The good news is that people’s health isimproving, but because it’s improving and premature death is reducing, we’re livinglonger. In older age, beings tend to get more than one condition and that makestheir care more complex and more challenging to the NHS and social caresystem. So now we’re in a situation where the biggest things that really shortenpeople’s lives are afflictions to do with lifestyle: so to do with smoking, obesity, paucity of utilization, that sort of thing. Or what we call the socialdeterminants of health so we’ve increasingly recognised the thing thatmakes people ill is more the things in “peoples lives” that smother them – to dowith privation, to do with housing, to do with transport, to do with job opportunities, to do with education, that sort of thing. People are much more clear about whatthey expect from the NHS and from local authorities. Their apprehensions are, youknow, we’re all a lot more savvy about the conditions that we have, and what theavailable medicines are, how patients access, for example GPservices, is changing all the time.We all want to do it with our smartphones and using Skype etc and so we need to worktogether so that we can can respond to that appropriately.
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