Following the publication of the Socio-economic inequalities in access to planned hospital care report in May 2021, the Midlands Decision Support Network are working on a follow-up report to support local systems to address these systematic inequalities. The follow-up project aims to answers 4 questions:
- What would equality of access look like?
- What strategies and interventions might STPs/ICSs adopt to reduce inequalities?
- How might an STP/ICS decide which strategies to adopt?
- How might an STP/ICS monitor the impact of its strategies?
We will do this by:
- Estimating, for each STP/ICS and deprivation group, how many additional or fewer planned care admissions would be required to deliver equity
- Describe and categorise the various strategies that the STP/ICS might adopt, for example:
- waiting list prioritisation
- decision coaches
- minimising DNAs and cancellations
- improving hospital accessibility
- improving the quality of conversation between patients and GP/Consultant
- enhanced monitoring and board reporting
- Set out a framework that STPs/ICSs might use to select the strategies they wish to adopt and how this approach might be implemented
- Identify and define metrics that STPs/ICSs might use to monitor whether their strategies to reduce planned care inequalities are having an effect