Resources

The NHS Constitution states that access to NHS services is based on clinical need, not an individual’s ability to pay. Most NHS services are free of charge. There is a large evidence base describing the problems that people with low incomes face accessing healthcare; much of the international literature relates to insurance premiums. However, there is little research describing how to ensure people on low incomes are not inadvertently excluded from healthcare services.

Tackling chronic disease risk factors requires a systemic approach that addresses the structural barriers that disadvantaged groups face in managing their health. In this evidence brief, we focus on how health care services, as part of this system, can improve behavioural interventions aiming to tackle chronic disease risk factors like smoking, obesity, or hypertension, so that they better address the needs and preferences of disadvantaged groups.

Millions of people in England have an undiagnosed health problem, with people living in socioeconomically disadvantaged areas more likely to be unaware of a health problem. In this evidence brief we explore what works to improve case finding for disadvantaged groups, specifically those lower socioeconomic and ethnic minority groups.

The Index of Multiple Deprivation (IMD) is a widely used measure in public health research and policymaking relating to health inequalities. By identifying areas with the greatest levels of deprivation, resources can be allocated more effectively to tackle systemic issues that contribute to unequal health outcomes. This blog provides an overview of the IMD and it’s use in public health research.

In this blog, Sharon Cumberbatch, an NHS nurse, shares her life story as a first-generation black British Caribbean, a health care trainee and a health care professional. In honour of Black History Month, Sharon reflects on the aspirations that have driven her in life, her experiences of systemic racism but also experiences of solidarity. She highlights the importance of learning – about the world but also about our own and others’ histories – as the cornerstone of caring communities.

In this blog, Chris Frederick, a Lived Experience Advisor, explores how his life has been shaped by the intergenerational and historical trauma experienced by his family and within black communities. In honour of Black History Month, Chris traces the connections between the Windrush Generation, the Brixton riots, and the rise of Black mental health advocacy in the 21st century, highlighting the ongoing work of black communities to address health inequalities and tackle mental health stigma.

A healthy population is key to citizen wellbeing, a productive economy and manageable public services. Policy decisions on jobs, income, housing, education, transport and green space have a major impact on health, but do not involve the Department of Health and Social Care. As the government sets out policies to deliver on its manifesto commitments, how can we ensure health is considered across government, mitigating the potential adverse impacts, ensuring equity and accentuating the positives? Here we argue that Health Impact Assessments are a key tool to cross-government action on health and health inequalities.