To deliver the 10 Year Health Plan, the Department of Health and Social Care (DHSC) and NHS England are publishing a series of Modern Service Frameworks (MSF). These ambitious frameworks will provide national guidance on evidence-based programmes and interventions to improve health and wellbeing.
At the Health Equity Evidence Centre, we have worked with DHSC and NHS England policy makers support the equitable implementation of MSF. As with all health and care programmes, there is a risk that if they are not targeted at those who would benefit most, they may be less effective and could inadvertently increase inequalities. Based on our library of evidence briefs, we have developed a set of guiding principles and a self-assessment maturity matrix to support equitable implementation.
Our research shows that there is no silver bullet for addressing health and care inequalities, but there are consistent patterns in the evidence on the types of approaches that reduce inequalities. Building health and care systems around these principles, with iterative feedback and learning, offers the greatest opportunity to maximise population health improvements and reduce inequalities.
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Guiding principles for equitable implementation of Modern Service Frameworks
In this document we present seven principles for equitable implementation of interventions, services and programmes. These principles have been drawn from a library of evidence briefs produced by the HEEC and are presented as themes, with the supporting evidence and case studies. They reflect patterns in the evidence to help decision-makers understand what works and apply this while also taking into account contextual factors, such as the organisational landscape and governance structures. Download here
Equity matrix for equitable implementation of Modern Service Frameworks
In this document we set out an equity maturity matrix to support the seven evidence-informed guiding principles for equitable implementation of Modern Service Frameworks (MSFs) developed by the Health Equity Evidence Centre (HEEC). While developed to inform the cardiovascular disease (CVD) MSF, the maturity matrix is intentionally transferable, and intended to support equitable design, commissioning, delivery, improvement and evaluation across all MSFs and future public health initiatives. Download here.