Equity, a common goal for primary care.

2021 
> ‘Medical services are not the main determinant of mortality or morbidity … But that is no excuse for failure to match the greatest need with the highest standards of care.’ > > (Julian Tudor-Hart, 1971)1 When the COVID-19 pandemic begins to fade will our collective recognition of the increasing inequalities in UK societies also fade away? The milestones of the 2020 pandemic unfolded worldwide along societal fault lines of inequities in wealth and power, which result in inequities in health and basic social protection.2 The surge of media interest in the social determinants of health, whether of poverty, racism, or insecure employment brought to the fore the well documented lived experiences of patients. The mental and physical consequences are witnessed daily by GPs, who share the common purpose of equitable service provision.3 Increasing social and health inequalities have become the hallmark of recent decades, punctuated by multiple reports and by multiple missed opportunities for redress.4,5 Most recently Sir Michael Marmot in 2010 and 20206,7 documented the curtailment of earlier reductions in mortality and gains in health. Male mortality in middle age has increased for the first time in peace-time, echoing the earlier American experience of ‘deaths of despair’ from alcohol, drugs, and suicide.8 For black and South Asian ethnic groups in …
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