Public health has been undermined by the UK government and we must respond by strengthening policy and leadership, say David J Hunter and colleagues
Since 2010 a combination of austerity, Brexit, and the impact of covid-19 has considerably worsened the public’s health in England.123 Obesity levels have risen, fuelled by the consumption of unregulated ultra-processed foods, a chronic problem which successive governments have failed to tackle.4 Gains in life expectancy have stalled.5 Health inequalities, both between and within regions, are widening.6 Growing numbers of people are unable to work because of illness.7 The UK now has one of the worst health profiles of any high income country, especially among children,8 and its deteriorating health status is adding to pressures on the NHS. To secure social conditions that support healthy populations, we need the political commitment of governments to act for the common good and their investment in institutions that protect public health
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Although some patients benefit from antidepressants for osteoarthritis pain, it s difficult to know which patients will benefit and which will be more likely to experience harm.