What are healthcare inequalities?

Health inequalities are unfair and avoidable differences in health across the population, and between different groups within society. These include how long people are likely to live, the health conditions they may experience and the care that is available to them. 

Why are healthcare inequalities important?

People living in the most-deprived areas have a life expectancy nearly a decade shorter than the least-deprived areas 

Those in the most deprived areas can expect to live 18 fewer healthy years than those in the least deprived areas. 

Health inequalities are caused by a wide range of factors. The worse health outcomes occur when people have limited access to health care, experience poorer-quality care and practice more risky health-related behaviors (for example, smoking). 

These factors are often influenced by wider determinants such as income, housing, environment, transport, education and work. Tackling health inequalities requires an understanding of the complex interaction between all these factors. 

Health inequalities are experienced between different groups of people and are affected by socio-economic factors, geography, specific characteristics (for example, ethnicity or sexuality) and socially excluded groups (people who are asylum seekers or experiencing homeless). The effects of inequality are multiplied for those who have more than one type of disadvantage. 

NHS Priorities

The NHS Long Term Plan has placed tackling health inequalities at the heart of NHS goals. It has also developed the Core20PLUS5 framework which defines key population groups and clinical focus areas for accelerated improvement in healthcare inequalities.  

Primary Care Network Contract DES has requirements for Tackling Neighborhood Health Inequalities. 

Obligation under the Health and Care Act 2022 includes tackling inequalities in outcomes, experience and access: improve outcomes in population health and healthcare. 

The NHS Long Term Plan states that ‘while we cannot treat our way out of inequalities, the NHS can ensure that action to drive down health inequalities is central to everything we do’ 


Who are we and what do we do?

We are, Health Inequalities tutors with many years’ experiences working in Deep End Practices in South Yorkshire and who have a passion for teaching. We provide training on health inequalities to everyone working in primary care across the South Yorkshire region. 

We cover Barnsley, Doncaster, Sheffield and Rotherham  

Events are available for the whole practice team. 

We provide introduction to health inequalities training.  

We also provide training tailored to your practice, based on the inequalities experienced by your practice demographics. 

Our aim is to enable you to make practical changes to improve your patients’ health at an individual, practice and PCN level. 


What training do we provide?

Our introduction to health inequality training includes understanding health inequalities in a general, national and local context, understanding why they happen and who they affect, why it matters, and Core20PLUS5 approach.  

We use patient stories as a focus for learning with discussion of the issues. We follow this with practical steps that can be done individually or as a practice or as a Primary Care Network. 

This training is included in SYB Training Hub Preceptorship and apprenticeship schemes  

What are the aims of the training?

  • Understand the impact of poverty on health  
  • Describe common barriers faced by marginalized groups and identify different Health Inclusion groups  
  • Understand the impact of childhood adverse experience and trauma on health 
  • Understand how cultural and societal factors may affect how people access healthcare,  
  • Understand health literacy and how this can impact access to healthcare 

Who is the training aimed at?

This training is available to  

  • Practice teams or Primary care Networks 
  • Multidisciplinary teams, clinical teams, non-clinical teams or to specific roles  

How long is the training and how is it delivered?

  • It is available as an in person or online event. 
  • It is available as a one hour, two hour or half day session  
  • It is flexible to the needs of your practice. 
  • Please email if you wish to arrange training for your organisation or discuss your training needs. 

Specific training

We provide training on  

  • Healthcare to Inclusion Health Groups including people experiencing homelessness, drug and alcohol dependence, vulnerable migrants, Gypsy, Roma and Traveller communities, sex workers, people in contact with the justice system, and other socially excluded groups.  
  • Supporting survivors by trauma informed care 
  • Safe surgeries and access to primary care 
  • Use of interpreters in the NHS  
  • Awareness of human trafficking and modern slavery  
  • Advocacy and activism. 
  • Cultural competency and Health. 
  • Health literacy  
  • Trauma informed employment for NHS providers when employing people from health inclusion groups. 

Lunch and Learn Webinars

These are webinars held on Thursday lunchtimes between 12.45pm and 2pm for anyone working in primary care across South Yorkshire who is interested in learning more about health inequalities, and what we can do to reduce these.

We cover a range of topics over the series including

  • people experiencing homelessness
  • vulnerable migrants
  • people in contact with the justice system
  • veterans
  • vulnerable children
  • patients experiencing gambling

There is a particular focus on hearing from people with lived experience of exclusion or marginalization, as well as practical steps we can take in primary care to make a difference for our patients.

We also hope to offer a welcoming online space where we can foster connections across South Yorkshire and share ideas and experienceWe start each at 12.45pm to allow 15 minutes of arrival and conversation before the training begins at 1pm and finishes at 2pm.  

To register for our latest webinars, head to our events page.

For Further Queries:

Please contact our Health Inequalities tutors, Blerta Ilazi and Kathryn Kemp

Contact Health Inequality team