Discussing the Mayor’s health
agenda
Kostas Kononovas
04 December 2014
About me:
Research Associate
at DAHR
Consultation and
Intelligence
Officer at GLA
Research
Coordinator at
British Red Cross
Greater London Authority
∗ Outline:
∗ Established in 1999
∗ Serves both the Mayor and the London Assembly
∗ Powers over housing, strategic planning,
transport planning, passenger transport,
highways, fire
∗ The Mayor:
∗ Manages £17bn annual budget
∗ Sets plans and policies in London in arts & culture,
business & economy, environment, transport, fire,
health & sport, volunteering, housing & land,
planning, regeneration, policing & crime, young
people
Health & Sport
∗ Key topics:
∗ Getting Londoners into sport
∗ Tackling obesity in London
∗ Tackling London’s health inequalities
∗ Transport and health
∗ London Health Commission
Health problems in London
∗ Smoking, drinking, obesity, air pollution, mental health
∗ London is ranked number 7 out of 14 comparable cities
around the world in terms of health, wealth and
education
London Health Commission
∗ About the London Health Commission
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An independent inquiry
Established in September 2013 by the Mayor of London
Chaired by Professor the Lord Darzi
Brings together the Mayor of London with the NHS, local
government and the wider public to address health challenges
∗ Engaged patients and the public to inform policy
∗ Presented over 60 recommendations for the city in October 2014
Key focus
∗ Improving the quality and integration of care
∗ Enabling high quality and integrated care delivery
∗ Healthy lives and reducing health inequalities
∗ Health economy, research and education
∗ Engaging the public on how decisions are made
about health and healthcare
Call for evidence
• 9 evidence hearing sessions with experts
• Health polls with the GLA and Ipsos
MORI
• 50 Roadshows
GLA Health Poll
Key recommendations
∗ Better health for all
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No smoking in public spaces
Traffic light labelling and nutritional info on menus
‘Sin tax’ for alcohol
20% of TfL advertising should encourage walking
Proposals on air quality should be accelerated
∗ Better health for London’s children
∗ No junk food 400m around schools
∗ More data is published on school health and wellbeing
∗ Varying quality in healthcare should be assessed
Key recommendations
∗ Better care
∗ Holistic, integrated physical, mental and social services should be
commissioned
∗ Encourage shared decision making
∗ Education programmes should be developed for self-management of
long-term conditions
∗ More funds allocated to GPs and primary and community services
∗ Patients should be able to move freely within GP networks
∗ Specialist care should be accelerated
∗ The role of mental health in primary care should be strengthened
Key recommendations
∗ Maximising science, discovery and innovation to enhance economic
growth
∗ AHSCs should support the Health Informatics Collaborative funded by
NIHR
∗ Institute for Dementia Research should be established
∗ A simple and unified gateway for clinical trials should be created
∗ Clinical Research Networks should establish a clinical research office to
increase late phase research/novel studies
∗ NHS England should strengthen AHSNs
∗ AHSC/Ns should forge greater links with Commissioners
∗ AHSNs should continue to collaborate
Key recommendations
∗ Making it happen
∗ NHS England should develop a single London-wide online platform to
communicate with Londoners
∗ The National Information Board should designate London as an incubator
for innovative health information
∗ Unused NHS buildings should be redeveloped
∗ NHS Trusts should be permitted to create affordable housing for staff
∗ More training should be provided to general practice, community and
integrated care
∗ The Mayor should convene and personally chair a group to prepare a
unified delivery plan
Further reading
∗ http://www.londonhealthcommission.org.uk/
∗ Better Health For London. The report of the London
Health Commission
∗ Talk London discussions and recommendations:
∗ http://talklondon.london.gov.uk/topics/health