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The Guardian - UK
The Guardian - UK
World
David Batty

Fit for purpose?

No doubt Gordon Brown wasn't too thrilled about David Cameron's attempt to push the Conservatives as "the party of the NHS".

But there is more than a hint of deja vu about the prime minister's pledge today to make renewal of the NHS his "biggest priority".

The overall message of today's announcement - personalisation of care and a greater emphasis on people taking responsibility for their own health - echoes a mantra regularly bandied about by ministers in the later years of the Blair premiership.

However, the major new national health screening programme announced today appears to add substance to the soundbites. The programme, which will identify patients at risk of heart disease and circulatory problems, appears to be a significant step towards turning the NHS from a service that treats the sick into one that works to improve the nation's health.

Whether this is enough to save the NHS is another matter. A report by government health adviser Sir Derek Wanless, published last year, warned that the NHS budget will need to rise to £161bn by 2022 unless efficiency is improved and ill health is reduced.

The signs are not looking good. It is predicted that 33% of men, 28% of women and a fifth of children will be obese by 2010 - reducing the government's chances of being able to cut health spending.

With more and more studies showing Britons are overworked, stressed out and eating more fast food, more radical solutions are clearly needed.

In China, rather than telling people to go to the gym, officials have brought gyms to the people. As part of a national fitness campaign prior to this year's Olympics, China now has more than 37m square metres of outdoor gyms. The scheme has proved a major success with 45% of adults now taking part in exercise in Shanghai - compared to 21% in the UK.

So far there's just one scheme in the UK - in Newham, east London, where people can freely use gym equipment in the open air. The equipment is much sturdier than that found in traditional gyms, which should hopefully make it resistant to vandalism. But perhaps the British weather, fear of embarrassment - and antisocial behaviour - may hinder the expansion of "playgrounds for adults" over here.

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