Report

Improving our nation’s health: a whole-of-government approach to tackling the causes of long-term sickness and economic inactivity

Seizing the opportunity to improve health outcomes and boost economic growth in the UK.
Ilse Bosch, Jonathan Devereux, Michael Wood, Hashum Mahmood, Raoul Ruparel, Nick South, Ben Horner, Stephen Sutherland, Helena Fox, Hong Sheng Lim, Annabel Brunner, Rohit Bagewadi, Ilia Gorshkov

10 September 2024

About this report

The UK faces a series of complex cross-cutting health challenges. Addressing these interrelated issues – from access to services to health and work – requires a fresh approach. Often, no single part of government can tackle these sorts of issues alone and too often the public sector is set up to treat the symptoms of a problem rather than an underlying cause. We must go further and think of the problem more dynamically through a whole-of-government approach (WGA).

A perfect example of this is the recent sharp rise in the number of people out of the workforce due to long-term sickness. This has significant impacts on individuals’ wellbeing, as well as large fiscal and economic costs. It requires concerted cross-government action to reverse these impacts. This is why the NHS Confederation and Boston Consulting Group partnered on a project to identify a set of practical actions the government can take to make progress. 

Our report explores these actions. It will be of interest to government and policymakers, as well as the NHS, local delivery partners, funding organisations and stakeholders involved in work addressing the wider social determinants of health.

This report supersedes the interim report published on 25 June 2024.

Hear from Matthew Taylor, NHS Confederation chief executive

About us

  • NHS Confederation

    The NHS Confederation is the membership organisation that brings together, supports and speaks for the whole healthcare system in England, Wales and Northern Ireland. The members we represent employ 1.5 million staff, care for more than 1 million patients a day and control £150 billion of public expenditure. We promote collaboration and partnership working as the key to improving population health, delivering high-quality care and reducing health inequalities.

    Boston Consulting Group

    Boston Consulting Group partners with leaders in business and society to tackle their most important challenges and capture their greatest opportunities. BCG was the pioneer in business strategy when it was founded in 1963. Today, we work closely with clients to embrace a transformational approach aimed at benefiting all stakeholders—empowering organizations to grow, build sustainable competitive advantage, and drive positive societal impact.

    Our diverse, global teams bring deep industry and functional expertise and a range of perspectives that question the status quo and spark change. BCG delivers solutions through leading-edge management consulting, technology and design, and corporate and digital ventures. We work in a uniquely collaborative model across the firm and throughout all levels of the client organization, fuelled by the goal of helping our clients thrive and enabling them to make the world a better place.

    Boston Consulting Group, Centre for Growth and NHS Confederation logos