Implementation of Equally Well

Equally Well (2008) is the joint Scottish Government and COSLA (Convention of Scottish Local Authorities) report of the Ministerial Task Force on health inequalities.

Approaches to support Equally Well intermediate outcomes

Equally Well Recommendation 72 stated that:

The Government should arrange for a clear analysis of the medium-term outcome indicators critical to achieving reductions in the key health inequalities outcomes. This analysis should reflect the National Performance Framework and the new relationship between the Scottish Government and local authorities as embodied in the Single Outcome Agreement process.

It should be published by autumn 2008, in order to guide community planning partnerships and their constituent organisations in their own planning and performance reporting.

The analyses here meet Recommendation 72 by presenting outcome frameworks for each of the four priority areas identified in Equally Well where action is most needed to improve health outcomes. These are:

  • children´s very early years, where inequalities may first arise and influence the rest of people´s lives
  • the high economic, social and health burden imposed by mental illness, and the corresponding requirement to improve mental wellbeing
  • the "big killer" diseases: cardiovascular disease and cancer. Some risk factors for these, such as smoking, are strongly linked to deprivation
  • drug and alcohol problems and links to violence that affect younger men in particular and where inequalities are widening.

For each of the priority areas, the outcomes framework sets out the following analyses:

  1. intermediate outcomes for environmental and behavioural influences on health that contribute to health inequalities and are suitable for inclusion in Single Outcome Agreements (SOAs). Improving these outcomes is likely to make a contribution to improving the measures in Equally Well for assessing long-term progress in reducing health inequalities in Scotland: low birthweight, mental wellbeing of adults, healthy life expectancy and premature mortality. These in turn will contribute to achieving the National Outcomes identified in the diagrams
  2. indicators from the National Indicators and Menu of Local Outcome Indicators (Version 2, October 2008[1]) suitable for measuring progress towards intermediate outcomes and that could be included within SOAs
  3. Equally Well recommendations for activities and inputs that may contribute to achieving the intermediate outcomes.

Further information on ´Equally Well´, including the December 2008 implementation plan (external link)

Find out more about intermediate outcomes

Reviewed 28 July 2014

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