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.

  • Islington Homeless Health Inclusion

    by Clare Driscoll, over 1 year ago

    Across the country, people experiencing homelessness (PEH) suffer from some of the most severe health inequalities and face significant barriers in accessing health and care services when compared with the general population. Indeed, PEH die 30 years earlier than the average UK adult, and nearly one-third of deaths are from preventable and treatable conditions.

    PEH face specific challenges in accessing mainstream primary care services due to inflexible service times, unstable or transient accommodation, lack of continuity of care, fragmented services and a lack of awareness by healthcare practitioners as to the complexity of PEH needs. This results in PEH disproportionately... Continue reading

  • Providing healthcare and screening for asylum seekers residing in short term accommodation in Hounslow

    by Ellie Tobin, over 1 year ago

    The ICB Borough Team in Hounslow, alongside Little Park Surgery in Feltham have worked in collaboration to co-design, deliver at pace, and continually evaluate a new model of delivering outreach healthcare for asylum seekers residing in short term hotel accommodation in the borough. These sites are different than the IACs commissioned by the Home Office, and are an “overnight” initial accommodation prior to dispersal into IAC hotels around the country. When established, there was no specialist healthcare provision commissioned for these settings, which despite being intended for overnight stays could see people residing for up to a period of weeks... Continue reading

  • Homeless Step Down Pathway Case Study 9

    by Teri Milewska, over 1 year ago

    Social background

    The patient was born in India, but also lived in Portugal, but has since lived in the UK over 7.5 years. He has two daughters who are both married living in the Wembley area, but does not know where exactly both are residing.

    His wife passed away around 4-5 years ago, but has been communicating with his brother-in-law who resides in Southall. Previously, he was living in Southall and visiting his daughters.

    Medical summary

    The patient was admitted to Northwick Park hospital back in February 2023 with the following issues.

    Hypertension

    Alcohol intoxication

    Pneumonia

    Acute kidney injury

    Anaemia... Continue reading

  • Homeless Step Down Pathway Case Study 8

    by Teri Milewska, over 1 year ago

    Social History

    The patient, T has no partner nor dependents, was homeless and then went to prison. He was released on 22/12/2020 and has been sleeping rough. Smokes- 20-40 cigarettes a day, Alcohol, 8-16 cans of lager daily plus Intravenous Drug User (IVDU) Heroin.

    Past and Present Medical History

    Chronic Obstructive Pulmonary Disease (COPD),

    Schizophrenia, Personality Disorder, Hepatitis C,

    Bilateral Femoral Deep Vein Thrombosis and

    Infected Right Venous Ulcer for 4 years

    Drug History

    T is on Thiamine 100mg three times daily, Vitamin B Compound Strong 2 three times daily, Paracetamol 1g 4 times daily when required, Apixaban 5mg twice... Continue reading

  • Homeless Step Down Pathway Case Study 7

    by Teri Milewska, over 1 year ago

    This is a brief outline of how a patient with a working diagnosis of Schizophrenia and Emotionally Unstable Personality Disorder (EUPD) was managed at the Mildmay. Patient Q, called this for confidentiality, was a 36-year-old man with a diagnosis of Schizophrenia for about 15 years. The Schizophrenia was being managed on high doses of Clozapine. He was referred to the Mildmay Hospital by the Homeless Team through Homeless Care Pathway.

    He had delusional beliefs, and periods of great excitability, anger and frustrations, and periods of deep depression. He had suspected personality disorder and history of behavioural issues. He also had... Continue reading

  • Homeless Step Down Pathway Case Study 6

    by Teri Milewska, over 1 year ago

    Julie – name change.

    Julie is a 47year old woman who has had a history of problematic drinking for many years, which required a medical detox. She had been admitted to Guys & St Thomas hospital to complete a planned detox, which went very well and was complete within the expected time.

    Julie was due to go straight to rehab from detox which was all set up. However, as she had been able to complete the detox 7 days ahead of schedule, a referral was made for her to come to Mildmay for the 7 days to stabilise and rest... Continue reading

  • Homeless Step Down Pathway Case Study 5

    by Teri Milewska, over 1 year ago

    Lucy – name changed.

    Lucy is a 41yr old woman with a history of crack and heroin use. She was severely underweight and had not been adhering to her HIV treatment. She also had some gynae issues and needed a total tooth extraction due to severe decay.

    She had been prescribed methadone by the external drug and alcohol service to help her to stop using heroin. As she stopped needing to buy heroin to avoid opiate withdrawal symptoms, this enabled her to stop buying crack as well. She then maintained a drug free status which enabled her to work towards... Continue reading

  • Homeless Step Down Pathway Case Study 4

    by Teri Milewska, over 1 year ago

    Social background:

    The patient was born in India, but also lived in Portugal, but has since lived in the UK over 7.5 years. He has two daughters who are both married living in the Wembley area, but does not know where exactly both are residing.

    His wife passed away around 4-5 years ago, but has been communicating with his brother-in-law who resides in Southall. Previously, he was living in Southall and visiting his daughters.

    Medical summary:

    The patient was admitted to Northwick Park hospital back in February 2023 with the following issues.

    • Hypertension
    • Alcohol intoxication
    • Pneumonia
    • Acute kidney injury
    • Anaemia... Continue reading
  • Homeless Step Down Pathway Case Study 3

    by Teri Milewska, over 1 year ago

    John (name changed) is a 56yr old, single, street homeless male who has a significant history of addiction to inhaling lighter gas and alcohol. He had been admitted to hospital after accidentally setting himself on fire while using gas, which resulted in significant burns to his legs and pelvis area. He remained in an acute inpatient hospital for 3 months receiving treatment. The treatment included skins grafts and a stoma was fitted as his bowels where also damaged by the fire.

    Once John was at a stage where he was able to continue healing but not well enough to return... Continue reading

  • Homeless Step Down Pathway Case Study 2

    by Teri Milewska, over 1 year ago

    CASE STUDY 2

    SOCIAL BACKGROUND:

    Patient was a Nigerian National who came to the UK on a student visa in 2012. CN applied for settlement 20 Mar 2013, but his application was rejected. Unknown to the patient, he did not know the reason/s why. He was previously homeless, sleeping on buses in London and the Brent area. He also lived in Croydon working cash in hand as a gardener. He has three siblings living in Nigeria but no contact.

    MEDICAL SUMMARY:

    CN was admitted to the Mildmay with the following medical issues.

    Newly dx retroviral

    Right cerebellar subacute infract

    Low... Continue reading

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