Poor outlook for good health

To be recalled to a clinic for further tests after finding a lump or noticing an unusual symptom is a near heart-stopping moment, fraught with worry, both for the patient and their loved ones.

But going to a GP’S surgery and raising concerns, or attending a screening clinic, to even be in the position to receive that vital specialist treatment which could save the life of a mother, father, son, daughter, or friend, is not happening across the social divide in Scotland.

New figures show that the poorest Scots are most likely to diagnosed with cancer when the disease has reached an advanced stage, reducing the chance of a successful intervention and leading to more invasive treatment.

We are already aware that initiatives to widen access to education and employment often encounter obstacles not factored in by policy-makers. We have also been aware for some time of the disadvantages in health most likely to be suffered by those on low incomes.

But while such disparities are measurable in terms of inequality and targets, it is not just about inequality alone. Rather it is quite literally about life and death itself.

If people are poor it is more likely they are denied the choices which maximise the chance of good health, leading to a greater chance of getting cancer.

We’ve heard a lot from the Scottish Government about how tackling inequality is a major priority for 21st century Scotland.

But these latest figures are an example of how deeply embedded social problems are and how innovative thinking will be required to reach those who need the most help – and to safeguard future generations.