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.

  • The Multi-disciplinary Team: START Homeless Outreach Services

    by Fran Busby, over 1 year ago

    The START Homeless Outreach Services work across South London and are an integrated health and social care multi-disciplinary team for rough sleepers and people living in hostels, in 3 boroughs. They are funded by the 2 local ICBs as well as NHSE and OHID and provide both mental health and dual diagnosis care for people with co-occurring conditions. This is delivered by using a relationally focused outreach approach that works across transitions, to achieve recovery, stable housing and an eventual transfer back into mainstream care.

    The teams are made up of social workers, psychiatric nurses, OTs, psychology and psychiatry, peer... Continue reading

  • Gypsy Roma Traveller Health Needs Assessment - Kent County Council

    by Megan Abbott , 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


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

    Yes

    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... Continue reading

  • A partnership approach to tackling health inequalities in cancer screening

    by Kajal Lad, over 1 year ago

    Leicestershire County Council (LCC) has been working in partnership with Primary Care, Charnwood GP Network and Charnwood community groups to reduce health inequalities in cancer screening (cervical, breast and bowel) and support future work in a partnership arena that uses a population health management approach to tackling health inequalities. As part of the Charnwood’s PCN tackling Health Inequalities plan, the project involved exploring the perceptions, experiences and influences to attending cancer screening in communities with poor uptake. The five communities of interest identified were a) Bangladeshi, b) Polish, c) Homeless, d) Carers and e) Gypsy Roma Travellers.

    To understand the... Continue reading

  • Royal Berkshire NHS Foundation Trust's "Meet PEET" (Patient Experience Engagement Team)

    by Kirsten Rogers, over 1 year ago

    The Royal Berkshire NHS Foundation Trust’s Meet PEET (Patient Experience Engagement Team) initiative focuses on engaging and listening to seldom heard groups in our community, for example, those in deprivation index 1 and 2 (the highest level of deprivation) or those who have challenges accessing our healthcare services or a disproportionately poorer patient experience. This might be because of language difficulties or other accessibility needs. We know, for example, that those in deprivation index 1 and 2, are more likely to come to the Emergency Department; more likely to be admitted as an inpatient; more likely to have longer waits... Continue reading

  • LGBTQ+ Migrant Health Inclusion

    by Ibtisam Ahmed (he/him), over 1 year ago

    LGBT Foundation is a charity dedicated to empowering and uplifting LGBTQ+ communities, with a focus on health and wellbeing initiatives. As part of our membership in the National LGBT Partnership, we work regularly with the VCSE Health and Wellbeing Alliance. Our 2022/23 work programme included a project dedicated to finding out more information about the barriers to accessing healthcare for LGBTQ+ migrants. We interviewed several participants with the aim of best understanding how inclusion health practice can approach complex lived experiences holistically instead of segregating identities into disparate, constituent parts.

    Participant 6 shared an instance of when they first registered... Continue reading

  • RESPOND: an integrated asylum-seeker and refugee health service

    by Sarah Eisen, RESPOND, over 1 year ago

    RESPOND is an integrated, co-designed health system providing services for asylum seekers and refugees (ASR). Our Outreach Assessment Service has seen more than 1400 asylum-seekers in initial accommodation centres in North-Central London (NCL), exploring physical, mental, sexual, dental and social health needs (aligned to CORE20PLUS5), using a holistic care-planning framework to promote service access. A specialist multidisciplinary team (MDT) facilitates partnership-working, and a comprehensive patient-held health plan is created for service-users. RESPOND addresses health inequality in a vulnerable population, and has demonstrated improved access to health services, identification of health needs and patient / stakeholder experience.


    The Challenge

    RESPOND was... Continue reading

  • Salford Partnership Out of Hospital Care Model

    by Lydia Duncan, over 1 year ago

    Inclusion Health Case Study

    • Permission- Sadly, this case study submitted is for a deceased person, but permission has been obtained from their next of kin. When asked Lucy’s sister said: “Anything to get that support back in place and help others as you all worked wonders for Lucy and I can't fault any of you”.
    • Permission- Greater Manchester Mental Health (GMMH) Foundation Trust has provided permission for this case study. Partner agencies, Salford City Council and Inclusion Health GP have also provided their consent for this to be shared.
    • Permission- We give NHSE permission to share and publish this case... Continue reading
  • North West London integrated approach to homeless health

    by Claire Wilson, over 1 year ago

    NWL has the largest homeless population in London, and the borough with the largest homeless population, Westminster. There are stark health inequalities for those who are homeless; a combination of multiple, long term, often under-treated health needs, experiences of trauma and discrimination mean that this sub-set of our population often do not get the care they need.


    In 2021, NHS North West London was awarded funds from DHSC’s Shared Outcomes Fund to develop an Out of Hospital Care Model (OOHCM) for people experiencing, or at risk of, homelessness. This formed part of a nationwide programme of 18 sites, aiming to... Continue reading

  • Innovative model for screening adults and children for infectious diseases fleeing from conflict in Afghanistan

    by Suzanne Dixon, over 1 year ago

    Links to all 5 aspects of the framework

    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

    Permission: has been granted and we give permission for NHS England to utilise these are case examples. Two logos are attached.

    Organisation/s: These were Manchester University NHS Foundation Trust, gtd healthcare and Manchester Integrated Care Partnership.

    The challenge: In 2021, a large-scale evacuation of people from... Continue reading

  • A new approach to an old disease: delivering specialist care to children with Tuberculosis close to home

    by Suzanne Dixon, over 1 year ago

    This links to all 5 aspects of the framework

    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

    Permissions: I give permission for this to be shared and for the networks logo to be used. I have permission from our networks host organization to submit this

    Organisation: This work was developed by the Northwest Paediatric TB managed clinical network, which draws its membership from all organisations... Continue reading

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