The government, and the Department for Health and Social Care (DHSC) in particular, is concerned with health inequalities and it believes women in particular are unfairly treated. Women, worldwide live longer than men so why is that unfair to women? The August 2022 DHSC policy paper claimed “this country’s health and care system belongs to us all, and it must serve us all. However, sadly, 51% of the population faces obstacles when it comes to getting the care they need.” The DHSC policy paper was, naturally, wholly unbiased. As the paper puts it “It’s brilliant that we have received almost 100,000 responses from women [sic] across the country.”
According to the DHSC: “Although women in the UK on average live longer than men, women spend a significantly greater proportion of their lives in ill health and disability when compared with men.” Strangely the Office for National Statistics figures, which it cites, do not support this claim: “Female HLE [healthy life expectancy] increased for those aged 10 years and over between 2011 to 2013 and 2018 to 2020, with the increases being statistically significant in those aged 20 years and over (Figure 2).” Disability-free life expectancy (DFLE) remained the same for men vs. women throughout the five years 2015 to 2020 (Figure 4). Shame the figures are not what the DHSC would like them to be.
On 25th September 2023, the DHSC ministers wrote to the chief executives of integrated care boards (ICBs). By then the Minister for Women’s Health had been joined by the Women’s Health Ambassador and her deputy and the Chief Nursing Officer. The letter said that £25M was being made available for “Women’s Health Hubs” (at least one per ICB): “Hubs bring together healthcare professionals and existing services to provide integrated women’s health services in the community, focusing on improving access to care and reducing health inequalities.” Each hub would cost £595,000, but see below, the DHSC cannot know how the money should be spent of why a hub in Darlington should cost the same as one in Mayfair.
Equalling the treatment (health cost) given to women and men means they have to be treated for the same health problems. The flaw in this equality idea is that they don’t actually have the same problems. The male menopause is joked about but, of course, there is no such thing.
One might think assessing the value for money or performance of these hubs would require quite a bit of discussion and serious contemplation so it was hardly generous of DHSC to require 16 questions on the template plus 11 questions on the data sources page to be answered within a week, i.e. issued 22nd September response by 29th September. Template question 16 for example: “Q16. What is the best way for DHSC to access data from your hub to measure or evaluate the implementation and performance of hubs models? If you think a combination of the approaches listed is best then select multiple responses.”
The interesting thing about Q16 is that the DHSC clearly has no idea what these hubs, or removing the non-existent health inequalities, are supposed to achieve. Shocking.