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.

  • Enhancing inclusion and health outcomes for criminal justice-experienced people through lived experience engagement: the example of RECONNECT

    by Revolving Doors, over 1 year ago

    Revolving Doors is a national charity working to break the cycle of crisis and crime. We advocate for a system that addresses the drivers of contact with the criminal justice system, including trauma, poverty, and discrimination. We bring independent research, policy expertise and lived experience together to champion long-term solutions for justice reform. In this case study, we outline the work of our Lived Experience Team (LET) with RECONNECT, from the perspective of two of our RECONNECT lived experience representatives, David and Emily.


    The issue


    Disengagement and mistrust are major obstacles to achieving health inclusion for individuals with criminal justice... Continue reading

  • Arch Health CIC Workforce development: Case Study

    by Arch Health CIC, over 1 year ago

    Arch Health CIC Workforce development: Case Study


    Arch offers a number of training opportunities for medical students, clinicians and support workers and services working with people experiencing homelessness in Brighton and Hove and nationally. By sharing our expertise it is hoped that there will be a better understanding of inclusion health amongst clinicians, more clinicians wanting to work in inclusion health and a more holistically trained workforce within the homeless sector across Brighton and Hove and further afield.


    Arch’s offer for workforce development includes:


    • 4th year medical student elective

    Arch offers one elective student placement in our team each academic... Continue reading

  • Brighton and Hove Common Ambition: Case Study

    by Arch Health CIC, over 1 year ago

    Brighton and Hove Common Ambition: Case Study

    Patient voice for those experiencing homelessness in Brighton and Hove has never been fully established. The experiences and insights of these patients have been difficult to gather and health inclusion services have very little co-production woven into their delivery model.


    Brighton and Hove Common Ambition brings together people with lived experience of homelessness, frontline providers and commissioners through co-production within homeless health services. This is in order to improve systems, services and outcomes for people experiencing homelessness in Brighton & Hove. It is a three year project and it is in its final... Continue reading

  • Arch Health CIC GP Surgery: Case study

    by Arch Health CIC, over 1 year ago

    Arch Health CIC GP Surgery: Case study

    Arch Health CIC exists to explore every opportunity to improve the health and well-being of people without a secure home in Brighton and Hove. We are committed to this because periods of homelessness can have a devastating impact on a person’s life and we believe that excellent, caring, primary health care can prevent long term suffering and save lives.

    Many people who are experiencing homelessness face complex health challenges, often further exacerbated by a lack of trust in healthcare systems and services. In order to provide an effective healthcare service for people facing... Continue reading

  • Arch Health CIC Step Down Beds: Case Study

    by Arch Health CIC, over 1 year ago

    Arch Healthcare - Step Down Beds Service - Case study:


    To ensure people who have been admitted to hospital and are at risk of homelessness at the time of discharge have a safe place to recover with regular clinical input Arch has collaborated with local services to provide seven step down beds in the Brighton and Hove. This service has been in place from February 2021. The first year (pilot year) was funded through the Covid Recovery Fund this was then continued through the Out of Hospital Care fund. Currently, for the year 2023/24 the service is funded by Sussex... Continue reading

  • Arch Health CIC hospital inreach service, “Pathway”: case study

    by Arch Health CIC, over 1 year ago

    Arch Health CIC hospital inreach service, “Pathway”: case study

    Homelessness is a healthcare problem: a period of homelessness can be devastating for a person’s health. Conversely, good healthcare can empower people, and give them a base of stability and strength, to address challenges they may be facing in their lives.


    Pathway is a national model that uses the opportunity of hospital admittance, to identify people experiencing homelessness, and by providing extra, tailored care, coupled with housing support, help these patients to benefit from their hospital treatment and recover properly, during and beyond their hospital stay.


    Enabling people to stick with... Continue reading

  • Arch Health CIC expanded outreach service: case study

    by Arch Health CIC, over 1 year ago

    Arch Health CIC expanded outreach service: case study

    Arch Healthcare provides specialist primary care services for people facing homelessness in Brighton and Hove. ARCH stands for Accessible, Restorative, Community Healthcare, so we are always looking for ways to make our service more accessible to people who may not be able to reach our surgery, in the heart of the city, or who may not be aware of our service. Our newly expanded outreach service was established in order to address this.

    The team is made up of GP Tal, Advanced Nurse Practitioner Ruth, who is the Outreach Coordinator, and Jess... Continue reading

  • Pathway Progression case study

    by Loretta Cox @OxleasNHS, over 1 year ago

    The London Offender Personality Disorder (OPD) Partnership is consortium of London NHS trusts that work with the Probation Service and other third sector organisations to deliver psychological treatment to complex high-risk offenders in the community and prisons.

    This case study describes the benefits of psychologically informed partnership working to provide safe, understanding and effective interventions to support this man with complex needs.

    Richard was referred to the Integrated Community Pathway Service (ICPS) Case Prioritisation Meeting (CPM) November 2021. He is a white-British Male, convicted in 1992 for murder within the context of an armed robbery. Richard was allocated to an... Continue reading

  • Integrated Outreach Working with Street Based Sex Workers in London, Find&Treat, UCLH & SHOC team, Mortimer Market Centre

    by Binta Sultan, over 1 year ago

    Our case study links to all 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

    Background:

    This programme of work began in response to the progressive defunding of sexual health outreach services, rising health inequalities and the halting of delivery of outreach services during the pandemic. Homelessness and problematic drug use are key factors that initiate engagement in street-based sex work They... Continue reading

  • Groundswell's Homeless Health Peer Advocacy Service

    by Rachel Brennan, over 1 year ago

    Groundswell’s Homeless Health Peer Advocacy (HHPA) service supports people experiencing homelessness to address physical and mental health issues. Staff and Volunteers who have direct experience of homelessness support people to overcome practical and personal barriers to accessing the healthcare they need and supporting them to develop the confidence and skills to increase their ability to access healthcare independently. Here is a case study that outlines some of the work we do to support our clients.

    Client H: Referred by Homeless Nursing team.

    Male, 46 years old, foreign national, no recourse to public funds, needs translation support.

    Diabetes Type 2

    Colorectal... Continue reading

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