Call for evidence - inclusion health

Consultation has concluded

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(External link) (External link)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(External link).



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(External link) (External link)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(External link).



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.

  • Homeless Step Down Pathway Case Study 1

    by Teri Milewska, almost 2 years ago

    CASE STUDY 1

    SOCIAL BACKGROUND

    The patient is a Jamaican National who came to the UK in 2002, after fleeing a threat to her life. She does not have any status in the UK, but has been working with Lewisham Refugee and Migrant Network, who submitted a “indefinite leave to remain” application to the Home Office on the 15 July 2022.

    She stayed in Birmingham for several months, with a friend, before moving to London. There she sofa-surfed with friends. Both parents are deceased, but does have siblings and children living in Jamaica and a cousin in London.

    MEDICAL SUMMARY

    ... Continue reading

  • Homeless Palliative Care in Liverpool

    by Ryan Young, almost 2 years ago

    Background - Need and Service Provision

    Brownlow Health is a large city centre GP providing specialist healthcare for people experiencing homelessness. An audit of deaths of people experiencing homelessness was undertaken over a two year period which found that on retrospective review a significant number of patient deaths could be expected and that there was a low level of palliative care support provided.

    In response, Brownlow Health collaborated with Marie Curie Hospice in Liverpool to establish a Homeless Palliative Care Multi-Disciplinary Team. This team:

    • Secured funding for a Palliative Care Nurse to lead on care for people experiencing homelessness and... Continue reading

  • Spectrum CIC WY-FI+ Case Study

    by Sharon Whitaker, almost 2 years ago

    Ann, 45 years old

    In 2020 Ann was re-referred to WY-FI+ for support with Homelessness, Addiction, Re-offending, and Mental Ill Health. On the WY-FI+ traffic light she presented red, chaotic, and not engaging with support.

    Background - Ann developed bacterial meningitis as a teenager. This caused a brain injury and she had to rehabilitate, relearning how to walk and talk. Ann began working with a brain injury charity at the start of her journey with WY-FI+.

    Homelessness: Ann was housed in unsecure short-term emergency accommodation following release from prison for an offence of arson which stemmed from unstable mental health... Continue reading

  • Portsmouth Homeless Drug and Alcohol Team

    by Katie Wood, almost 2 years ago

    Homeless, suffering from anxiety resulting from trauma which he endured as a child, James (now aged 47) turned to using substances and drinking alcohol in excess amounts at an early age. He had a difficult relationship with his family and moved around frequently as a child, which resulted in him never feeling that he could call anywhere home. As James grew older he found it difficult to maintain a working life. He experienced overwhelming anxiety in the workplace to the extent that he could no longer work without drinking alcohol to block out his emotions. James wanted to be able... Continue reading

  • NHS charging

    by Yvonne , almost 2 years ago

    I met my patient in the day centre where I worked, Her visa had expired and she had no recourse to public funds. She was being charged for her medication/treatment upfront for breast cancer. I contacted the breast unit to explain the NHS charging policy re 'necessary and immediate care'. I also contacted the Overseas office who understood the 'necessary and immediate care' policy.

    Despite sending evidence re charging and talking to the person n the breast care unit, they insisted that she should still pay upfront before treatment can be continued.

    This delayed my patient getting treatment

  • The #HealthNow Peer Network - promoting participation for people with experience of homelessness

    by Rachel Brennan, almost 2 years ago

    The #HealthNow Peer Network is an innovative and empowering initiative that has the potential to make a real difference in the lives of people who are often overlooked and marginalized by mainstream healthcare services. The network brings together individuals with lived experience of homelessness who have expertise in tackling homeless health inequality. As a result, the network is uniquely positioned to generate community-led solutions to health inequalities, particularly for those who are marginalized and excluded from mainstream healthcare services.

    One of the key features of the #HealthNow Peer Network is its use of a digital platform that enables members to... Continue reading

  • Peer participation in tackling health inequalities for people experiencing homelessness

    by Rachel Brennan, almost 2 years ago
    This case study will outline how the #HealthNow project is involving people with direct experience of homelessness in developing and delivering solutions to health inequality through local system change.

    #HealthNow is a UK wide campaign that aims to work towards an inclusive health system where everyone has access to the health care they need; ultimately moving people out of homelessness. #HealthNow is led by Groundswell and delivered in partnership with national charities Crisis and Shelter.

    As part of the delivery of the #HealthNow project, local #HealthNow alliances have been established in Birmingham, Greater Manchester and Newcastle. Local alliances bring together
    ... Continue reading

  • An integrated holistic health service for refugees and asylum seekers in Gateshead

    by chark, almost 2 years ago
    This is the description of a joint integrated primary and secondary care service for refugees and asylum seekers in Gateshead, North East England