Inventing our future Collective action for a sustainable economy

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Links between Healthy
Futures and key PSA Targets
Overview
The Public Service Agreement (PSA) Framework was first introduced in 1998 and it has become
a central element of the Government’s strategy for delivering high quality public services; the
Framework is intended to ensure that key outcomes are delivered in return for resources. The
latest set of PSA Targets was published as part of the 2004 Spending Review (SR2004) and
relates to the period 2005-2008 1 .
Three different groups of PSA Targets have been identified as especially relevant to the delivery
of Healthy Futures. These are:
• Key DH PSA targets, focusing especially on the Department’s priorities linked to improving health,
reducing inequalities in health and tackling the determinants of ill health
• ‘Linked’ PSA Targets which belong to other Central Government Departments but were identified
in ‘Delivering Choosing Health’; this was published by the DH in March 2005
• Other PSA Targets which are relevant to Healthy Futures, given the three Themes and the nine
Strategic Priorities that have been identified.
These three groups of PSA Targets are summarised below.
A: Key DH PSA Targets (from SR2004)
1) Substantially reduce mortality rates by 2010:
• From heart disease and stroke and related diseases (by at least 40% in people under 75
with at least 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)
• 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 ill 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 with DfES and DCMS)
• Reducing the under-18 conception rate by 50% as part of a broader strategy to improve
sexual health. (Joint with DfES)
1 See http://www.hm-treasury.gov.uk/spending_review/spend_sr04/spend_sr04_index.cfm