Professor Sir Michael Marmot opened with a poignant statement around #BuildBackFairer – a report commissioned by the Institute of Health Equity advocating for a fairer post Covid world. While the current slogan making the rounds is ‘Build Back Better’ this slogan fails to acknowledge any of the lessons we have learned from the pandemic. How the social determinants of health and aiming to reduce health inequalities must be viewed as a matter of social justice not just one of academic interest.
The key learning from the conference was around no young person being left behind in the plans to build back fairer. Professor Cathy Creswell pointed out that recent studies are illuminating the high prevalence of mental illness among young people during the pandemic; with families and young people themselves facing major barriers to access evidenced-based support. These problems existed before, but have been exacerbated by the pandemic, and now we are at a critical point where this could be improved upon.
Another speaker Dr Golo Henseke talked in more detail about the short-, medium- and long-term consequences of the pandemic on both young people’s mental health and our expectations of the future. He argued it is essential to have young people’s assessments of their future to be able to provide hope.
The vibe around the conference felt like one of tentative hope dashed with a dose of reality. Young people in England have the second highest levels of social inequality in terms of self-rated health according to findings from the HSBC study, according to speaker Dr Jo Inchley. Put bluntly, young people growing up in the least affluent families report the poorest self-rated health, more frequent health complaints, and more issues with low mood and sleeping.