Call for evidence - inclusion health

NHS England’s National Healthcare Inequalities and Improvement Programme is collaborating with teams across the NHS and wider partners to develop a framework for NHS action on inclusion health, which will distil best practice and clarify role expectations on this agenda.

The framework is intended to support leaders in national and regional teams as well as local systems to identify specific priority actions to tackle health inequalities faced by inclusion health groups. It will help to contextualise the agenda within current NHS priorities and provide greater clarity of roles and responsibilities across the NHS and with partners, to promote partnership working between agencies. The aim is to publish the framework in September 2023. 

The framework will focus on inclusion health groups. Inclusion health includes any population group that is socially excluded. This can include people who experience homelessness, drug and alcohol dependence, vulnerable migrants, Gypsy, Roma and Traveller communities, sex workers, people in contact with the justice system and victims of modern slavery, but can also include other socially excluded groups.

Read the draft inclusion health principles which have been informed by a series of engagement activities and a literature review.

Platform now closed for submissions:

Thank you so much for your case studies and contributions. We have now closed the platform for new submissions. If you have case studies you would like to share please email scwcsu.healthimpandineq@nhs.net.



NHS England’s National Healthcare Inequalities and Improvement Programme is collaborating with teams across the NHS and wider partners to develop a framework for NHS action on inclusion health, which will distil best practice and clarify role expectations on this agenda.

The framework is intended to support leaders in national and regional teams as well as local systems to identify specific priority actions to tackle health inequalities faced by inclusion health groups. It will help to contextualise the agenda within current NHS priorities and provide greater clarity of roles and responsibilities across the NHS and with partners, to promote partnership working between agencies. The aim is to publish the framework in September 2023. 

The framework will focus on inclusion health groups. Inclusion health includes any population group that is socially excluded. This can include people who experience homelessness, drug and alcohol dependence, vulnerable migrants, Gypsy, Roma and Traveller communities, sex workers, people in contact with the justice system and victims of modern slavery, but can also include other socially excluded groups.

Read the draft inclusion health principles which have been informed by a series of engagement activities and a literature review.

Platform now closed for submissions:

Thank you so much for your case studies and contributions. We have now closed the platform for new submissions. If you have case studies you would like to share please email scwcsu.healthimpandineq@nhs.net.



Case Studies

To submit your case study, you will be asked to create a public screen name and share your email address with the NHS. If we require any further information, we will contact you via email. Please be aware this is a public platform and your submission will be viewable by those who have access to this link. 

Please link your case study to one or more of the frameworks five inclusion health draft principles: 

1) Commit to action on inclusion health

2) Understand the characteristics and needs of inclusion health groups locally

3) Develop the workforce for inclusion health

4) Developing integrated and accessible services for inclusion health

5) Demonstrate impact and improvement for inclusion health

When submitting your case study please answer the following questions:

1)  Permission: Do you give permission from the individual/group to share this case study? Please ensure submissions are anonymised.

2) Permission: Do you have permission from your organisation to share this case study? Do you have permission from any partner organisations also named to share this case study?

3) Permission: Do you give permission for NHSE to share this case study and publish it as part of the framework? 

4) Logo: Would you like to share your logo for use? If yes, do you give permission for it to be published with your case study in the framework?

5) Organisation/s: What organisation/s were involved? 

6) The challenge: What was the issue you were trying to solve? Include which Inclusion Health Group the initiative focused on and its level i.e. community/locality/system

7) The approach/solution: What did you do? What help did you receive? How did you go about delivery?

8) Insights and impacts: What evidence proves it worked? What difference it makes to the Inclusion Health Groups? How did this improve experiences, access and inclusion? How did this improve their health and help address health inequalities?

9) What people said: Any quotes or feedback from service users, staff, management or decision makers

10) Tips for success: Approaches or links that make a difference or lessons learned.

11) What next: What are you doing next?



Thank you for sharing your story with us.
CLOSED: Thank you so much for your case studies and contributions. We have now closed the platform for new submissions. If you have case studies you would like to share please email scwcsu.healthimpandineq@nhs.net.

  • Doctors of the World's Safe Surgeries initiative: supporting GP practices to improve access to primary care

    by DOTWUK, over 1 year ago

    Developing integrated and accessible services for inclusion health

    Primary care is open to all, but often many people in inclusion health groups, including people without a fixed address, people seeking asylum and refugees, are wrongly refused access to the primary services they are entitled to. NHS England guidance on GP registration is clear: regardless of nationality or immigration status, everyone living in England can register and consult with a GP without charge. There is no regulatory requirement to prove identity or address in order to register and an NHS number is not required (1).

    An investigation by the Bureau of... Continue reading

  • Homeless Health Service Westminster: Severe and multiple disadvantage caseload

    by Rebeccah Clews, over 1 year ago

    This pilot will test a trauma informed relational service working intensively with a small cohort of people experiencing severe and multiple disadvantage (SMD) and with unmet health needs that puts them at a high risk of avoidable harm

    The pilot is delivered by the Homeless Health Team delivered by Central London Community Healthcare NHS Trust. The nursing team had identified a cohort of people experiencing SMD who were not engaging with the existing service and were at high risk of avoidable harm and, as a result call an ambulance or attend A&E frequently and funding to pilot this approach was... Continue reading

  • NWL ICS Asylum Seeker Volunteering

    by Aran Porter, over 1 year ago

    We have developed a standardised and consistent process to support refugees and asylum seekers into volunteering roles in the NHS across NWL ICS. Participation in volunteering will improve their opportunities for integration, skills development and widening their routes to careers. The refugee and asylum seekers volunteering project is part of a larger recruitment programme aimed at recruiting refugees into paid employment with partner organisations in the NHS across NWL.

    A number of Asylum Seekers have been successful in securing volunteering roles within our health trusts and we have developed case studies reflecting their experiences.

    Charles’ Story

    Charles was born in... Continue reading

  • A holistic approach to wellbeing: Greener on the Outside for Prisons (GOOP)

    by Amy_Spectrum, over 1 year ago

    Greener on the Outside of Prisons (GOOP)

    Spectrum Community Health CIC is proud to support the development and implementation of GOOP (Greener on the Outside for Prisons) projects across several prison sites where we currently provide healthcare services.

    What is GOOP?

    GOOP is a health and wellbeing programme which runs in several prisons across the UK and is designed to improve the health and wellbeing of patients by involving them with a range of environmental activities, including gardening. Research has shown that gardening, horticulture and outdoor activities have real therapeutic benefits for mental health.

    Working with HMPPS and raft of... Continue reading

  • WY-FI+ Inclusive Health Service: supporting inclusion for homeless adults

    by Amy_Spectrum, over 1 year ago


    Service context

    The Inclusive Healthcare Service was introduced in Wakefield in 2021 to provide urgent support for homeless adults and rough sleepers during the COVID-19 pandemic. At that time, homelessness in Wakefield had surged by a third and the local authority needed a nurse-led outreach project to engage with homeless people in safe areas (eg. in hostels, churches) guiding them to health and housing support and reducing pressure on A & E departments.

    In October 2022, this provision was incorporated into WY-FI+ - a new service funded through the NHS Core20PLUS5 initiative to improve outcomes for vulnerable adults.

    A need... Continue reading

  • RECONNECT North East: working in partnership to reduce reoffending and improve outcomes for prison-leavers

    by Amy_Spectrum, over 1 year ago

    Context

    Introduced in 2019, RECONNECT is a Care Navigation service which provides support for adults with health and wellbeing needs both before and after their release from prison. RECONNECT supports service users for up to three months pre-release and up to six months post release, helping them plan for release and make links with important services such as GP practices, mental health services, drug and alcohol services and probation.

    Across the North East Prisons, RECONNECT is led by the Reconnected to Health partnership of four organisations:

    • Spectrum Community Health CIC
    • Rethink Mental Illness
    • Tees, Esk and Wear Valley (TEWV) NHS... Continue reading
  • Michelle's story

    by J Elliott, over 1 year ago

    Michelle’s story

    “Growing up, I experienced abuse at home, and have struggled with physical health problems as a result, which are still ongoing. Over the years, this has made me vulnerable, and I have experienced a number of abusive relationships where my finances and freedom have been restricted.

    “For years, I struggled to get the help I needed – my physical health got worse, and out of desperation I turned to illegal substances to self-medicate. I was forced into homelessness and was sleeping rough or in temporary hostels, where I experienced further assaults.

    “I really needed help, but I was... Continue reading

  • Principle 4: A flexible and integrated approach to engaging multi-stressed families at Safeguarding Support Unit Psychology (a specialist CAMHS Team)

    by KatSSUPsych, over 1 year ago


    As a specialist CAMHS team embedded within the Safeguarding Support Unit at Sheffield Children’s Hospital, we accept referrals from Consultant Paediatricians who have seen children for a Child Protection Medical or Forensic SARC assessment following concerns about child abuse or neglect. We have very inclusive referral criteria and support any child who is experiencing mental health difficulties in relation to the child protection concern, up to 18 years. If families are struggling to engage, we work with multiagency partners to understand this and facilitate attendance at appointments. Once families have met us and understand how we can support them, they... Continue reading

  • Reducing health inequalities for those with severe mental illness and complex mental health- looking at the bigger picture

    by Jodie Hall, over 1 year ago

    A proactive, outreaching, and engaging holistic trauma-informed approach to reducing the health inequalities of those living with severe mental illness (SMI).

    The Team:

    Jodie Hall Clinical Lead OT & Physical health pathway lead

    Health Coaches

    Linked in with the wider Primary Care Community Mental Health MDT.

    Ambition:

    Adults with SMI are statistically significantly more likely to die prematurely than adults who do not have SMI; from often preventable illnesses and diseases. 5x more likely to die before the age of 75- up to 20 years younger. 4 times as many adults with SMI in the most deprived IMD quintile die... Continue reading

  • Preventing avoidable admissions

    by Rebeccah Clews, over 1 year ago

    Background

    Westminster has the highest number of rough sleepers in England and, in response to this there are a number of specialist health interventions including two, specialist GP practices. GPs provide regular outreach sessions alongside the rough sleeping outreach team taking healthcare to those who are not accessing it. The ICB and local authority commission a number of health beds within the supported accommodation pathway with accompanying nursing in-reach and clinical supervision to prevent avoidable admissions and discharge to the street.

    Case study

    Towards the end of a joint street outreach session the team came across H, being escorted from... Continue reading

Page last updated: 15 Jun 2023, 02:36 PM