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Health is going in the wrong direction in the UK, and reversing the trend requires political and societal commitment to deal with the underlying causes The UK is facing a prolonged and serious health crisis. At a time when the future of the NHS is in jeopardy after over a decade of austerity, and with public satisfaction at an all time low,1 it must pick up the pieces of failures across government. Attaining good health requires more than healthcare, and improvements in the provision of healthcare by the NHS alone is inadequate to address the health crisis action is needed on the social determinants of health2 (box 1). Box 1 ### Definition of social determinants of health3 The social determinants of health are defined by the World Health Organization as: “the conditions in which people are born, grow, live, work, and age, and the wider set of forces and systems shaping the conditions of daily life. These forces and systems include economic policies and systems, development agend

United kingdomNorthern irelandCity ofVictor adebowaleParveen kumarDavid cameronMartin mckeeBob klaberMichael marmotLucinda hiamSophie cookGabriel scallyAnnabel sowemimoHealth equityInequalities in healthDepartment of health