Recommendation 21

DHSC told us it did not view providing more resources, or redirecting them from elsewhere, as a substantive part of the solution to the lack of progress with prevention. Instead, it considers that a shift towards prevention might be achieved through longer-term changes in culture, public attitudes and the legislative environment.36 There is a role for GPs to advise patients, and hospitals might choose to reach out into communities to carry out preventative measures.37 NHSE told us it viewed the 10-year health plan as 33 Q 29 34 C&AG’s Report, para 4.14 35 C&AG’s Report, para 4.20 36 Q32 37 Q 32 14 an opportunity to crystallise ambitions around prevention, but warned there would be difficult trade-offs to consider between actions which may only deliver a longer-term benefit and actions that meet a priority today.38