Following on from the publication of Socio-economic inequalities in access to planned hospital care the Midlands Decision Support Network is planning a follow-up piece of work to look at assessing strategies that local systems can use to help them to start to address the systematic inequalities identified in the report.
What do we know?
Our report, Socio-economic inequalities in access to planned hospital care found that:
- Rates of access to planned care have increased substantially in recent years
- Rates of access are higher among those living in the least deprived areas
- This pattern holds for most major causes of morbidity and in most STPs
We explored four pathways: chronic obstructive pulmonary disease, heart failure, arthritis of the hip, and cataracts. When looking at where in the pathway inequalities emerged, we found:
- Having adjusted for levels of need, activity in the early parts of each the four pathways was skewed towards the most deprived
- This pattern was reversed towards the very end of the pathway, when secondary care treatment occurs
What questions might this project address?
We will undertake a literature review of the core evidence of what works in systems to address the inequalities that have been identified.
We will work with systems across the Midlands to understand how they have taken the findings of the report and used them to build their own strategies to address health inequalities.
How might this analysis be used to improve health outcomes or service delivery?
By understanding the strategies that will have the greatest impact on inequalities we will be able to help the systems across the Midlands respond to these in their own transformation and delivery plans.