NHS Health Check eBulletin

Health Equity Audit guidance tool

To maximise the impact of the NHS Health Check programme and ensure it is contributing to reducing health inequalities, it is important to understand not only equity of access to checks but also equity of outcomes.  NHS Health Check Programme Health Equity Audit (HEA) guidance has been produced collaboratively with local authorities and aims to promote and support local audits.  An HEA is a review process which examines how health determinants, access to health services and related outcomes are distributed in relation to the health needs of different groups and areas. HEAs are undertaken once a programme or policy has been implemented, to assess whether resources, opportunities and access are being fairly distributed according to need, following the principles of proportionate universalism.  The process can provide local evidence which can be used to inform action to improve equity of access and outcomes, inform resource allocation and demonstrate compliance with the requirements of the 2010 Equality Act

The guidance sets out a six stage cyclical process which can be used to consider inequities arising across the whole NHS Health Check pathway.  HEAs can be carried out on the whole programme, focused on a specific point of the pathway or on certain providers.  The guidance aims to support the scoping and design of the audit and includes a detailed appendix providing ideas, case studies and resources to help with developing recommendations to address any inequities which may be identified through the audit. 

The guidance can be found on the NHS Health Check website here


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