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Implement the findings from the new report from the Midlands: "Strategies to reduce inequalities in access to planned hospital procedures"

In 2021, The Strategy Unit published a review of socio-economic inequalities in access to planned hospital care. That report highlighted substantial and widespread differences in rates of access for people living in the most and least deprived areas. This follow up report sets out what needs to be done to address these inequalities, and how this might be achieved. It finds there is usually a trade-off between equity and productivity. If we deliver care as quickly as we can, then the more affluent segments of the population will benefit the most. To deliver equity we may need to sacrifice some productivity. The report sets out what theoretical routes to equity mean in practice when applied to planned hospital procedures.  (This summary was written by Mary Gough, Strategy Analyst at NHS England and Improvement).

Potential approaches that Integrated Care Boards can take to address this disparity relate to:

1. Targeted case-finding and screening

2.  Public awareness campaigns

3. Shared decision-making in primary care

4. Decision aids and decision coaches

5. Referral thresholds and eligibility criteria

6. Outpatient appointment and treatment reminder systems

7. Telephone and video appointments

8. Transport systems, support  and costs

9. Out-of-hours appointments and treatments

10. Active waiting

11. Shared decision-making and decision aids in secondary care

12. Differential provider payments

13.  Carer support

14.  Patient payments

15. Prioritisation based on the clinical impacts of treatment

16. Taking account of non-clinical factors

17. Treatment reminder systems

18. Minor surgery in primary care

Here is the link to the report: https://www.midlandsdecisionsupport.nhs.uk/knowledge-library/strategies-to-reduce-inequalities-in-access-to-planned-hospital-procedures/ 


Is your idea a commercial offer , or does it have the potential to be a commercial offer?

No

Which part of the pathway does your idea focus on?

All parts if the pathway

edited on May 15, 2022 by Helen Bevan
Public (3)
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Seema Srivastava May 15, 2022

This is brilliant Helen. It makes us focus on some courageous questions. What will the true cost (in its fullest sense) of our relentless pursuit to be more ‘efficient’ and ‘productive’ be, for generations whose healthy life years are eroded by this? Thank you 👍🏽

Kate Pound May 24, 2022

Still so much work to be done, the impact of health inequalities can be also seen in attendances to ED - the Red Cross have write this report focusing on this issues - https://www.redcross.org.uk/about-us/what-we-...rgency-services

Rob Smillie Jan 27, 2023

Thank you for supporting the #SolvingTogether crowdsourcing for elective care recovery by sharing your idea.

Every idea and comment has been reviewed by more than 30 champions who are supporting this work. This is led by regional NHS leads, and includes people with lived experience, national clinical directors, experts in health inequalities and system improvers.

The champions supported the theming of the ideas and identified three Big Ideas. These three Big Ideas are now being developed to be prototyped and tested.

Your idea contributed to the creation of a Big Idea:
- Using accessible data to drive an inclusive recovery. This reflects knowledge that people from areas of high levels of deprivation have a poorer relationship with planned hospital care than those from more affluent areas. Sharing accurate and meaningful data about this will allow for interventions to be prioritised, targeted, and monitored.

Working with leaders and those interested in this topic, the next phase is to convene a catalyst conversation hosted by Bola Owolabi, Director of Health Inequalities at NHS England, and Jim Mackey, Elective Recovery Advisor at NHS England.

This will be an opportunity to hear from the national teams as well as participating in group activities centring on examples of practice and case studies from across the health systems and organisations in England. The case studies will share practical ways that data has been used to further the concept of inclusive recovery and create the space for data being used to drive a more inclusive recovery.

We would love for you to attend this event and be involved in the conversation it generates. The event will be held in April 2023 on a virtual platform, on a date to be confirmed. We will be back in touch when we have a finalised date.

For more information about the other two Big Ideas, please visit https://solvingtogether.crowdicity.com/hubbub...nitypage/121486

Thank you,
#SolvingTogether team