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Spending Review 2004 Public Service Agreement
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Last modified date:9 August 2007
The aim of the Spending Review 2004 Public Service Agreement is to transform the health and social care system so that it produces faster, fairer services that deliver better health and tackle health inequalities.
Objective 1: Improve the health of the population: by 2010 increase life expectancy at birth in England to 78.6 years for men and to 82.5 years for women
1. Substantially reduce mortality rates by 2010:
- from heart disease and stroke and related diseases by at least 40% in people under 75, with a 40% reduction in the inequalities gap between the fifth of areas with the worst health and deprivation indicators and the population as a whole;
- from cancer by at least 20% in people under 75, with a reduction in the inequalities gap of at least 6% between the fifth of areas with the worst health and deprivation indicators and the population as a whole; and
- from suicide and undetermined injury by at least 20%.
2. Reduce health inequalities by 10% by 2010 as measured by infant mortality and life expectancy at birth.
3. Tackle the underlying determinants of health and health inequalities by:
- reducing adult smoking rates to 21% or less by 2010, with a reduction in prevalence among routine and manual groups to 26% or less;
- halting the year-on-year rise in obesity among children under 11 by 2010 in the context of a broader strategy to tackle obesity in the population as a whole. Joint target with the Department for Education and Skills and the Department of Culture, Media and Sport; and
- reducing the under-18 conception rate by 50% by 2010, as part of a broader strategy to improve sexual health. Joint target with the Department for Education and Skills.
Note: Figures will be reviewed following publication of the Public Health White Paper later in 2004.
Objective 2: Improve health outcomes for people with long-term conditions
4. To improve health outcomes for people with long-term conditions by offering a personalised care plan for vulnerable people most at risk; and to reduce emergency bed days by 5% by 2008, through improved care in primary care and community settings for people with long-term conditions.
Objective 3: Improve access to services
5. To ensure that by 2008 no one waits more than 18 weeks from GP referral to hospital treatment.
6. Increase the participation of problem drug users in drug treatment programmes by 100% by 2008; and increase year-on-year the proportion of users successfully sustaining or completing treatment programmes.
Objective 4: Improve the patient and user experience
7. Secure sustained national improvements in NHS patient experience by 2008, as measured by independently validated surveys, ensuring that individuals are fully involved in decisions about their healthcare, including choice of provider.
8. Improve the quality of life and independence of vulnerable older people by supporting them to live in their own homes where possible, by:
- increasing the proportion of older people being supported to live in their own home by 1% annually in 2007 and 2008; and
- increasing, by 2008, the proportion of those supported intensively to live at home to 34% of the total of those being supported at home or in residential care.
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