Reducing healthcare inequalities for children and young people. The Core20PLUS5 approach is designed to support integrated care system to drive action in health inequalities improvement.

Target population

Core20

The most deprived 20% of the national population as identified by the national Index of Multiple Deprivation (IMD). 

PLUS

Integrated care system-chosen population groups experiencing poorer-than-average health access, experience and/or outcomes, who may not be captured within the Core20 alone and would benefit from a tailored healthcare approach e.g. inclusion health groups.

Key clinical areas of health inequalities

Asthma: Address over reliance on reliever medications and decrease the number of asthma attacks.

Diabetes: Increase access to real-time continuous glucose monitors and insulin pumps in the most deprived quintiles and from ethnic minority backgrounds and increase proportion of children and young people with Type 2 diabetes receiving annual health checks.

Epilepsy: Increase access to epilepsy specialist nurses and ensure access in the first year of care for those with a learning disability or autism.

Oral health: Address the backlog for tooth extractions in hospital for the under 10s.

Mental health: Improve access rates to children and young people’s mental health services for 0-17 year olds, for certain ethnic groups, age, gender and deprivation.