Unequal impact? Coronavirus and BAME people Contents

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Appendix: Marmot Review 10 years on

Summary of recommendations

Recommendations for Giving Every Child the Best Start in Life:

• Increase levels of spending on early years and as a minimum meet the OECD average and ensure allocation of funding is proportionately higher for more deprived areas.
• Reduce levels of child poverty to 10 percent–level with the lowest rates in Europe.
• Improve availability and quality of early years services, including Children’s Centres, in all regions of England.
• Increase pay and qualification requirements for the childcare workforce.

Recommendations for Enabling all Children, Young People and Adults to Maximise their Capabilities and Have Control over their Lives

• Put equity at the heart of national decisions about education policy and funding. Increase attainment to match the best in Europe by reducing inequalities in attainment.
• Invest in preventative services to reduce exclusions and support schools to stop off-rolling pupils.
• Restore the per-pupil funding for secondary schools and especially sixth form, at least in line with 2010 levels and up to the level of London (excluding London weighting).

Recommendations for Creating Fair Employment and Good Work for All

• Invest in good quality active labour market policies and reduce conditionalities and sanctions in benefit entitlement, particularly for those with children.
• Reduce in-work poverty by increasing the National Living Wage, achieving a minimum income for healthy living for those in work.
• Increase the number of post-school apprenticeships and support in-work training throughout the life course.
• Reduce the high levels of poor quality work and precarious employment.

Recommendations for Ensuring a Healthy Standard of Living for All

• Ensure everyone has a minimum income for healthy living through increases to the National Living Wage and redesign of Universal Credit.
• Remove sanctions and reduce conditionalities in welfare payments.
• Put health equity and wellbeing at the heart of local, regional and national economic planning and strategy.
• Adopt inclusive growth and social value approaches nationally and locally to value health and wellbeing as well as, or more than, economic efficiency.
• Review the taxation and benefit system to ensure it achieves greater equity and ensure effective tax rates are not regressive.

Recommendations to Create Healthy and Sustainable Places and Communities

• Invest in the development of economic, social and cultural resources in the most deprived communities
• 100 percent of new housing is carbon neutral by 2030, with an increased proportion being either affordable or in the social housing sector
• Aim for net zero carbon emissions by 2030 ensuring inequalities do not widen as a result

Recommendations for taking action

• Develop a national strategy for action on the social determinants of health with the aim of reducing inequalities in health.
• Ensure proportionate universal allocation of resources and implementation of policies.
• Early intervention to prevent health inequalities.
• Develop the social determinants of health workforce.
• Engage the public.
• Develop whole systems monitoring and strengthen accountability for health inequalities