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Introduction

Three decades ago, Dr Julian Tudor-Hart, a GP working in the south Wales coal mining towns, developed the inverse care law. This states that "the availability of good medical care tends to vary inversely with the need for it in the population served." This Equity Audit of Heart Health in Wirral demonstrates that thirty years on, for many people the inverse care law still applies and that strenuous efforts across a range of activities and involving many different agencies will be needed to redress the balance. Wirral Health and Social Care Partnership must therefore, consider how to take this work forward.

Finally, I would like to thank Dr Divine Nzoubontane who, almost single-handedly, developed the approach and produced the initial report and Dr Alison Rylands who supervised the overall project.



Dr Janet Atherton
Director of Public Health


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