As health inequalities grow, localised solutions in the West Midlands are making a difference, as Kevin Gulliver reports For four decades, the links between health, poverty and inequality have been securely established by a multitude of research studies. Perhaps the most celebrated of those advocating that health inequalities can be understood primarily as existing and persisting through ‘social determinants’ is Professor Michael Marmot. It was Marmot who produced seminal reports for the World Health Organisation and the New Labour government linking economic and social conditions, and their distribution among the population, that most influence individual and group differences in health status. Chief among them these social determinants are class and social status, relative wealth and poverty, neighbourhood characteristics, quality of environment, and housing. Determinants are arranged on a social gradient, running from top to bottom of the economy and society, with ‘high’ status individuals having better health than those of … (To read the full article, subscribe below)

Kevin Gulliver

Kevin Gulliver is director of the Human City Institute, a Birmingham-based research charity