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Evidence briefs

What works: Achieving equitable lipid management

Cardiovascular disease is a leading cause of death in the UK, particularly impacting socioeconomically disadvantaged and ethnic minority groups. Primary care services have a significant role to play in mitigating inequalities in lipid management within health care. This evidence brief examines the available evidence on inequalities across the NHS England cholesterol pathway.

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What works: Addressing inequalities in the primary and secondary outpatient interface 

An estimated 15 million GP appointments are used every year dealing with issues between primary and secondary care. A dysfunctional primary-secondary care interface is likely to widen health inequalities by disproportionately impacting underserved populations. This evidence brief examines the evidence and provides recommendations on what works to reduce inequalities at the primary-secondary care interface.

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What works: Health checks for patients with severe mental illness

Morbidity and mortality in people who suffer from severe mental illness (SMI) is substantially higher than the general population. In the UK, annual screening for physical health conditions is available for people with SMI, however uptake is low. This brief examines available evidence for interventions to improve delivery of physical health checks for people with SMI in primary care.

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What works: Mitigating inequalities in telephone and digital triage for primary health care 

Telephone triage and digital triage aim to improve access to general practice by making early clinical decisions with signposting where necessary. However, the impact of triage systems on health and care inequalities remains uncertain. This brief examines the differential impacts of telephone and digital triaging systems on disadvantaged groups.

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What works: Fostering equitable access to primary health care for asylum seekers, migrants and refugees

The NHS policy for free primary healthcare has proven insufficient to remove barriers for unwell migrants. This brief presents current available evidence relating to what works to address inequalities for people seeking asylum, migrants and refugees accessing primary care.

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What works: Addressing inequalities in the uptake of cervical screening

There are substantial inequalities in the uptake of cervical screening across socioeconomic and ethnic groups. This brief summarises the evidence on what works to address inequalities in cervical screening and provides recommendations for health practitioners and policymakers.

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What works: Mitigating inequalities in patient self-referral to specialist services

Self-referral of patients directly to specialist services may help relieve pressure from GPs; however, concerns have been raised that this may increase inequalities. This brief presents recommendations to mitigate the potential of self-referral to increase inequalities.

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