Health inequity is not the product of individual behaviour, but of policy design. Drawing on a comprehensive synthesis of recent evidence, this blog examines why public policies that reshape social and material conditions are more likely to reduce health inequities than those that rely heavily on individual agency, and how a policy-focused framework can help anticipate these effects.
As the NHS shifts care closer to home, neighbourhood health is being positioned as a key lever for reducing inequalities. But will it deliver? In the first blog of our three-part series, we explore what the evidence says about co-located services, Integrated Neighbourhood Teams and community health workers — and what it will take for this agenda to genuinely narrow the gap.
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Integrated care can improve population health and reduce health inequalities. This brief highlights four key principles for designing INTs to reduce health inequalities based on the available literature and transferable evidence from studies on equitable primary care.
This blog explores the rise of private health care in the UK and its impact on creating a two-tier system. It highlights regional disparities in access to orthopaedic procedures and discusses the implications for patients, the NHS, and policymakers.
Quality improvement (QI) seeks to enhance care but does not consistently consider equity, leading to potential intervention-generated inequalities. This brief summarises the evidence on what works to ensure that QI addresses inequalities, categorising approaches that improve or worsen them.
In 2023/24, 6,669 practices received £10.2 billion from the NHS. Capitation payments to individual practices are adjusted using the Carr-Hill formula. On average, practices received £164.64 per patient, with higher payments for practices serving older populations due to higher healthcare needs, prescribing costs and the specific needs of rural areas. This analysis explores how NHS payments to general practices are informed by the age structure, deprivation and rurality of registered patients.
We have undertaken a series of 10 evidence reviews for NHS England and here highlight seven interventions and programmes with the strongest evidence base.
The NHS employs over 1.7 million people in England. Empowering NHS staff to tackle health inequalities offers significant potential. However, several workforce challenges exist. In this brief, we review the international evidence on what works to empower health care staff to address inequalities.
Health care organisations can mitigate social and health inequalities by offering high-quality, equitable care. They can also improve communities’ overall wellbeing through their influence and assets to improve the economic, social, and environmental conditions in local areas. In this brief, we review academic papers on how health care organisations can effectively operate as anchor institutions to address inequalities in social determinants of health.
People from ethnic minority backgrounds and socioeconomically disadvantaged backgrounds experience consistently worse health outcomes than their white British and more affluent counterparts. Statutory guidance has recognised that community engagement and empowerment are vital to reduce these health inequalities. In this evidence brief, we summarise evidence examining the effectiveness of different community-centred strategies to improve health in disadvantaged communities.
There are stark inequalities in the supply, demand and need of general practice. ICBs can take action to address these inequalities.
We’ve developed datapacks for each ICB England to help them understand their inequalities and take action.
Below are the datapacks for the East of England ICBs. If you’d like a copy of your own ICBs datapack, please email us [email protected]
