Equality and Health Inequality NHS RightCare Packs

These packs have been developed by:

  • NHS England Equalities and Health Inequalities Team (EHIT)
  • NHS England Data, Analysis and Intelligence Service and
  • the NHS RightCare programme.

They have been produced in partnership with Professors Chris Bentley (Sheffield Hallam University) and Richard Cookson (York University) and a number of CCGs using the NHS RightCare methodology.

They aim to support health and care systems design and deliver services that work to reduce health inequalities in access to services and health outcomes for their diverse local populations.

The information contained in each pack is specific to each local health system and should be used to support local discussions and inform a more in-depth analysis. Each tailored pack considers measures of health inequality that aim to support health systems identify areas of improvement in promoting equality and reducing health inequalities.

By using these packs, together with other NHS RightCare packs and local intelligence, health systems will be able to ensure plans focus on those opportunities which have the potential to provide the biggest improvements in health outcomes and resource allocations and the biggest reductions in health inequalities.

What is in the Equality and Health Inequalities NHS RightCare Packs?

Each pack contains the following information:

  1. Executive statistical summary slides providing key messages for indicators in the pack.
  2. Background as to why we should be addressing health inequalities including a slide on the national big picture.
  3. A section on inequalities in unplanned hospitalisations showing:
    1. The CCG Improvement and Assessment Framework (IAF) health inequalities indicator 106a The Absolute Gradient of Inequality (AGI) for unplanned hospitalisation for chronic ambulatory case;
    2. Comparisons of this indicator with English CCGs and demographically similar CCGs;
    3. Identification of priority wards together with the top 10 conditions for each CCG (e.g. pain in throat and chest) and potential unplanned hospitalisations that might be saved if inequality were addressed;
    4. CCG level differences by sex, age and ethnicity (compared to England and demographically similar CCGs) and potential unplanned hospitalisation that might be saved;
  4. A section on Increasing Access to Psychological Therapies, with consideration of differences by sex, age, deprivation and ethnicity (compared to England and demographically similar CCGs);
  5. A section linking case studies, and resources to support change and action planning.

National endorsement of the Equality and Health Inequalities Packs

The packs have been supported by Matthew Swindells, Deputy Chief Executive, NHS England:

the first step on our journey to provide stronger statistical and analytics support to fulfil our commitment to ensuring that all those using the NHS have fair and equitable access to high quality services that are appropriate and in proportion to their needs.

The NHS England Commissioning Committee met in December, and were very supportive of the packs as a blue print for the Long Term Plan for the NHS on using data locally to promote equality and reduce health inequalities.

The Committee were pleased about the involvement of the wide range of stakeholders and key academics in the design and development of the packs.

Equality and Health Inequalities (EHI) RightCare Pack

The Equality and Health Inequalities RightCare Pack considers measures of health inequality and aims to support CCGs and health systems to identify areas of improvement in promoting equality and reducing health inequalities. Previously such analysis has not been available at CCG level.

Each pack is based on 2016/17 data to ensure consistency with latest available data.  On this basis, 207 packs have been produced reflecting the number of CCGs in 2016/17. As such, some recently merged CCGs will receive more than one pack. The packs also complement the work of Public Health England.

The 207 packs are split into the four regions for England. If you click onto your respective region, the link to your CCG data pack will be listed there.

Revisions of Secondary Uses Service data

Revisions of Secondary Uses Service data

Since the production of these packs, the underlying hospitalisation data (Secondary User Services data) for 2016-17 have been revised.  This is the nature of SUS data and because of these revisions, the Absolute Gradient of Inequality (AGI) for Unplanned Hospitalisations for Chronic Ambulatory Care Sensitive Conditions and Urgent Care Sensitive Conditions* has changed for all CCGs. The extent of these changes is small, generally less than 3%.

However, there are a few CCGs with substantial change. These CCGs are: NHS Thurrock CCG, NHS Basildon and Brentwood CCG, NHS Crawley CCG, NHS East Surrey CCG, and NHS Horsham & Mid Sussex CCG. For this reason, these packs do not include analyses of unrevised data.

If one of the 5 CCGs listed above are highlighted as one of your “similar 10 CCGs” for comparison. Be aware that the data presented is for the unrevised data, which we know has substantially changed.

*This indicator is CCG Improvement and Assessment Framework Indicator 106a. Latest data is published earlier this year.

Equality and Health Inequalities NHS RightCare Packs Methodology Guide

Equality and Health Inequalities NHS RightCare Packs Methodology Guide describes and explains the methodology behind each analytical slide.