The infographic brings together key information about need and service use patterns alongside qualitative information and NICE guidelines.
Health Inequalities
Health inequalities have been highlighted as a priority in the NHS Long Term Plan.
Health inequalities are preventable and unjust differences in health status experienced by certain population groups. They arise from social inequalities, themselves the result of unequal distribution of factors influencing health, such as housing, environment, social
background, income, employment and education.
Inequalities can be identified according to where people live, and that this is particularly true in some areas where there are high levels of deprivation and need; but there are also inequalities between genders, ethnicities, ages and abilities that we need to tackle.
Core 20PLUS5
Core20PLUS5 is a national NHS England approach to inform action to reduce healthcare inequalities at both national and system level. The approach defines a target population – the ‘Core20PLUS’ – and identifies ‘5’ focus clinical areas requiring accelerated improvement.
Core20
The most deprived 20% of the national population as identified by the national Index of Multiple Deprivation (IMD). The IMD has seven domains with indicators accounting for a wide range of social determinants of health.
PLUS
PLUS population groups should be identified at a local level. Populations often considered are ethnic minority communities; people with a learning disability and autistic people; people with multiple long-term health conditions; other groups that share protected characteristics as defined by the Equality Act 2010; groups experiencing social exclusion, known as inclusion health groups.
Inclusion health groups include: people experiencing homelessness, drug and alcohol dependence, vulnerable migrants, Gypsy, Roma and Traveller communities, sex workers, people in contact with the justice system, victims of modern slavery and other socially excluded groups.
5
There are five clinical areas of focus which require accelerated improvement. Governance for these five focus areas sits with national programmes; national and regional teams coordinate activity across local systems to achieve national aims.
- Maternity
- Severe Mental Illness
- Chronic Respiratory Disease
- Early Cancer Diagnosis
- Hypertension case-finding and optimal management and lipid optimal management
The infographic brings together key information about need and service use patterns alongside qualitative information and NICE guidelines.
The health inequalities dashboard provides information to monitor progress on reducing inequalities within Gloucestershire across a range of themes
The health inequalities dashboard provides information to monitor progress on reducing inequalities within Gloucestershire across a range of themes
The deep dives provide an in-depth understanding of a topic or series of topics related to health inequalities.
- The Director of Public Health's 2020 report (PDF, 1011.7 KB) focused on health inequalities in Gloucestershire
- Gloucestershire's National Childhood Measurement Programme Inequalities Report (located in the Deep Dives section on our Healthy Weight page) looks at changes in childhood obesity over time and social inequalities in levels of obesity.
- A rapid needs assessment looking at Gambling Related Harm (PDF, 985.1 KB)
- Learning Disabilities and Autism Needs Analysis attempts to draw together a range of qualitative and quantitative data to begin to establish the prevalence, needs, views, opinions and individual strengths of adults with a range of conditions traditionally categorised as learning disability.
- A report exploring data around life expectancy and healthy ageing, with an accompanying slide deck. These products include information around inequalities where possible.
- A report exploring the migrant and asylum seeker population in Gloucestershire and the Director of Public Health Annual Report 2024 which looks at the health and wellbeing of refugees and asylum seekers in Gloucestershire.
- A series of reports based on data taken from the Pupil Wellbeing Survey look at the experiences of children and young people from different inclusion groups in the county.
- The Oral Health in Children report analyses hospital-based tooth extractions among children and young people in Gloucestershire, focusing on trends over time, reasons for extraction (particularly dental decay), and differences by geography and deprivation.
The deep dives provide an in-depth understanding of a topic or series of topics related to health inequalities.
- The Director of Public Health's 2020 report (PDF, 1011.7 KB) focused on health inequalities in Gloucestershire
- Gloucestershire's National Childhood Measurement Programme Inequalities Report (located in the Deep Dives section on our Healthy Weight page) looks at changes in childhood obesity over time and social inequalities in levels of obesity.
- A rapid needs assessment looking at Gambling Related Harm (PDF, 985.1 KB)
- Learning Disabilities and Autism Needs Analysis attempts to draw together a range of qualitative and quantitative data to begin to establish the prevalence, needs, views, opinions and individual strengths of adults with a range of conditions traditionally categorised as learning disability.
- A report exploring data around life expectancy and healthy ageing, with an accompanying slide deck. These products include information around inequalities where possible.
- A report exploring the migrant and asylum seeker population in Gloucestershire and the Director of Public Health Annual Report 2024 which looks at the health and wellbeing of refugees and asylum seekers in Gloucestershire.
- A series of reports based on data taken from the Pupil Wellbeing Survey look at the experiences of children and young people from different inclusion groups in the county.
- The Oral Health in Children report analyses hospital-based tooth extractions among children and young people in Gloucestershire, focusing on trends over time, reasons for extraction (particularly dental decay), and differences by geography and deprivation.
- Information about deprivation in Gloucestershire
- Map showing the areas in Gloucestershire which are amongst the most deprived 20% nationally
- Map showing the areas in Gloucestershire which are amongst the most deprived 20% in the county
- The Health Inequalities Dashboard provides information to monitor progress on reducing inequalities within England. It presents measures of inequality for 18 key indicators. The dashboard measures trends in each indicator since a baseline period, with longer term data provided where these are available.
- The Segment Tool provides information on the causes of death and age groups that are driving inequalities in life expectancy at local area level. Targeting the causes of death which contribute most to the life expectancy gap should have the biggest impact on reducing inequalities.
- This presentation (PDF, 704.9 KB) provides an introduction to health inequalities in Gloucestershire and an update of work being undertaken to reduce them
- The NHS site provides details of the CORE20PLUS5
- The Life Expectancy Profile for the South West presents information about trends in indicators related to life expectancy.
- The South West Core20 Plus 5 Health Inequalities Report provides information about the key clinical areas of health inequalities across the South West.
- Spotlight is a data dissemination platform that collates and presents key statistics related to the public health outcomes of Inclusion health groups across the following themes: access to and utilisation of health care; preventative care; health outcomes; and wider determinants of health. In most data is only available at a national level, however some regional data can be accessed by selecting the regional tab at the top of the homepage.
- We deserve better: Ethnic Minorities with a Learning Disability and Access to Healthcare is a review commissioned by the NHS Race and Health Observatory. The review spans the last two decades and gives a deep insight using mixed research methods into the access and experiences of healthcare services for people with a learning disability from Black, South Asian (Indian, Pakistani or Bangladeshi heritage) and minority ethnic backgrounds.
- The Runnymede Trust generates research to challenge structural racism in Britain.
- The inclusion health data and intelligence resource for England provides statistics about inclusion health groups at a local level.
- Information about deprivation in Gloucestershire
- Map showing the areas in Gloucestershire which are amongst the most deprived 20% nationally
- Map showing the areas in Gloucestershire which are amongst the most deprived 20% in the county
- The Health Inequalities Dashboard provides information to monitor progress on reducing inequalities within England. It presents measures of inequality for 18 key indicators. The dashboard measures trends in each indicator since a baseline period, with longer term data provided where these are available.
- The Segment Tool provides information on the causes of death and age groups that are driving inequalities in life expectancy at local area level. Targeting the causes of death which contribute most to the life expectancy gap should have the biggest impact on reducing inequalities.
- This presentation (PDF, 704.9 KB) provides an introduction to health inequalities in Gloucestershire and an update of work being undertaken to reduce them
- The NHS site provides details of the CORE20PLUS5
- The Life Expectancy Profile for the South West presents information about trends in indicators related to life expectancy.
- The South West Core20 Plus 5 Health Inequalities Report provides information about the key clinical areas of health inequalities across the South West.
- Spotlight is a data dissemination platform that collates and presents key statistics related to the public health outcomes of Inclusion health groups across the following themes: access to and utilisation of health care; preventative care; health outcomes; and wider determinants of health. In most data is only available at a national level, however some regional data can be accessed by selecting the regional tab at the top of the homepage.
- We deserve better: Ethnic Minorities with a Learning Disability and Access to Healthcare is a review commissioned by the NHS Race and Health Observatory. The review spans the last two decades and gives a deep insight using mixed research methods into the access and experiences of healthcare services for people with a learning disability from Black, South Asian (Indian, Pakistani or Bangladeshi heritage) and minority ethnic backgrounds.
- The Runnymede Trust generates research to challenge structural racism in Britain.
- The inclusion health data and intelligence resource for England provides statistics about inclusion health groups at a local level.