levels of  stillbirth and how little it had improved over the last  decade.


On average the stillbirth rates in England are now among the worst  compared with our  EU neighbours. It might also be worth noting that  averages once again hide  some pretty poor  statistics. For example  Leicester City  has a stillbirth rate of  7.7./1000 births and this is significantly worse than  either Bulgaria at 6.6 and Kazakhstan at 5.1.


As with  many other causes of death,  poverty is a significant factor and studies around  stillbirth and early neonatal death have shown that multiple deprivation is an important  cause. This is more than the usual causative factors including smoking, alcohol and poor diet, that government blames for such  differences, with


poor housing and

education being

important contributors


It would seem that

some of our causes

of death remain

intractable not  because

of failures of the NHS but  due to the pervasive social and economic inequalities where it appears England is  falling behind countries  we once called 'developing'

Still Birth and infant deaths

From April 2013 the regional Public Health Observatories (PHO)  across England, Scotland, became part of Public Health England.  .

The legacy web sites remain a very good source of information for looking at the health inequalities and health services in your area and comparing  these  nationally or with neighbouring  areas.


A poll commissioned by the General Medical Council (GMC) shows that more than half of doctors think that patients with a learning disability receive a poorer standard of healthcare.


More than one in three doctors also reported that they had personally seen a patient with a learning disability being given poorer care or facing some form of discrimination.For more information go to


Healthcare Discrimination

The Social Determinants of Health

A report on  social determinants of health produced by the World Health Organisation  stresses the importance of Local Authorities in  tackling health problems. This report is available in full at  WHO 2012


This interactive atlas  was produced  by  the South Eastern Public  Health Observatory  for 2010 with data  for 2008-9  to compare different  Primary Care Trusts throughout England on a range of  indicators. These indicators  include Diabetes Care, Cancer  bed days and  admissions, Stroke care and CHD mortality. The  intnetion was to help  commissioners  in PCTs when they were looking at how to develop services.


The Public Health Observatories disappeared under the current Health Service Reforms from April 2013 - but only in name fortunately as they became part of  Public Health England. So regadless of  the reforms this type of intelligence service that can seriously help design methodology will continue. It is also helpful to the curious, concerned service user, campaigner or researcher  this present atlas might be a good start

NHS Atlas of Variation

An Atlas of Deprivation   is produced by the Office of National Statistics and shows the poorest (and richest) places in England. The Indices of Multiple Deprivation give us an insight into poverty and deprivation across England using  seven domians of income, employment, health deprivation and disability, education,skills and training, barriers to  housing and services, crime, and living environment.


This Atlas shows the super output areas, tiny geographical areas, ranked and scored across a whole range of poverty indicators for the whole country - and the data used by government to fund services and assess need.

Atlas of Deprivation

Inequalities in Disability Free Life Expectancy Across  England

Engagement  with  a difference. Make your job easy, talk to people in a language they understand. How to use people's own interests and passions, such as pop music and football, to improve their health. Using popular culture as an engagement tool'

See opinion article on this web site. Contact Mark Burns at: email mail@sexanddrugsandrockandhealth.com

Engagement  with a Difference using Pop music, romantic novels and football as health tools

Tudor Hart Inverse Care Law

The original article is now open access at:


Equality in Health and Social Care Charity

BHA is a health and social care charity that exists to challenge health inequalities and support individuals, families and communities to improve their health and well being