甜心直播

Inequalities in Health Alliance

Tackling Health Inequalities

What's it about?

The RCP convenes the Inequalities in Health Alliance, a coalition of organisations who have come together to campaign for a cross-government strategy to reduce health inequalities.

Download the latest IHA parliamentary briefing

The IHA was launched in October 2020, when it wrote to the prime minister to ask government to do three things:

  • develop a cross-government strategy to reduce health inequalities
  • commence the socio-economic duty, section 1 of the Equality Act 2010
  • adopt a 鈥榗hild health in all policies鈥 approach.

甜心直播 of the IHA is open to registered charities, NHS and social care organisations, public bodies, community groups and campaigning organisations that have an interest in reducing health inequality. Members of the IHA contribute to its ongoing campaign by promoting the ask for a cross-government strategy to reduce health inequalities to government, their memberships and networks.

Healthcare worker with patient

Our IHA members

甜心直播 is open to any not-for-profit organisation that has an interest in reducing health inequality, particularly those working in the areas of health, social care and local government.

Members of the IHA contribute to its ongoing campaign by promoting the ask for a cross-government strategy to reduce health inequalities to government, their memberships and networks.

View the full list of IHA members
Tackling Health Inequalities

What are health inequalities?

Health inequalities are the avoidable differences in health across the population. People's health is shaped by many factors, which often are beyond the remit of the NHS or the Department of Health and Social Care. That is why the IHA is calling for a cross-government strategy that considers the role of every government department and every available policy lever in tackling the factors that make people ill in the first place.

Why we need a cross-government strategy 

A cross-government strategy is needed because health inequality is the result of many and varied factors. While it may seem that health inequality is a matter for the Department of Health and Social Care or the NHS, health and social care services can only try and cure the ailments created by the environments people live in. If we are to prevent ill health in the first place, we need to take action on the social determinants of ill health such as poor housing, food quality, communities and place, employment, racism and discrimination, transport and air pollution. All parts of government and public services need to adopt reducing health inequality as a priority.

A healthy population and a healthy economy are two sides of the same coin. Before COVID-19, health inequalities were estimated to cost the UK 拢31bn to 拢33bn each year in lost productivity, 拢20bn to 拢32bn in lost tax revenue and higher benefits payments, and almost a fifth (拢4.8bn) of the NHS budget. The Office for National Statistics estimates that 2.5 million working age adults are unable to work due to long-term sickness, with 500,000 people having left the jobs market since 2019 due to long-term health problems.  

Tackling health inequalities and acting on the social determinants of ill health requires coordinated action from across government. The IHA is calling for a cross-government strategy that considers the role of every government department, using every available policy lever to tackle the factors that make people ill in the first place.

What has the IHA done so far?

Following the publication of Health Equity in England: the Marmot review 10 years on, the RCP wrote to the prime minister along with other Medical Royal Colleges and the Royal Colleges of Midwifery and Nursing urging the government to adopt the recommendations of the report and go further. The RCP then brought the IHA together in October 2020 to campaign for a cross-government strategy.

Since then, the IHA has worked with its members to raise the call for a cross-government strategy to reduce health inequalities with decision makers and in the media.

IHA Images (2)

Timeline of the IHA

January

  • In January, we published a guest blog by the British Association for Counselling and Psychotherapy, exploring how the cost-of-living crisis has led to rapid growth in demand for therapy.

February

  • The RCP appointed consultant public health physician Dr Chris Packham as its new special adviser on population health. In his introductory Commentary interview, he spoke about the role of the social determinants of health.听

March

  • In March, the IHA wrote to Ashley Dalton MP, the new Parliamentary Under-Secretary of State (Minister for Public Health and Prevention), welcoming her to role and asking for an update on the health mission delivery board鈥檚 programme of work on prevention.

April

  • The RCP published new data showing almost 90% of doctors were concerned about the impact of health inequalities on their patients, and called on government to set out how its health mission board will deliver on the manifesto commitments to tackle the social determinants of health and halve the gap in healthy life expectancy between the most and least deprived regions in England.

January

  • In January, the RCP welcomed the Health and Social Care Committee鈥檚 Prevention in Health and Social Care: healthy places report, which recognised that 鈥減laces where people live- homes, communities and neighbourhoods- affect their health and wellbeing sustainability.鈥 This report was an encouraging step towards the recognition of the impact of social determinants on health. The report also called on the government to do more to prevent ill health, something the IHA has long campaigned for.
  • In January, we published a guest blog from the Town and Country Planning Association (TCPA.) It was authored by TCPA director, Julia Thrift, who appeared in front of the Health and Select Committee last year to highlight the work of the IHA, as well as the need for a cross-government strategy on health inequalities.

February

  • In February, we published a guest blog from NHS Confederation. This blog discussed the work being done with ICSs to tackle health inequalities, and why their involvement in the IHA is so important.

March

  • In March, we published a guest blog from the Pharmacists鈥 Defence Union. The blog discussed the impact of the cost-of-living crisis on the affordability of medicines.

April

  • In April, we published a guest blog from Maternity Action who highlighted the impact of the cost of living on maternity leave and the knock on effect to the health of babies of women from poorer socio-economic circumstances.

May

  • In May, we published a guest blog from The Association of Directors of Public Health (ADPH.) Greg Fell, the President of the ADPH, highlighted the role that local authorities have in protecting and promoting good health and the importance of a cross-government strategy to tackle health inequalities.

June

  • In June, the Labour Party committed to enacting the socioeconomic duty in the Equality Act 2010 in their 2024 general election manifesto. As one of the IHA鈥檚 three key objectives this was exceptionally welcome and is a step towards ensuring that the social determinants of health are considered in decision making at all levels of government. With this in mind the RCP, who convene the IHA, released a press statement.

July

  • In July, we published a guest blog by the Royal College of Obstetricians and Gynaecologists (RCOG.) Dr Ranee Thakar (president) explored why a whole-government focus on health inequalities is crucial to sustainably improving the health of women, girls, and people accessing obstetrics and gynaecology services in the UK.

August

  • In August, we published a guest blog by Kidney Research UK where they highlighted the findings of their new report, showing that access to good kidney health is not currently available to all and is determined by a range of socio-economic factors.

September

  • In September, the IHA wrote to public health and prevention minister Andrew Gwynne asking the government to set out its plans for their health mission delivery board, and emphasising the need for all social determinants of health to be covered by its scope.
  • We published a blog by Dr Mumtaz Patel, acting as president of the RCP, who convene the alliance. This highlighted the achievements that the IHA has had over the last year, including the governments commitment to enacting the socioeconomic duty in the Equality Act in their manifesto.
  • The RCP attended the Liberal Democrat, Labour and Conservative party conferences and were keen to highlight the work of the IHA and its key objectives. We were able to raise these issues with a number of ministers, shadow ministers, members of parliament and colleagues across public health.
  • Along with the OneforEquality campaign we met with the Cabinet Office鈥檚 Equalities Hub to better understand plans for the enactment of the socio-economic duty.

October

  • In October, we published a guest blog from the Alcohol Health Alliance (AHA), which explored the recorded rise in alcohol-related harm in the UK and health inequalities.
  • We sent a letter to Layla Moran MP, recently elected chair of the health and social care select committee. We highlighted the work that of the IHA and requested that the committee commit to completing the prevention inquiry initiated in the previous parliament
  • In October, the IHA marked its fourth anniversary since launch. 

November

  • In November, the RCP published a guest blog by The Chartered Society of Physiotherapy. This explores why poor access to rehabilitation for people with long-term conditions is expanding the gap in healthy life expectancy. 
  • Professor Carol Brayne, the RCP鈥檚 former special adviser on population health, reflected on the creation of the Inequalities in Health Alliance as one of the key achievements during her time in role. 

December

  • In December, the RCP responded to the government鈥檚 consultation on the 10-Year Plan, reiterating the IHA call for a cross-government strategy to reduce health inequalities that considers the role of every government department and policy lever to tackle the wider determinants of health
  • We published a guest blog by Just Fair. This explores looking at addressing health inequalities and other issues from a human rights perspective
  • The RCP responded to the UK government鈥檚 鈥淧lan for Change鈥 announcement, asking the government to 鈥渟et out its plans for its health mission delivery board and how it will tackle the social determinants of health.鈥
  • The RCP published 'Bridging the Gap鈥, a new guidance document aimed at empowering NHS leaders to make reducing health inequalities a central part of their strategy, and encouraging clinicians to complete the RCP e-learning on the social determinants of health.

January

  • After much delay, we

February

  • The RCP and members of the IHA听 calling for it to consider health inequalities and the social determinants of ill health including poor housing, air quality and the marketing of food and alcohol or the availability of tobacco, to employment (including how much money you have), racism and discrimination and transport.

March

  • The IHA听听for MPs and Peers on the current state of health inequalities, continuing the call for a cross-government strategy.
  • The RCP听and other members of the IHA submitted to the Labour Party鈥檚 National Policy Forum鈥檚听Prevention, early intervention and better public services for all听Consultation. The听听for the Labour Party to adopt a cross-government strategy to reduce health inequalities ahead of the next general election.

May

  • The Labour Party announced that it would establish a 鈥榤ission delivery board鈥 to 鈥榖ring together all departments with an influence over the social determinants of health鈥 in its听.听听along with the commitment to halve the gap in healthy life expectancy between different regions in England.

June

  • The RCP and other members of the IHA submitted to the government鈥檚 call for evidence on the Major Conditions Strategy (MCS).听 that many factors driving the conditions the MCS is seeking to cover, and health inequalities more widely, sit beyond the NHS and Department of Health and Social Care鈥檚 remit.

July

  • 'A Covenant for Health - Policies and partnerships to improve our national health in 5 to 10 years' report was published. The RCP welcomed the report鈥檚 recommendation that action be led by the prime minister and chancellor, and that government assesses the health impact of all its policies.

August

  • The government published the interim Major conditions strategy report, the 鈥榗ase for change and our strategic framework鈥. The RCP said it its response that it was reassuring that the interim report recognised that wider social determinants contribute to serious health conditions and called for the full report of the Major Conditions Strategy, due to be published in 2024, to include a cross-government strategy to reduce health inequalities.

September

  • The Liberal Democrats passed a motion at their Autumn Party Conference to prevent ill health, tackle health inequalities and create a 鈥榟ealth creation鈥 unit in the Cabinet Office. The RCP welcomed this as well as the commitments to restore the Public Health Grant to at least 2015 levels and wider public health measures.

October

November

  • The Chief Medical Officer鈥檚 annual report for 2023 Health in an Ageing Society argued for a preventative approach to tackling socially-determined ill health, recognising that action must be taken both from government and from healthcare. The RCP听 and said that the evidence outlined in the CMO鈥檚 report supports the call for a cross-government strategy which considers the role of every government department and every available policy lever in tackling health disparities.

January

  • The听滨贬础听听to MPs on its calls for a cross-government strategy to reduce health inequalities ahead of a Westminster Hall debate about the Office for Health Improvement and Disparities and health inequalities.

February

  • The government published their flagship Levelling Up White Paper which committed to a Health Disparities White Paper which assured that the DHSC would work with the 鈥榳hole of government to consider health disparities at each stage at which they arise鈥including]鈥he wider determinants of health鈥.

May

  • The rising cost of living throughout 2022 has had a considerable impact on people鈥檚 health. The RCP commissioned a nationwide public poll on behalf of the IHA to look at how the cost of living crisis was affecting people鈥檚 health. The poll found that Of those who reported their health getting worse, 84% said it was due to increased heating costs, over three quarters (78%) a result of the rising cost of food and almost half (46%) down to transport costs rising.

July

  • Boris Johnson resigned as prime minister in July 2022. The RCP was one of several medical royal colleges to commit to reducing health inequalities by tackling the causes of ill health.

September

  • Rising energy bills are having an adverse effect on people鈥檚 health. The RCP commissioned more nationwide polling on behalf of the IHA that found that听听(2022) compared to last winter (2021). When asked what they would do if a member of their household needed to use more heating than usual this winter to avoid ill health, only 22% said they would heat their home as necessary because they could afford the cost. The findings were covered by听
  • The RCP published another policy paper, 鈥the continued case for a cross-government strategy鈥.
  • Over 155 members of the Inequalities in Health Alliance (IHA)听 urging the government to maintain the commitment to publishing a Health Disparities White Paper (HDWP) by the end of this year.

  • 92 senior leaders of IHA members听听to reiterate the call for a cross-government strategy to reduce health inequalities.
  • This letter was sent alongside a new policy听,听鈥榯he case for a cross-government strategy鈥,听which included real life stories of how people鈥檚 health is damaged by social factors such as poor housing conditions and being unable to afford public transport.

  • The IHA first听听asking him to develop a cross-government strategy to reduce health inequalities.

Contact us

If you have any questions or would like more information, please contact us via: policy@rcp.ac.uk.听