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.

  • North East London Integrated Community Pathway

    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.

    Challenges faced by people in contact with the justice system can include disruption to the continuity of care and treatment and exclusion from access to treatment. This case study describes the challenge and solution for one young man in our services.

    Kenneth is 29-year-old black British gentleman born and raised in East London. He experienced a chaotic childhood; his mother struggled with substance... Continue reading

  • Development of a refugee health assessment toolkit for specific populations to support primary care

    by Talia Boshari, over 1 year ago

    In autumn 2021, approximately 4000 refugees arrived from Afghanistan into London. GPs identified a need for readily accessible and comprehensive guidance to support them in conducting health assessments for the new arrivals with a complex range of needs.[1] The rapid pace of the influx meant that additional infrastructure was required to enrol and support the health of this cohort, many of whom were in temporary accommodation. Primary care provision was also recovering from COVID-19-related pressures, and routine expertise in migrant health was not widespread. This led to concerns about the access to, and quality of, initial health assessments for newly... Continue reading

  • Actioning System Change in services for Health Inclusion Cohorts in Wakefield District

    by Pat McCusker, over 1 year ago

    Actioning System Change in services for Health Inclusion Cohorts in Wakefield District

    Introduction:

    The COVID-19 pandemic presented opportunities for new ways of working to meet the needs of Health Inclusion cohorts at scale across Wakefield’s Health and Social Care economy. In particular, the COVID-19 vaccination programme meant that services collectively had to make adaptations to ensure equity of access through the development of assertive outreach and roving vaccination to community settings where Health Inclusions cohorts live, socialise, or seek support.

    The learning from this experience saw partners develop a population level approach to meet the needs of Health Inclusion cohorts... Continue reading

  • NHSE Southwest Screening and Immunisation Team (SIT) response to National recommendations of Diphtheria Vaccinations and Treatment for Refugees and Asylum Seekers in Hotels

    by Lisa Harrison, over 1 year ago

    Background

    In November 2022 UKHSA noted a marked increase in the number of cases caused by toxigenic Corynebacterium diphtheriae reported amongst asylum seekers in England.

    The majority of the cases were identified in new arrivals to the two large initial reception centres for asylum seekers in Kent (Manston and the Kent unit for unaccompanied minors).

    Further cases have also been identified further along the asylum seeker (AS) pathway in individuals who have been relocated into hotel accommodations settings across England, including in the South West.

    Most cases will have likely acquired the infection in their country of origin or during... Continue reading

  • Specialist Health Visitor for Vulnerable Families in Temporary Accommodation in Hounslow

    by Lisa Gordon, over 1 year ago

    Background

    Health visitors are registered nurses or midwives who have additional specialist training in public health. They work with families from pregnancy to starting school. They are in a unique position as the ‘eyes and ears’ of the community, with contacts carried out in the family home.

    During the Covid 19 pandemic, the number of asylum seeker families staying in temporary accommodation in hotels in Hounslow increased. This increase was recognised by members of the health visiting team and created an unmet health need.

    We took steps to improve access to healthcare for these vulnerable families and this culminated in... Continue reading

  • RESET Project

    by Alex Leeder, over 1 year ago

    Following Shropshire Council being awarded £1.4 million following a successful bid for funding to support rough sleepers and those at risk of rough sleeping via the Rough Sleepers Drug and Alcohol Treatment Grant provided by the Office of Health Improvement and Disparities (OHID) commissioned partners have worked together to establish the RESET project.

    The project will support the county in meeting the intended outcomes of the national drug strategy by helping to reduce drug-related deaths, reducing alcohol-related hospital admissions and increasing the number of successful individuals in treatment.

    RESET is a multi-agency team (MDT) that provides holistic wrap-around support and... Continue reading

  • Haref: Cultural Competency Training and Haref Allies Membership

    by Haref-Connected Voice, over 1 year ago

    Draft Principle: Develop the Workforce for inclusion Health

    Organisations involved:

    Haref strives for health equity for ethnically marginalised communities in Newcastle and Gateshead.

    Our Haref Network is made up of over 80 community organisations working with ethnically marginalised communities in Newcastle and Gateshead. As a network we identify barriers to good health, come together to be a stronger voice and work in collaboration, identify ways to be involved in research, and work with local health services.

    Information from the Network feeds into the work we do with our Haref Allies, health and wellbeing service providers working in Newcastle and... Continue reading

  • South West Migrant Health Network

    by Mina Fatemi, over 1 year ago

    The South West Migrant Health Network is a multiagency forum with membership from the NHS, OHID, public health, local authorities, third sector, frontline staff and people with lived experience.

    The network’s objectives include sharing best practice, sources of data and information and provision of support to professionals working with vulnerable migrants. Tackling health inequalities, with a focus on Core20Plus5 and wider determinants of health, is a core focus of the group.

    This network aims to address the ongoing problems that have been identified in the workstreams related to vulnerable migrants, including:

    • limited shared resources/information and single points of reference for... Continue reading
  • North Central London Inclusion Health Needs Assessment

    by Priyal Shah, over 1 year ago

    People in Inclusion Health groups face the most significant health inequalities of any group in our population – often compounded by the impact of intersectionality/multiple disadvantage. Addressing health inequalities faced by inclusion health groups is a key component of the NCL Population Health and Integration Strategy and one of our locally identified PLUS populations from the CORE20PLUS5 framework, because the needs of these populations can only be solved by working together with our partners.

    Tackling inclusion health inequalities requires integrated service approaches and partnership working at system, place and neighbourhood level to address the complex set of needs these populations... Continue reading

  • Homeless Step Down Pathway Case Study 10

    by Teri Milewska, over 1 year ago

    CASE STUDY

    By Kattya Mayre-Chilton

    Specialist Dietitian B7 DT25287

    Mildmay Hospital

    This is a case study I would like to bring to everyone's attention given the special circumstances in which it took place. It not common for the therapist to key work the patients on the homeless pathway but I felt compelled to do so given the patient's predicament and complex dietetic intervention. He is not recognised as a resident in this country, nor his home country due to a lack of paperwork and a passport.

    He had no traceable next of kin, and even if he were to return... Continue reading

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