Climbing ladders: From treatment to prevention (2025)
Recommendations
- agreement of a clear framework to drive the required system working
- create evidence-based guiding principles to support the development of governance and infrastructure for system level prevention.
- identify clear leadership capacity for programme delivery.
- increase and monitor investment in prevention.
- adopt and embed Marmot principles and the Building Blocks of Health across organisational strategies.
- a combination of health creation, primary, secondary, and tertiary interventions is needed to achieve a meaningful degree of prevention and protection
- explore joint commissioning of evidence-based prevention programmes.
- develop and deliver evidence-based programmes of work across the different areas of prevention. This work must be person-centred, and grounded in local data, community assets and lived experience.
- continue to strengthen partnerships (between NHS, Local Authorities, VCSE, and communities) through new and existing mechanisms.
- accelerate collaborative action on wider determinants of health, including housing, employment, and transport.
- expand digital health and wellbeing solutions.
- explore shared and compatible digital systems to enable information sharing
- workforce and prevention activity mapping across all partners and joint workforce planning.
- develop realistic (beyond transactional performance measures) indicators of progress which account for short, medium, and long-term nature of the work