Department of Health Skip to content

Please note that this website has a UK government access keys system.

You are here:

Securing good health for the whole population: Final report - February 2004

  • Document type:
  • Author:
    Derek Wanless, HM Treasury
  • Published date:
    25 February 2004
  • Primary audience:
  • Alternative title:
    Wanless report
  • Product number:
  • Gateway reference:
  • Pages:
  • Copyright holder:

In April 2003, the Prime Minister, the Chancellor and the Secretary of State for Health asked Derek Wanless, ex-Group Chief Executive of NatWest, to provide an update of the challenges in implementing the fully engaged scenario set out in his report on long-term health trends. This is the final report produced by Derek Wanless. This report provides an update of the challenges in implementing the fully engaged scenario set out in the 2002 Wanless report on long-term health trends.

The 2002 report 'Securing Our Future Health: Taking A Long-Term View' set out an assessment of the resources required to provide high-quality health services in the future. It was based on first catching up, and then keeping up with other developed countries, which had moved ahead of us over recent decades. That report illustrated the considerable difference in expected cost depending upon how well our health services became more productive and how well people became fully engaged with their own health. Resources were needed not only to satisfy shortterm objectives, particularly access to service, but also to invest in improving supply, by building the capacity of the workforce, improving information technology support and renewing premises, and to invest in reducing demand by enhancing the promotion of good health and disease prevention.

Many of the benefits of engaging people in living healthier lives occur in the long term but there are also immediate and short-term benefits when demand for health services can be reduced, especially in those areas such as acute services where capacity is seriously constrained.

This further review has been focused particularly on prevention and the wider determinants of health in England and on the cost-effectiveness of action that can be taken to improve the health of the whole population and to reduce health inequalities. It was asked to consider consistency of current policy with the public health aspects of the 'fully engaged' scenario outlined in the 2002 report. The definition of public health for this review has been drawn very widely; essentially it considers public health to be 'the science and art of preventing disease, prolonging life and promoting health through the organised efforts and informed choices of society, organisations, public and private, communities and individuals.'

Published by The Stationery Office

Additional links

Ordering publications

Contact details for obtaining hard-copy DH publications.

Help viewing PDFs

Useful tips to ensure you get the most from PDFs and the free Reader program. Topics covered include accessibility, troubleshooting and searching files.

Access keys