“The cultural and VCSE sectors have a key role to play in reducing health inequalities”
Lord Howarth has made three short speeches in the House of Lords on the inclusion of nonclinical practice - including in particular a focus on creativity/culture/nature - in the Health & Social Care Bill.
"Non-clinical approaches can help us move away from the present state of affairs, in which we are under-doctored and over-medicated, and they will bring significant cost savings. The World Health Organization’s scoping review reported that evaluation of Arts on Prescription suggested an average return on investment of £2.30 for every £1 spent, through reductions in unnecessary prescribing and reductions in the use of health services, including emergency hospital admissions."
In his second speech on 11 January, Lord Howarth cites the examples of a number of organisations (and CHWA members) including Intermission Youth, Gloucestershire Artlift, UCLH Arts, and Air Arts at Derby and Burton Hospitals. The video is available here, and text here.
"Increasing numbers of ICS leaders are recognising how creative health approaches can valuably support the NHS. Let us make sure that, in framing this legislation, we guarantee appropriate opportunities for social prescribing and other non-clinical interventions to make the full contribution of which they are capable to benefiting both mental and physical health.
The department has commissioned research and funded the National Academy for Social Prescribing and the provision of 1,000 link workers. It is not clear, however, that the department, NHS England or the Office for Health Improvement and Disparities have fully grasped the potential of creative health or that they mean to normalise creative health approaches within their vision and policies. I look forward to the Minister’s assurance that the Government do indeed intend this and will design integrated care structures to this end."
Creativity and health equity
In his final speech, on 13 January, Lord Howarth focuses on the impacts of creative approaches on health equity. He refers to the 2017 Creative Health report as well as more recent evidence on creativity, health equity and social mobility via the MARCH Network, led by Dr Daisy Fancourt.
"The cultural and VCSE sectors have a key role to play in reducing health inequalities and should be fully embedded at systems level and in the health decision-making process. Integrated care partnerships provide the gateway to making this happen."
He also highlights the brilliant work of the Whitworth, Contact Manchester, Manchester Camerata, Sistema Scotland, and the Liverpool Philharmonic - as well as developments via the National Centre for Creative Health and AHRC-funded research programmes to tackle health inequalities. The video is here and text here.
Lord Howarth of Newport is President of the Culture, Health & Wellbeing Alliance and Chair of our partners the National Centre for Creative Health.