References

British Medical Association. Health at a price: Reducing the impact of poverty. 2017. https://www.bma.org.uk/media/2084/health-at-a-price-2017.pdf (accessed 12 January 2022)

Cheshire J. Lives on the Line: Mapping Life Expectancy Along the London Tube Network. Environment and Planning A. 2012; 44:(7) https://doi.org/10.1068/a45341

Department of Health and Social Care. The NHS Constitution for England. 2021. https://www.gov.uk/government/publications/the-nhs-constitution-for-england (accessed 12 January 2022)

Equality and Human Rights Commission. Public Sector Equality Duty. 2021. https://www.equalityhumanrights.com/en/advice-and-guidance/public-sector-equality-duty (accessed 12 January 2022)

Global Health Europe. Inequity and Inequality in Health. 2009. https://globalhealtheurope.org/values/inequity-and-inequality-in-health/ (accessed 12 January 2022)

Government Equalities Office. Equality Act 2010: guidance. 2015. https://www.gov.uk/guidance/equality-act-2010-guidance (accessed 12 January 2022)

Heaslip V. Health and Disability in Adults. In: Parker J, and Ashencaen Crabtree S (eds). Bristol: Bristol University Press; 2020

Heaslip V, Nadaf C. Addressing health inequities; the role of the General Practice Nurse. Practice Nursing. 2019; 30:(12)84-87 https://doi.org/10.12968/pnur.2019.30.12.596

Hui A, Latif A, Hinsliff-Smith K, Chen T. Exploring the impacts of organisational structure, policy and practice on the health inequalities of marginalised communities: Illustrative cases from the UK healthcare system. Health Policy. 2020; 124:(3)298-302 https://doi.org/10.1016/j.healthpol.2020.01.003

International Monetary Fund. Real GDP Growth. 2021. https://www.imf.org/external/datamapper/NGDP_RPCH@WEO/OEMDC/ADVEC/WEOWORLD (accessed 12 January 2022)

The King's Fund. What are health inequalities. 2020. https://www.kingsfund.org.uk/publications/what-are-health-inequalities (accessed 12 January 2022)

Health Equity in England: The Marmot Review 10 years on. 2020. https://www.instituteofhealthequity.org/resources-reports/marmot-review-10-years-on/the-marmot-review-10-years-on-full-report.pdf (accessed 12 January 2022)

NHS England. NHS England response to the specific equality duties of the Equality Act 2010: NHS England equality objectives and equality information. 2018. https://www.england.nhs.uk/wp-content/uploads/2018/06/nhse-response-to-specific-equality-duties-of-the-equality-act-2010.pdf (accessed 12 January 2022)

NHS. Health Literacy, available from Health literacy - NHS digital service manual. 2021a. https://service-manual.nhs.uk/content/health-literacy (accessed 12 January 2022)

Nursing and Midwifery Council. The Code. 2018. https://www.nmc.org.uk/globalassets/sitedocuments/nmc-publications/nmc-code.pdf (accessed 12 January 2022)

Office for National Statistics. Health state life expectancies by national deprivation deciles, England: 2017 to 2019. 2021a. https://www.ons.gov.uk/peoplepopulationandcommunity/healthandsocialcare/healthinequalities/bulletins/healthstatelifeexpectanciesbyindexofmultipledeprivationimd/2017to2019 (accessed 12 January 2022)

Office for National Statistics. Child and infant mortality in England and Wales: 2019. 2021b. https://www.ons.gov.uk/peoplepopulationandcommunity/birthsdeathsandmarriages/deaths/bulletins/childhoodinfantandperinatalmortalityinenglandandwales/2019 (accessed 12 January 2022)

Public Health England. Health profile for England. Chapter 6: social determinants of health. 2017. https://www.gov.uk/government/publications/health-profile-for-england/chapter-6-social-determinants-of-health (accessed 14th January 2022)

UK Parliament. Poverty in the UK: statistics. 2021. https://commonslibrary.parliament.uk/research-briefings/sn07096/ (accessed 12 January 2022)

United Nations. Transforming our world: the 2030 Agenda for Sustainable Development. 2015. https://www.un.org/ga/search/view_doc.asp?symbol=A/RES/70/1&Lang=E (accessed 12 January 2022)

Wilson D, Heaslip V, Jackson D. Improving equity and cultural responsiveness with marginalised communities: Understanding competing worldviews. J Clin Nurs. 2018; 27:(19-20)3810-3819 https://doi.org/10.1111/jocn.14546

World Health Organization. Poverty and social determinates. 2021a. https://www.euro.who.int/en/health-topics/environment-and-health/urban-health/activities/poverty-and-social-determinants (accessed 12 January 2022)

World Health Organization. Gender and Health. 2021b. https://www.who.int/health-topics/gender#tab=tab_1 (accessed 12 January 2022)

Health inequity in the UK: exploring health inequality and inequity

02 February 2022
Volume 33 · Issue 2

Abstract

In this article, the first of two, Vanessa Heaslip et al examine the factors that lead to certain groups having poorer health outcomes in the UK

Practice nurses are ideally placed within local communities to have a significant impact on addressing health inequities. However, to achieve this they need to understand the many factors that lead to certain groups having poorer health outcomes. Advances in longevity do not automatically match advances in health and wellbeing across all social groups. In the UK, someone living in a deprived area of England is more likely to die eight and a half years younger than someone living in a more affluent area. The COVID-19 pandemic has highlighted health inequities faced by ethnic minority groups in particular. This article, the first of two, will define the terminology used, explore access to health services in the UK and present the evidence driving healthcare policy.

Promoting health and wellbeing is a fundamental part of every nurse's role (Nursing Midwifery Council, 2018). Practice nurses are ideally placed within local communities to have a significant impact on addressing health inequities (Heaslip and Nadaf, 2019). However, to achieve this they need to understand the many factors that lead to certain groups having poorer health outcomes. This, the first of two articles, begins by exploring both health and access to UK health services. It then examines the equality philosophy at the core of the NHS, before distinguishing between inequality, inequity and related concepts when poorer health outcomes are examined. This article then continues to present some key governmental and professional papers driving healthcare policy. The follow-up article then explores health experiences of certain communities, such as ethnic minorities, Lesbian, Gay, Bisexual, Transgender and Queer (LGBTQ+) and individuals experiencing homelessness, as well as the role of practice nurses in addressing their health experiences.

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