Fairhealth Inclusion Health Champions

Fairhealth has developed a role for health professionals to champion inclusion health at place (practice, federation, CCG) and system (ACP/STP/ICS) levels. If you would be interested in having a fairhealth inclusion health champion, we would be very happy to offer advice, job descriptions and person specs. Just get in touch.

The aims

NHS organisations have statutory duties to reduce health inequalities. All disadvantaged and excluded groups struggle to access healthcare. The champions aim to improve access to healthcare, outcomes, and reduce inequalities for marginalised and disadvantaged groups. Such groups include the homeless, vulnerable migrants, sex workers, Gypsies and Travellers, and those who have been in prison. Inequalities are significant, for example:

o   Homeless men and Gypsy women die twelve years younger than the national average
o   Asylum seekers are five times more likely to have mental health problems and less likely to receive support
o   Irish travellers are three times more likely to die from suicide

The operating space

The commissioning and provision of healthcare is complex, with many stakeholders, including NHSE, NHSI, CCGs, primary care providers, federations, public health, acute and community trusts. There is also a lot of active transformation, including evolving integrated care systems at regional level, integrated care partnerships at place level, and local care networks in primary care. The hope is that the champions will work across these spaces as advocates and change agents, to secure services that are commissioned and/or provided in a way that improves outcomes for marginalised patients.

Themes of work

o   Taking stock – Identifying the good work and practice already going on across the health and community/voluntary sector. Understanding the health needs of the local population, mapping and understanding current service

o   Joining up – Linking up work between CCGs, public health, health providers, and the community and voluntary sector to build a coordinated response to the health needs of identified population groups. Exploring primary, secondary and social care boundaries for integration opportunities

o   Advocating – Being a voice. Representing the needs of vulnerable population groups at all levels within the health system

o   Transforming – Working across the system with all partners to develop primary care inclusion health services

Possible Specific Projects

o   Working towards commissioning of specialised inclusion services in each CCG

o   Exploring ‘inclusive practice’ accreditation for mainstream primary care (e.g. safe surgeries, cultural awareness training, iris domestic violence training, access projects)

o   Implementation of Pathway model in secondary care

o   Social prescribing reviews