Health Equity Indicators for the NHS

There are substantial inequalities in NHS outcomes between rich and poor, which raise important concerns about quality of care and justice. For instance, the most deprived fifth of neighbourhoods in England suffer more than twice as many preventable emergency hospitalisations as the least deprived fifth, allowing for age and sex. This research has developed new health equity indicators that could be used, for the first time, to start finding out how well NHS and local authority managers are working together to tackle healthcare inequalities in your local area. The indicators include number of patients per GP, primary care quality, hospital waiting time, preventable emergency hospitalisation, and repeat emergency hospitalisation.

Further details:

Journal articles:

  • Asaria, M, Ali, S, Doran, T, Ferguson, B, Fleetcroft, R, Goddard, M, Goldblatt, P, Laudicella, M, Raine, R, Cookson, R. (2016). How a universal health system reduces inequalities – Lessons from England. Journal of Epidemiology and Community Health
  • Asaria, M, Cookson, R, Fleetcroft, R, Ali, S. (2016). Unequal socioeconomic distribution of the primary care workforce: whole-population small area longitudinal study. BMJ Open 

Acknowledgements: 

  • We are immensely grateful to our advisory group and many other people for their kind help during the course of this research, and hope they are all listed in this acknowledgements document (PDF  , 79kb).