Population Health Academy Newsletter
Prevention and Inequalities Regional Updates
Publications:
- Government Action Plan on Digital Inclusion, which aims to demonstrate how the UK will close the digital divide.
- The World Health Organisation (WHO) have published report exploring the role of alcohol labelling and health warnings in Europe.
- Paper with preliminary insights relating to government policy on addressing health inequalities through devolution. The paper explores how devolution policy could be developed further to enable mayoral combined authorities and their partners to overcome health inequalities, with three priority areas for the government to take action: 1) Thinking beyond growth 2) Raising expectations of joint working to tackle health inequalities 3) Fairer funding.
- Royal College of Physicians (RCP) has issued a position statement on the principles for an effective, integrated public health system.
- Article from the Health Foundation on the role of Anchor Institutions. Covers what they are, how they are helping and what more could be done.
- NHS Health and Race Observatory have published a report on the costs of racism to society.
Prevention:
- ASH have shared findings from a survey around smokefree policies and tobacco dependence treatment services in NHS mental health trusts in England (2024). This includes a summary of key findings and their suggested recommendations. Find out more here.
- Interesting blog from ASH on the impact of cigarette filters.
- Nesta, an innovation agency for social good, have mapped interventions that may help to reduce obesity through supporting policy design.
- A reminder that there are several outputs available on CVDPrevent such as the annual audit report 2024, indicator guides and a deep dive into inequalities in cholesterol management.
Health Inequalities:
- Medway NHS Foundation Trust developed a toolkit for identifying jaundice babies with darker skin tones.
- King's Fund have published an analysis on The Health Of Women From Ethnic Minority Groups In England.
- Health Foundation have released a publication on How racism affects health.
- NHS Health and Race Observatory have released survey insights into the levels of trust that Black, Asian and ethnic minority patients have with NHS primary care service providers.
- Paper with insights from Barts Health NHS Trust on their approach to growing and developing as an anchor institution (access via Open Athens)
- Highlights and recordings from the Nuffield Trust's 2025 Summit hosted in early March - it includes several talks but of particular interest are the talks on 'progress on the 10 year health plan' and 'racism and health'
Training/learning opportunities/events:
- ACTION are hosting a webinar: An Introduction to Clinical Supervision for Alcohol Care Teams. Contact: ACTION@rcpsych.ac.uk to sign up.
- The Annual Public Health Conference hosted by Local Government Association titled ‘Tackling health inequalities together’ is taking place soon. The virtual conference will focus on addressing health inequalities, with a keen eye on local government and system-wide perspectives. It will provide practical insights and strategic discussions to inform and address the changing needs of our communities. Book your place here.
- Applications are open to join Cohort 3 of the See Change Programme. Please refer to the See Change webpage where you will find a detailed information sheet, along with the application form.
- Faculty of Public Health are hosting a lunch and learn session on using the Health Equity Assessment Tool
- OHID colleagues are running training sessions on a range of useful public health data tools, please see the following links for more details: LKIS South East and Public Health in Focus webinars.
Other useful links:
- April marks Stress Awareness Month 2025, useful resources can be found on the Stress Management Society and Mental Health UK websites
Publications:
- Report published by Cancer Research UK exploring the health inequalities around cancer
- A framework for engaging with people and communities to address health inequalities has been developed for ICSs to use a self-assessment tool. This was developed by the Care Quality Commission in collaboration with National Voices, The Point of Care Foundation and with input from the National Healthcare Inequalities Improvement Programme at NHS England.
- The Health Innovation Network has published 'Forging a more equitable healthy future through policy and partnership' a roundtable report on health inequality and innovation. The roundtable discussion, held in December 2024, followed the publication of the 'Innovation for Healthcare Inequalities Programme (InHIP): impact and learning report', where InHIP addressed patient access to proven innovations in underserved populations.
- Digital inclusion action plan - The Department for Science, Innovation & Technology is seeking views on its recently published 'Digital Inclusion Action Plan: First Steps', which aims to close digital divisions in the UK. The call for evidence is open until 9 April 2025.
- Recently published NICE guidance around obesity regarding Overweight and Obesity Management and Tirzepatide for managing overweight and obesity
Prevention:
- National Child Measurement Programme (NCMP) Height data (Feb 2025) has been added to the obesity profile on fingertips. This includes new data on mean height and prevalence of short stature for children measured in the NCMP.
A report on data from the NCMP for the academic years 2008 to 2009 through to 2023 to 2024, describing patterns in child height was also published and is available here. - Interested in hearing directly from women about their real-life experiences of cervical cancer screening? A SoundCloud podcast 'Preventing cervical cancer' is available exploring these experiences alongside expert insights from GPs.
- The Institute of Alcohol Studies has released a new video summary on the impact of alcohol on YouTube at The Impact of Alcohol on our Healthcare Services: Explained
- The ONS has published the latest statistics around alcohol-specific deaths in the UK registered in 2023. The statistics show 10,473 deaths from alcohol-specific causes were registered in the UK, the highest number on record, whereas the rate of alcohol-specific deaths (15.9 per 100,000 people) decreased slightly compared with 2022.
- Alcohol Care Team Innovation and Optimisation Network (ACTION) produce a monthly news bulletin which you can sign up to here: ACTION@rcpsych.ac.uk
Health Inequalities:
- The Gambling Commission publish a fortnightly e-bulletin that may be of interest to public health colleagues. You can subscribe to it here.
- A new indicator has been added to the wider determinants profile showing the number of fast-food outlets per 100,000 population in 2024 for local authorities in England. Further details are available here.
- BMJ Podcast on the ‘Industry Playbook to Combat Public Health’ and Future-AI. The podcast covers commercial determinants relating to the food, gambling and tobacco industries and the interplay with public health interests.
- Health literacy data tool - As poor health literacy is a key indicator of health inequalities; NHS England has commissioned a health literacy geodata tool that provides a percentage estimate of low health literacy among local health authority populations. For further information, please email NHS England's Knowledge and Library Services team at england.kfh@nhs.net
- Black Maternity Experience Survey 2025 launched - Women's health organisation Five X More has launched its Black Maternity Experience Survey 2025 to address the overall maternity experience and mental health of black women during and after pregnancy. Survey results will feed into meaningful recommendations that contribute to safer, more equitable maternity care for black women in the UK. Please follow the link for more detail and share as appropriate.
- 'When You Know….Childbirth in the asylum system' is a video resource that explores the live experiences of 5 women navigating maternity care while living under asylum restrictions.
- The Fingertips alcohol profile includes new data for: alcohol-specific admissions; alcohol-related admissions; alcohol-related mortality and potential years of life lost. In the latest period there were wide inequalities in alcohol admissions with rates 1.5 to 2.0 times higher in the tenth most deprived lower tier local authorities compared with the tenth least deprived.
Training/learning opportunities/events:
- The Armed Forces Network is hosting ‘Together We CAN Make A Difference 2025’, a multidisciplinary conference focusing on what can be done around integration and networking to break down barriers particularly across military and civilian VSCE, integration with health and care in support of the Armed Forces Community. Register here.
- Health literacy webinar - 2 webinars (covering what health literacy is, why it's important, what North East and North Cumbria have been doing, training/resources and what you can do)
- The next South East CPD Session will be on Applying systems thinking skills in local authority public health practice. Learning outcomes: 1) Definition and key aspects of Systems Thinking skills training 2) Examples of how the training has been used local authority public health practice and impact. Register here.
- OHID colleagues are running training sessions on a range of useful public health data tools, please see the following links for more details: LKIS South East and Public Health in Focus webinars.
Other useful links:
- You can help raise awareness for Measles Immunization Day on 16 March by downloading a range of leaflets on measles, mumps and rubella (MMR). With leaflets on cervical screening and the human papillomavirus (HPV) vaccine also available, the resources feature spokespeople from relevant communities and are available in a range of languages. Print them now to use at your events, surgeries, clinics and pharmacies. For more information, please contact roopal.vyas-patel@nhs.net
Publications:
- Patient information forum - "Knowledge is Power" report
- The prevalence and clustering of alcohol consumption, gambling, smoking, and excess weight in an English adult population - Discusses the targeting of people that have more than one risk factor
- UK needs national strategy to tackle alcohol related harms
- 2025/26 Priorities and Operational Planning Guidance
- Elective care reform information - This includes the roles and action for NHSE, NHS elective care providers and ICBs, which can be found here
- UK Allied Health Professions Public Health Strategic Framework (2025-2030) - This framework is intended to provide a shared roadmap to continue to support the AHP community to improve the public’s health
Prevention:
- BMJ podcast on prehabilitation, surgery and alcohol
- ASH has released updated publication about cost and inequalities relating to Tobacco - the Ready Reckoner and Inequalities Dashboard. Both report data for England, regions, ICBs, combined authorities, local authorities (upper tier or unitary authorities) and constituencies. More information about the methods and model have been published with the Ready Reckoner
- 'Time for action on cardiovascular disease' (CVD) quality improvement data packs are now available to Integrated Care Systems to narrow inequalities in the prevention of CVD. Find the bespoke data pack for your ICB, or for more information, contact: nhsbn.cvdprevent@nhs.net - The data packs are part of CVDPREVENT, a national primary care audit that uses data extracted from GP records. Its 2024 annual report and accompanying infographic highlight some important healthcare inequalities and evidence unwarranted variations on several indicators
Health Inequalities:
- A reminder of the work on Anchors and Social Economic Development, which is one of the four pillars of Integrated Care Boards. To discuss your work on this topic please contact Ben.Crawford1@nhs.net
- Information outlining what the Core20PLUS Ambassador Programme is about, with case studies from past cohorts
- NHS Race and Health Observatory's (NHS RHO) series of three short films to help tackle suicide risk in Gypsy, Roma and Traveller communities. Find out more about the resource on the NHS RHO website.
- Health Inequalities Finance Fellows case studies from last years cohort
- MECC webinar recording - The primary objectives of the initiative include:1. Raising awareness of available MECC resources. 2. Enhancing the capabilities of healthcare professionals. 3. Promoting best practices in patient interactions. 4. Establishing supportive networks for collaboration and knowledge sharing
- MBRRACE-UK (Mothers and Babies: Reducing Risk through Audits and Confidential Enquiries across the UK) has published data that shows that inequalities in maternal mortality remained during 2021-2023. Read the data brief for more information
Training/learning opportunities/events:
- LKIS SE Public Health Toolbox Virtual Training Sessions
- Public Health in Focus teams' Toolbox Training Sessions
- NHS ConfedExpo 2025 - This conference is dedicated to driving innovation and improving care for patients and the public.
- UKHSA SE Virtual Open Morning - 13th February: "Beginner’s Guide to the South East Health Protection Team.”
Other useful links:
New South East Prevention and Inequalities Mailbox
There is a new team mailbox: southeast.preventionandinequalities@nhs.net
This replaces the previous standalone prevention mailbox. So if you’re not sure who to contact, please do use this. You may also start seeing calendar invites coming from here.
Improving ethnicity recording together: multi regional call for collaborative action
The North West Joint Intelligence Network is working with partners across the country, including the ADPH London, to arrange a workshop to foster collaboration and drive forward improvements in ethnicity recording in health and public sector services. All colleagues working to improve ethnicity recording, and address health inequalities, are invited to join us for " Improving ethnicity recording together: multi regional call for collaborative action." The collaborative workshop will be held 13:30-15:00 Thursday 16th January 2025 via zoom. The event will include a discussion on establishing a multiregional working group. Please share with your networks and anyone who may be interested in participating.
Announcing NHS England South East Region's EDI Skill Development Sessions
a learning and development package by NHS England South East Region. These sessions are open to all staff working in the NHS healthcare setting in the South East region. This includes but is not limited to NHS Trusts, Primary Care and ICBs. These sessions will increase your confidence in identifying non-inclusive practice. They will help foster good relations between NHS staff. They will help you create inclusive, compassionate workplace cultures and improve retention.
LGBT+: Definitions, minorities, minorities within minorities
We will explore the different terms we use in the LGBT+ space. We will learn about less visible groups within the LGBT+ communities. We will learn about research evidence on the experiences of LGBT+ people. We will finish by discussing current affairs and how they're impacting LGBT+ communities. There will also be a quiz to test your learning!
Inclusive communication (Disability and Language)
An introduction to the medical and social models of disability. We will reflect on the words we use to talk about disability. We'll explore how we can use more empowering language when talking about disability and disabled people. By watching engaging videos created by disabled people, we'll rethink our own biases and challenge stereotypes.
Digital accessibility
How to create accessible communications for disabled or neurodivergent people. How to write accessible emails, documents and messages when using Outlook, PowerPoint, Microsoft Word and Microsoft Teams. These tools can also support the health and wellbeing of all colleagues who spend long hours in front of a computer.
Microaggressions and allyship
What do we mean by microaggressions? How do they show up in the workplace? Allyship, privilege and what allyship means to different people. This session includes guest speakers who work in the NHS who will share their lived experiences of microaggressions. How can we move from being a bystander to an ally? How do we increase our confidence in speaking up when we witness microaggressions? This session covers race, religion, sex and other marginalised communities too.
Red Tape Challenge – improving the interface between primary and secondary care
Sent on behalf of GP Implementation Team.
The ‘Red Tape Challenge’, which is jointly led by Claire Fuller and Stella Vig, Medical Directors for Primary Care and Secondary Care at NHS England respectively, builds on and accelerates existing activity to improve the interface between primary and secondary care, such as how referrals are made and managed, patient discharge and how different parts of the health service communicate with each other.
Over the next few weeks NHS England will be talking to a range of stakeholders, from mental health, to community, primary care and hospital teams, to hear what’s working well, what’s working less well and what tangible actions could help improve things.
- Colleagues can share their feedback and send examples of good practice to: england.redtapechallenge2024@nhs.net
- Please complete this short survey and share with others in your network
- Please spread the word on the Red Tape Challenge via your networks and share info on how people can feed into it (mailbox and survey)
- If you would like to discuss anything specific with the team please contact us at england.redtapechallenge2024@nhs.net
Feedback will be used to implement immediate, operational improvements – with information around longer-term, transformational change fed into wider engagement as part of the 10 Year Health Plan.
Vulnerable migrant families, children, and UASC: improving our health and cultural understanding to strengthen practice
This is the first South East regional shared learning event of its kind specifically for our 0-19 healthcare workforce. The event will be delivered in partnership with NHS England, International Organisation for Migration and the South East Councils Strategic Partnership for Migration. This in-person training will provide opportunity for you to embed and strengthen existing knowledge and understanding of both the health needs and cultural context for vulnerable migrant families and unaccompanied asylum seeking children (UASC).
Who is this event for?
This event is specifically for health visitors, school nurses, nurse practitioners and specialist midwives working in the South East region. Spaces are limited and we will operate a waiting list if we reach capacity. Please feel free to forward this email to relevant and interested colleagues within your own organisation.
What to expect on the day
- To be in the room with subject experts, exploring together practice for health visiting, school nursing and maternity through the lens of these vulnerable families and children.
- Time with health visitors, school nurses and specialist midwives from across the region to share practice, reflect on your own experiences and challenges, and to learn together and from each other.
- Deepened understanding of social norms and cultural context for vulnerable migrant families and children.
- Time to explore the legal frameworks and safeguarding systems that apply in your work.
Date: Thursday 6th February
Time: 09:00-17:00
Venue: Broadway House, Tothill Street, London, SW1H 9NQ
Chief Medical Officer’s Annual Report 2024: Health in Cities
Professor Whitty’s report ‘Health in Cities’ (published 12th December), outlines a broad range of health opportunities and challenges for city populations, and includes case studies from core cities in England.
Analysis of inequalities in health outcomes within English cities and other built-up areas to support the Chief Medical Officer’s annual report has also been published.
National Planning Policy Framework
The revised National Planning Policy Framework was published on 12th December 2024.
This includes stronger and clearer powers for local authorities to block new fast food outlets near schools (paragraph 97), alongside a strengthened public health narrative (paragraph 96(c)).
It goes further than the ambition set out in the Child Health Action Plan in that
- it does not just focus on schools, but adds reference to other places where children and young people congregate,
- it addresses the impacts of a high concentration of hot food takeaways, and
- it introduces a specific reference to health inequalities
South East Diet Obesity and Physical Activity Workshop 15th January 2025
Following the recent discussions at the South East Prevention and Health Inequalities Board, and the insights shared through our South East ADPH Healthy Weight and Physical Activity Network Group and its subgroups, we are pleased to invite you to a regional workshop to bring together leaders across the system to further our collective efforts in promoting healthy weight and improving diet and physical activity in our region.
Workshop Details
Date and time: 15th January 2025, 10am-4pm, Online
Aim: To foster collaboration between obesity and physical activity system leaders across the South East to align and amplify our efforts to progress the agendas on diet, healthy weight and physical activity.
Objectives:
- To update on the latest national and regional evidence, data and guidance in the areas of diet, obesity and physical activity
- To gain a detailed account of current system activity in these areas of work
- To identify shared opportunities for progressing the agendas on healthy weight, diet, and physical activity across different organisation.
- To develop coordinated actions to support population health improvement through system-wide approaches within ICBs and as a region.
Your expertise and leadership in this area are vital to ensuring the success of this initiative. This workshop will be an opportunity to exchange ideas, explore synergies, and co-create solutions that will benefit our communities and reduce health inequalities.
Register by 10th January 2025.
Message from ONS re. Build a Custom Area Profile tool
We are currently in the process of re-designing Build a Custom Area Profile to allow users to select non-Census granular datasets alongside Census 2021 data in the interactive tool. In the second half of January we will be carrying out user research on the re-designed tool to gather feedback and validate the changes we intend to make to the live tool by the end of March 2025. We are looking to identify users who are willing to take part in user research in January. In particular, we are looking for both existing users of the interactive tool (stakeholders who have already used Build a Custom Area Profile in the past) and potential users (stakeholders who are not familiar with the tool but might have an interest in using an interactive tool which allows users to draw a customer defined areas and get data for this user-defined area). If you are interested in taking part, please send me the names and email addresses of those who would like to get involved to: natalie.shorten@ons.gov.uk / ONS.Local@ons.gov.uk
Latest Innovation for Healthcare Inequalities Programme (InHIP): Impact and Learning Report
Contains case studies on cancer, CVD and respiratory.
Healthy Homes in the East of England webinar January 22nd from 12-1:30pm
The webinar is to celebrate the Healthy Homes in the East of England report, launched 3rd December. This report, produced by EELGA, IMPOWER Consulting and Public Health East of England, is a self-improvement tool for Integrated Care Systems (ICSs) to help enhance collaboration between housing and health sectors to improve health outcomes.
At this webinar, we will share the key findings from our Healthy Homes in the East of England report published in December.
This joint report from the East of England LGA, IMPOWER consultancy and Public Health East of England sets out Key Guiding Principles and a Call to Action to support our Integrated Care Systems (ICSs) in the region achieve a system wide approach to health and housing.
Inspired by the opportunities that ICSs bring for greater integration, this recent report draws on the strength of partnerships already joining up efforts on housing and health at a local and regional level to reduce health inequalities particularly in areas of deprivation across the East of England.
Alcohol deaths
Deaths from alcohol have continued to rise.
Tobacco and Alcohol Dependence PLD Collections Bulletin
The national team have released their new PLD bulletin.
In this Edition of the Bulletin...
- Tobacco Dependence: Resubmission windows open in January
- Alcohol and Tobacco NEW Submission Templates:
- What is happening and why.
- What actions you need to take.
- Tobacco Dependence 2025 webinar series
- Tobacco Dashboard Reporting Conventions (Activity Dates and Reporting Periods)
- The impact of Data Suppression and Aggregation Methods on Dashboard and Data
- Pack figures
- The methodology used to calculate the expected number of people who smoke
- Tobacco Dependence Dashboard and Data Packs: User Research
- Tobacco Dependence resources:
- Updated data guidance and specification
- Updated inpatient admissions methodology
- New Dashboard tab to check submitted data
- Re-organised Tobacco Dependence FutureNHS pages
- Further resources and how to get in touch can be found at the end of the bulletin
Please do share onwards.
Tobacco data/dashboard webinars
Webinar 1: Thurs 23rd January at 2.30 to 3.30. Tobacco Dashboard Reporting Conventions: the difference between activity date and reporting date figure and reporting time lags
Webinar 2: Weds 26th February at 1.30 to 2.30. The impact of Data Suppression and Aggregation Methods on Dashboard and Data Pack figures
Webinar 3: Weds 26th March at 1.30 to 2.30. The methodology used to calculate the expected number of people who smoke
The 1-page explainer for webinar 1 (Reporting conventions) is now available here.
Further documents will be shared in the same folder.
NCSCT briefing
This NCSCT briefing, Transfer of Care: a solution for everyone makes a distinction between spontaneous quitters and Transfer of Care clients from NHS Tobacco Dependency Service, prisons and treatment centres to Local Stop Smoking Services. It facilitates seamless, ongoing support for people quitting smoking and ensures that support and treatment can be recorded and reported. Use the NCSCT ‘sign me up’ link to join the NCSCT distribution list.
Guidance: Asylum mental health and wellbeing: workstreams, tools and case studies
The Workstreams, tools and case studies by the Home Office Asylum Mental Health and Wellbeing (MHW) team booklet is now available.
The Faculty of Public Health has launched a new suite of resources
This learning resource is for anyone working in health, social care and well-being wherever they work or study. The resource allows you to access a broad range of learning materials for personal use or for teaching purposes in order to help everyone expand their public health knowledge.
Recruitment: Research Fellow in Public Health, University of Southampton
Hampshire and Isle of Wight Public Health Intelligence team job opportunity.
New national health inequalities bulletin
Summary health inequalities workplan for NHSE SE
Engagement with the development of the 10 year plan
A reminder about 10 year plan development engagement. Please do share with your networks and anyone can submit their thoughts.
Digital Weight Management Programme (DWMP) – Lunch and Learn
The NHSE South East Public Health team is putting on a session for colleagues in general practice. Please do share with you colleagues in general practice within the South East region.
The NHS Digital Weight Management Programme (DWMP) is a 12 week programme aimed at patients with a BMI 30+ who have a diagnosis of diabetes, hypertension or both. It is an online platform providing a combination of GP provided advice and community intervention.
Join us for a Lunch and Learn Session where we will discuss DWMP across the South East and what can be done to increase referrals into this evidence-based effective programme to reduce harms associated with obesity.
This will be an opportunity to hear and share learning and ask questions to speakers and each other.
Date: 28th November 2024
Time: 12:30 – 13:30
If you have any questions please contact: ben.crawford1@nhs.net
Tobacco Data Pack
The data pack for the Tobacco Dependency Services in the South East has been released.
Tobacco Peak Quality Mark Scheme
The pilot of the Tobacco Peak Quality Mark Scheme is underway, with providers encouraged to sign up. This is going to be really helpful on an ongoing basis for ensuring services are evidencing their good work and improving on quality as we move from initial implementation to sustainable delivery.
Call for evidence on standardising packaging for all tobacco products
The recent government response to the consultation on mandating quit information messages inside tobacco packs announced its intention to introduce pack inserts to cigarette and hand rolled tobacco packaging. The Government will also look to extend pack inserts to cover all tobacco products, tobacco-related devices, cigarette papers and herbal smoking products. To do this, they will first consider introducing more stringent packaging requirements for the different product types. To inform this work there is a call for evidence on standardising packaging for all tobacco products. The deadline to respond to this call for evidence is 23:59 on 28 January 2025.
Reminder about Public Health Intelligence Online - FutureNHS Collaboration Platform
Prevention and Inequalities National Updates
A message from Professor Bola Owolabi, Director - National Healthcare Inequalities Improvement Programme, NHS England
As we enter the first month of spring, we also welcome the holy month of Ramadan. For colleagues observing, I wish you and your friends and family a peaceful and joyful period of reflection. Ramadan Mubarak.
In mid-February, I was delighted to speak at the launch event of the health inequalities improvement framework for Integrated Care Systems, developed by the Care Quality Commission in collaboration with National Voices, The Point of Care Foundation and with input from the National Healthcare Inequalities Improvement Programme at NHS England.
This innovative tool emphasises a local approach to tackling healthcare inequalities. Its power lies in asking how well we are listening to the seldom-heard voices of underserved communities and making real, tangible improvements to their lives.
In context of the 10 Year Health Plan, I attended the Public Health in the NHS Professional Network's Health Inequalities Conference and contributed to a parliamentary roundtable on dementia, healthy ageing and digital inclusion. Making health equity a reality is our mission, and we’ll keep moving forward to make this vision real. There is still time to make your voice heard and help shape the future of the health service.
Cancer Research UK has published ‘Cancer in the UK 2025: Socioeconomic deprivation’, a highly insightful report that reinforces the significance of cancer being a clinical priority area in our Core20PLUS5 approach. We will continue to work energetically with our Community Connectors, Ambassadors and voluntary and community, faith and social enterprise partners to drive uptake of cancer screening, advocacy once on the pathway and support if living with cancer.
Finally, you may have heard the announcement from NHS England chief executive Amanda Pritchard. Amanda has been a powerful champion and advocate for our work on tackling health inequalities. Under her leadership, we have made significant progress on reducing health inequalities in coastal communities, embedding the Core20PLUS5 approach and improving the sickle cell pathway, amongst several other advancements.
With best wishes,
Bola
Latest updates
North Middlesex University Hospital opens sickle cell by-pass model of care
North Middlesex University Hospital has introduced a new model of care that will enable around 1,200 patients with sickle cell conditions in north central London to bypass emergency departments and receive specialist treatment.
The initiative is part of NHS England's efforts to roll out seven new specialist by-pass units across the country that allow patients experiencing a sickle cell crisis to get pain relief and other treatment as soon as possible.
Find health literacy levels in your local area
Are you curious about how many people in your area can understand information about their health? Poor health literacy is a key indicator of health inequalities. NHS England has commissioned a health literacy geodata tool that provides a percentage estimate of low health literacy among local health authority populations.
For further information, please email NHS England's Knowledge and Library Services team at england.kfh@nhs.net or find out more about health literacy at an upcoming webinar delivered by NHS England and North East and North Cumbria ICB.
Professor Green helps NHS promote children's oral health
Rapper and health activist Professor Green is helping the NHS promote children's oral health by launching a competition for primary schools across the South West.
To spread awareness, he is supporting England’s largest supervised toothbrushing scheme, 'Big Brush Club', addressing the issue that one in five five-year-olds in the South West has tooth decay. This supports the Core20PLUS5 approach to reducing health inequalities for children and young people.
Roundtable discussion report published on tackling health inequalities
The Health Innovation Network has published 'Forging a more equitable healthy future through policy and partnership', a roundtable report on health inequality and innovation.
The roundtable discussion, held in December 2024, followed the publication of the 'Innovation for Healthcare Inequalities Programme (InHIP): impact and learning report', where InHIP addressed patient access to proven innovations in underserved populations.
Regional events under way to shape 10 Year Health Plan
Hundreds from the health and care workforce have contributed to four of seven regional deliberative events across the country to help shape the 10 Year Health Plan, including in Reading with Professor Bola Owolabi attending. A fifth event in Peterborough is being held in late February.
Help build a health service fit for the future at change.nhs.uk by sharing your experiences, identifying key challenges and suggesting ways to improve the NHS.
Alumni event shares good Core20PLUS5 practice
The first national Core20PLUS5 ambassador alumni event of 2025 for Cohorts 1 and 2 was held on 12 February. Attended by nearly 80 ambassadors, the virtual event exchanged ongoing contributions to tackling health inequalities.
Four alumni members presented topics including: co-leading community events with underserved communities; making health inequalities data meaningful; qualitative insights from underrepresented groups to inform health service improvements; and missed opportunities for the prevention of cardiovascular disease in the Black Country.
Download MMR leaflets to raise awareness in ethnic minority communities
You can help raise awareness for Measles Immunization Day on 16 March by downloading a range of leaflets on measles, mumps and rubella (MMR)
With leaflets on cervical screening and the human papillomavirus (HPV) vaccine also available, the resources feature spokespeople from relevant communities and are available in a range of languages. Print them now to use at your events, surgeries, clinics and pharmacies.
For more information, please contact roopal.vyas-patel@nhs.net
Hear about women's experiences of cervical cancer screening
Interested in hearing directly from women about their real-life experiences of cervical cancer screening? Tune into our SoundCloud podcast 'Preventing cervical cancer', which features Anne, Beth, Sophie and Sian discussing their own journeys alongside expert insights from GPs.
Share this NHS England podcast to support your ongoing efforts to improve awareness and uptake of the screening and human papilloma virus (HPV) vaccination.
News from our partners
CQC launches health inequalities improvement framework for ICSs
The Care Quality Commission (CQC), in collaboration with National Voices and The Point of Care Foundation and with input from NHS England, has launched a framework for engaging with people and communities to address health inequalities. It supports integrated care systems (ICSs) in reducing health inequalities by improving the way they engage with people and communities, identified in the Core20PLUS5 approach.
Professor Bola Owolabi spoke at the framework's launch event on 12 February, which explored how it can help ICSs identify areas for improvement and take strategic action to support their people and communities.
For further information, please contact icshealthinequalities@cqc.org.uk
Submit evidence for government digital inclusion action plan
The Department for Science, Innovation & Technology is seeking views on its recently published 'Digital Inclusion Action Plan: First Steps', which aims to close digital divisions in the UK.
The call for evidence is open until 9 April 2025.
Royal College of Physicians launches principles for an integrated public health system
The Royal College of Physicians (RCP) has launched a set of principles aimed at strengthening and integrating the UK's public health system. Developed in collaboration with leading health organisations and think tanks, these principles aim to be a roadmap for more effective, cohesive and equitable public health.
The King's Fund publishes long reads on 10 Year Health Plan and digital health services
The King's Fund has published a two long reads. 'The 10 Year Health Plan: What do we know about public perceptions of the three shifts?' examines what the public think of the government's three health shifts. Jointly authored with Ipsos, the read draws on existing data from their work analysing public opinion.
'Designing inclusive and trusted digital health services with people and communities' discusses how digital services should be designed and improved by listening to the voices of people and communities.
BIMA highlights ways to reduce inequalities in cancer screening
The British Islamic Medical Association (BIMA) has released a video encouraging the use of culturally tailored approaches to increase cancer screening uptake within Muslim communities.
This follows the recent NHS roll out of home testing for bowel cancer to over 50s. The BIMA hopes to conduct a larger-scale study to explore the acceptability and feasibility of culturally tailored interventions.
Black Maternity Experience Survey 2025 launched
Women's health organisation Five X More has launched its Black Maternity Experience Survey 2025 to address the overall maternity experience and mental health of black women during and after pregnancy.
The survey is designed for individuals who identify as black or black mixed-ethnicity and are currently pregnant, have been pregnant, or have given birth since July 2021. Survey results will feed into meaningful recommendations that contribute to safer, more equitable maternity care for black women in the UK.
Jaundice infographic published to help reduce neonatal ethnic inequalities
The NHS Race & Health Observatory (RHO) has published an infographic to help healthcare professionals assess babies with dark skin tones, who are at a higher risk of developing jaundice and experiencing delayed diagnosis and treatment.
'Ten Steps to Spot Jaundice in Black and Brown babies' is a vital tool in reducing neonatal ethnic health inequalities and follows the RHO's 2023 Review of Neonatal Assessment and Practice in Black, Asian, and Minority Ethnic Newborns, which highlighted the need for educational resources.
Guidance released to support learning disability workforce
The Social Care Institute for Excellence (SCIE) has released guidance for the adult social care workforce to help tackle inequalities in care. ‘Tackling inequalities in care for people with learning disabilities and autistic people’ explores how inequalities such as delays in diagnosis, lack of reasonable adjustments, and ‘diagnostic overshadowing’, can be addressed.
Events and webinars
Register for NHS ConfedExpo 2025
11 and 12 June 2025 | Manchester Central
Book your pass today to join over 5,000 leaders, professionals and sector partners to collaborate, share insights and develop innovative solutions to deliver high quality care for all.
Hear from inspiring thought-leaders, share learnings in interactive workshops and discover the latest tech and innovations that will leave you inspired with new ideas to help transform health and care in your local area. NHS, local authority and wider public sector staff are eligible for a free ticket.
Learn about health literacy in a free webinar
Tuesday 4 March and Monday 31 March - 1:00pm to 3:00pm | Online
Did you know that the average reading age of adults in the UK is 9-11 years old?
If you communicate with patients and members of the public or are interested in improving health communication and patient outcomes, join this free webinar to learn how you can help people understand health information. You'll get practical tips and advice on improving your everyday communications.
Find more information and sign up for the date of your choice.
Register for the UKHSA Conference 2025
Tuesday 25 and Wednesday 26 March | Manchester Central
Register for the UK Health Security Agency (UKHSA)'s conference that has an overarching theme of health inequalities. A number of the sessions will focus on Core20PLUS communities and one of the sessions will further explore the levers and opportunities for change in health equity.
The conference is for public health professionals, researchers and academics, policymakers and industry representatives. You can register for the event here.
Have you seen?
The Red Cell Network's (led by the University College London Hospitals NHS Foundation Trust) video showing audience members' feedback on their documentary film about sickle cell disorder. See the feedback from members of the audience and find out more about the docufilm.
Government and NHS England are working jointly on a new National Cancer Plan.
To inform this, Government has recently issued a Call for Evidence, which is seeking views from individuals, professionals and organisations to inform the development of the plan for England.
You can participate in this call for evidence by completing the online survey. The deadline is the 29 April 2025.
Please do respond yourselves as partners or as individuals, as well as promote to people and communities you work with.
A message from Professor Bola Owolabi, Director - National Healthcare Inequalities Improvement Programme, NHS England
Welcome to our first NHS Healthcare Inequalities Improvement Programme update of 2025.
As we settle back into our busy work schedules, I’d like to remind you that there is still time to contribute to Change NHS and help shape a new 10-Year Health Plan for England. This major engagement exercise will set out how we will deliver an NHS fit for the future, and we can’t do it without your voice. Please take time to share your reflections, and also use this toolkit to spread the word to your networks.
This month, three important frameworks have been published: NHS England's Priorities and Operational Planning Guidance, the government's mandate to the NHS and the Neighbourhood Health Guidelines. The documents make strong references about the need to tackle health inequalities and embed the Core20PLUS5 approach to achieve equitable access, excellent experience, and optimal outcomes for all.
I also draw your attention to NHS England and the Department of Health and Social Care's blueprint for reforming elective care for patients. The plan makes clear that reforming elective care must be done equitably and inclusively for all adults, children and young people and that inequalities that exist across access, quality of care and outcomes must be faced head on.
Recently, I was delighted to host the 'Tackling Health Inequalities: Health is Wealth' event in partnership with The Royal Society of Medicine. Together, we unpacked the bridge between the health mission and economic growth and discussed how ill health is driving a significant proportion of economic activity. We kept Core20PLUS5 at the heart of these discussions and its practical applications to address healthcare inequalities.
I left feeling heartened by the day and inspired by the powerful network of dedicated people who are demonstrating tangible change in their communities to champion health inequalities.
The updates below bring to light how we can translate analysis into action, policy into practice and shift rhetoric into real-world impact. As ever, thank you for your support, energy and tireless work in reducing healthcare inequalities. I look forward to seeing the impact we can make together in 2025 and beyond.
With best wishes,
Bola
Latest updates
Revolutionary gene-editing therapy for sickle cell 'offers hope of a cure' for NHS patients
A one-off gene therapy for patients with sickle cell disease has been approved for use on the NHS in England from 31 January 2025.
The National Institute for Health and Care Excellence (NICE) approved the therapy, known as exagamglogene autotemcel (or 'exa-cel') for older children and adults with a severe form of sickle cell disease. Clinical trials suggest it can stop painful and unpredictable sickle cell crises, with experts saying the therapy offers patients ‘a chance of disease-free life’.
Professor Bola Owolabi said: “This represents a monumental step forward in the treatment of people with sickle cell disorder, which is a condition that mostly affects people of Black African and Black Caribbean heritage. This groundbreaking therapy, available on the NHS, represents a very real prospect of a cure for this devastating disorder. The NHS remains committed to rolling out new, innovative treatments to narrow the gap in healthcare inequalities, and this cutting-edge therapy could give patients facing severe sickle cell disorder the hope of a much brighter future.” Find out more here.
Tackling Health Inequalities: Health is Wealth
At the end of January, the NHS Healthcare Inequalities Improvement Programme and Royal Society of Medicine partnered together to deliver the Tackling Health Inequalities conference, which is now in its third year.
The programme included fireside chats, breakout sessions and keynote speeches from leaders including Sally Warren, Professor Kevin Fenton CBE and Professor Maggie Rae CBE.
The day covered a range of topics, such as the role of business and industry in narrowing health inequalities, the importance of neighbourhood, community and partnership working, and inclusion being embedded in the 10 Year Health Plan.
Delegates were left inspired, motivated and determined to be a catalyst for improvement. More details about the event here.
Tackling digital exclusion and health literacy: How libraries can help bridge the gap
A new blog post has been published by Professor Bola Owolabi and Dr Vin Diwakar, NHS England's National Director of Transformation, exploring the link between digital exclusion and health inequality and the key role libraries can play in supporting communities. Read the blog here.
Sickle cell disease: a training tool for acute admissions
A new e-learning programme for sickle cell disease has been launched on the NHS Learning Hub. It focuses on improving clinical knowledge of sickle cell disorder among members of staff who look after people with the condition. In addition, it addresses the role of racism and health-related stigma in patient care, teaching participants how to recognise and prevent such behaviours. Find out more here.
Time for action on cardiovascular disease prevention
'Time for action on cardiovascular disease' (CVD) quality improvement data packs are now available to Integrated Care Systems to narrow inequalities in the prevention of CVD. CVD prevention is one of the key clinical priorities within the Core20PLUS5 approach to reducing health inequalities.
The data packs are part of CVDPREVENT, a national primary care audit that uses data extracted from GP records. Its 2024 annual report and accompanying infographic highlight some important healthcare inequalities and evidence unwarranted variations on several indicators. For example, people from Black and mixed ethnic groups were least likely to be prescribed appropriate drug therapy, receive regular monitoring or be treated to threshold across multiple conditions and indicators.
Earlier this month, NHS England and the NHS Confederation jointly hosted a webinar to support this work. Professor Bola Owolabi shared with primary care network health inequalities leads how they can use the CVDPREVENT audit to identify and allow focused support to Core20PLUS people in their areas to prevent cardiovascular events. Find the bespoke data pack for your ICB, or for more information, contact: nhsbn.cvdprevent@nhs.net
NHS rolls out national genetic test to reduce risk of donor kidney failure
A simple blood test now means potential kidney donors of Black African and Black Caribbean heritage can identify if they carry genes that mean they have a high risk of kidney disease after donation.
Professor Bola Owolabi said: “This is a great step forward in narrowing the gap in kidney health and tackling healthcare inequalities faced by Black African and Black Caribbean donors. This new genetic test will help make kidney donation safer for those who are generously willing to help others, while also enabling the NHS to help donors live longer and healthier lives.” Read more here.
Somerset High Intensity Use service reduces A&E use by 48%
Somerset NHS Foundation Trust's High Intensity Use (HIU) service, which was set up in August 2023, has seen a 48% reduction in the use of A&E from regular users of emergency departments in its first year.
The HIU service was set up to monitor and provide support to those patients who frequently use A&E, so they could get additional help to find services that better meet their needs.
Neil Thomas, lead for the HIU service, explained: “Research shows that there’s a clear link between a high intensity use of emergency services and wider health inequalities, such as age, housing instability, social isolation, loneliness, deprivation, as well as poor physical and mental health." Further details here.
News from our partners
Winter blood campaign
NHS Blood and Transplant has launched a winter appeal for more blood donors and particularly donors of Black African and Black Caribbean heritage.
A growing number of patients with conditions like sickle cell, the fastest growing genetic condition in the UK, rely on life-saving blood transfusions. Blood from donors of the same heritage provide a better match and reduce the risk of complications.
The NHS only has enough donors to supply half the blood of a specific type needed to treat sickle cell – other patients are given O negative, the universal blood type. Go to blood.co.uk to book an appointment.
Community Dental Services report published
GIRFT (Getting It Right First Time) has published guidance to help improve Community Dental Services (CDS) for children and adults with special needs. It offers recommendations on tackling inequalities and reducing variation for children and adults, particularly by establishing comprehensive care lists. See the published guidance here.
Healthy Living for people with type 2 diabetes
'Healthy Living for people with type 2 diabetes' is an online programme that provides information about diabetes and its treatments, offers advice on emotional wellbeing, and helps with adopting healthy lifestyle choices.
The programme is self-directed, so an individual can learn at their own pace and at a time that suits them.
Individuals can sign-up if they are over the age of 18, or care for someone living in England with type 2 diabetes, which disproportionately affects people from an ethnic minority, particularly Black and South Asian people. Find out more here.
MBRRACE-UK maternal mortality data 2021-2023
MBRRACE-UK (Mothers and Babies: Reducing Risk through Audits and Confidential Enquiries across the UK) has published data that shows that inequalities in maternal mortality remained during 2021-2023.
Women aged 35 or older were three times more likely to die compared to women aged 20-24. For women from Black ethnic backgrounds, the maternal mortality rate continued to decrease, but there was a two-fold difference for Black women compared to White women. The risk of mortality for Asian women also had a slight increased risk when compared to White women. Read the data brief for more information.
Events and webinars
ACT NOW to provide safe, effective care in a sickle cell crisis
Hear from specialist clinicians on this webinar recording with insights on embedding an ACT NOW approach to effectively support patients in a sickle cell crisis.
Developed for staff, students and trainees of all grades working across England, including those working in emergency departments (ED), ED bypass units, acute ward settings and ambulance services, this approach is referenced in the Royal College of Emergency Medicine’s best practice guidance.
A recording of the webinar is available to watch here. Please note that a subtitled version will be available soon.
Core20PLUS5 Ambassador Alumni virtual event
Wednesday 12 February 2025 - 10:00am to 12:00pm | Online
Join us for the first national Core20PLUS5 Ambassador Alumni event of 2025 for Cohorts 1 and 2, celebrating ongoing contributions to tackling health inequalities. This virtual event will feature networking sessions, insights, and opportunities to shape the future of the Core20PLUS5 Ambassador Alumni programme.
We look forward to reconnecting and continuing our journey into 2025 together. Register for the Alumni event here.
Registration now open for NHS ConfedExpo 2025
11 and 12 June 2025 | Manchester Central
Join over 5,000 leaders, professionals and sector partners to collaborate, share insights and develop innovative solutions to deliver high quality care for all.
Hear from inspiring thought-leaders, share learnings in interactive workshops and discover the latest tech and innovations that will leave you inspired with new ideas to help transform health and care in your local area. Book here.
Have you seen?
NHS Race and Health Observatory's (NHS RHO) series of three short films to help tackle suicide risk in Gypsy, Roma and Traveller communities. Find out more about the resource here.
Other
The NHS Hampshire and Isle of Wight Improving Together platform offers everyone across Hampshire and Isle of Wight a repository of resources and tools that support continuous learning and improvement, including local and national training and development opportunities, links to join learning and improvement networks, and newsletters and bulletins you can subscribe to.
There is also an internal page on Stay Connected for ICB staff to access which is regularly updated with new training opportunities and improvement resources.
The Making Every Contact Count (MECC) train-the-trainer (TtT) course consists of two half days, and one full day of training. This will prepare you to deliver MECC training within your organisation, and beyond. The training is face-to-face and is not available online. Complete the application form and email to england.mecc.wx@nhs.net
Calling on Black and Black mixed-heritage women and birthing people in the UK to share their maternity experiences by completing the Black Maternity Experience Survey. This survey is open to anyone who has been pregnant and given birth since July 2021 or is currently pregnant. By taking part, you’ll help highlight the realities of Black maternal health and advocate for the changes urgently needed in maternity care. The data we collect from this survey will be used to create a report that drives action, influences policy, and pushes for better maternity outcomes for Black women and birthing people.
Complete the survey here.
The session will provide information about our service in Hampshire, outline our referral process and treatment options, as well as provide some basic drug and alcohol awareness training.
This session is aimed at professionals working with people who may benefit from drug and alcohol treatment/support, or staff members from our partner agencies who would like to expand their knowledge around drugs and alcohol.
There are four dates availble to choose from:
Communities Against Cancer is a cancer awareness project funded by Wessex Cancer Alliance, which supports seldom heard communities to raise awareness about cancer, early signs and prevention through a tailored and adaptive approach. This event will celebrate the positive impact of the project and highlight some inspiring examples of how Communities Against Cancer has made a difference within communities.
Register here.
A health fair for people with learning disabilities, their carers and families.
There will be eight ‘Keeping you well’ events for people with learning disabilities across Hampshire and Isle of Wight. Each locality will have it’s own preference spin on the event, but with a similar health-care related brief to include as a minimum.
The purpose of these events is to help empower our local communities with a learning disability to keep themselves well and to increase awareness around some of the health carer services available to them.
People with a learning Disability have an average life expectancy of around 20% less than a person without a learning disability. Alongside our drive to reduce health inequalities through service provision and promoting the uptake of Annual Health Checks, we want to support people to understand how to keep themselves well, identify when something is not right and know where to go when needed. We have invited a number of healthcare providers to come and host stalls at the events to provide such information. We have tried to invite key health groups in line with the top themes that come up on LeDeR reports as common reasons for sickness and premature death. Not every specialty has had availability to attend every event, but we have generally had some pretty strong engagement throughout.
The main focus of the day will be:
- Annual Health Checks
- Reasonable Adjustments
- Health screening
- Health promotion
- Lifestyle and exercise
Example stalls that were hosted at the Portsmouth event:
Reasonable Adjustments and Annual Health Checks / LD Health clinics / LD Hospital Liaison Team / Radiography / Positive Behaviour Support and (unmet health needs underlying cause for behaviours of concern / Physiotherapy - ‘Benefit of supporting and improving body posture to enhance overall health’ / Specialist Dentistry / Exercise, Boxing and Running Group / LD Occupational Therapy- engagement / Speech and Language therapy- Eating, Drinking, Swallowing safety and Nutrition / South Central Ambulance Service / Cancer screening- Wessex Cancer Alliance / Bowel screening / Pharmacy – medication review, STOMP / Sexual Health / Dietician
On the horizon:
- Thursday 27th February 9:30-12:30 - St James Methodist Church, St James Road, Shirley, SO15 5HE
- Thursday 6th March 9:30-12:30 - St Faiths Pallant Centre, The Pallent, Havant, PO9 1BE
- Thursday 13th March 9:30-12:30 - Calmore Community Centre, Calmore Drive, SO40 2ZU
It is hoped that if these events are successful and the public feedback that they have found them useful, that we will request to run more of these in 2025-26.
A celebration event took place to reflect on the first phase of ‘Trans Aware Cancer Care’: a research project funded by the National Institute for Health and Care Research, committed to seeking better access to cancer care for the trans+ community.
People from across the trans+ community, NHS, third sector organisations, academic establishments and more came together at MAST Studios Southampton to reflect on the findings of the project and the unique research methods undertaken.
Over the last year, four trans+ community researchers have been supported to engage with the trans+ community and its allies, using art-based methods to capture healthcare experiences and reflections. The team have attended a huge calendar of Pride events, as well as creating an online chat and scheduling workshops to reach the community.
At the event, the team shared a large flag built up of squares created by those attending the engagement activity. The squares tell personal stories, experiences and reflections of healthcare from trans+ individuals and allies, which will help to inform trans aware cancer care. People in the room were invited to add their own reflections, as well as their pledges and commitments for service transformation and improvement.
Zak, Community Researcher said: “Given that the trans+ community are often excluded from decisions about us, it is good to see research that involves us from the ground up.”
Katie, Community Researcher said: “We had our Trans Aware Cancer Care celebration event today and it was amazing. Allyship is a choice and a promise we make every day. Not just at work. Not when we wear our rainbow lanyards. Every. Day. Allyship is a verb- let’s do it”.
Trans Aware Cancer Care is a partnership of the following organisations: Help & Care- Involving People, local trans+ charity Beyond Reflections, Bournemouth University, Wessex Cancer Alliance, Macmillan Cancer Support, Wessex Cancer Support, and University Hospital Southampton. Each partner brings their own expertise to the project and a shared vision of equal access to cancer care for all.
Throughout the first phase of the project, a strong focus has been on building partnerships, coproduction and making a transformative journey together. Workshops have taken place with NHS professionals, and today both healthcare professionals and the trans+ community come together in a show of commitment for long term change.
Early findings from the project highlight both positive and negative experiences within the community. While it is clear that long term transformation is needed, the project has highlighted some steps that can be taken today to make the cancer care pathway more accessible for trans+ people.
Sue Newell, Wessex Cancer Alliance Involvement & Inclusion Lead shared, "Today's been amazing, the pause to reflect on the incredible artwork in conjunction with powerful stories of Trans+ people's experiences of health/ cancer care. Looking forward to building on the relationships to cocreate solutions together."
Alison and Kishor from Action Hampshire said “Today has been a great celebratory event. We will be aiming to incorporate the lived experiences we heard from the community researchers in things like the Communities against Cancer workshops we provide.”
The event closed with a nod to the future and the desired continuation of this vital, collaborative project. If you’d like to find out more or be part of the next steps, visit the Trans Aware Cancer Care section of this website. Community Research Trans+ Project: Trans Aware Cancer Care — Involving People. You can also join our mailing list to be kept up to date, go to Community research — Involving People and scroll to the form at the bottom of the page.
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