Core20Plus5 - the NHS England Initiative to Reduce Health Inequalities

NHS England has a national strategy for tackling health inequalities known as Core20Plus5 .

This targets a population consisting of those in the 20% most deprived areas in England PLUS other groups identified as suffering from poor health by their local Integrated Care System.

5 particular services are emphasised for these patients.

  • Maternity: ensuring continuity of care for 75% of women from Black, Asian and minority ethnic communities and from the most deprived groups.
  • Severe mental illness (SMI): ensuring annual health checks for 60% of those living with SMI (bringing SMI in line with the success seen in learning disabilities).
  • Chronic respiratory disease: a clear focus on Chronic Obstructive Pulmonary Disease (COPD) driving up uptake of COVID, flu and pneumonia vaccines to reduce infective exacerbations and emergency hospital admissions due to those exacerbations.
  • Early cancer diagnosis: 75% of cases diagnosed at stage 1 or 2 by 2028.
  • Hypertension case-finding: to allow for interventions to optimise blood pressure and minimise the risk of myocardial infarction and stroke.
  • This programme comes as guidance but with very little extra funding - as follows:
    Funding is being made available directly to help systems drive forward this agenda. The funding allocation provides for an 8A role (or equivalent) in each of the 42 ICSs, on a fair share scheme basis as well as two roles at regional level across the seven regions to support with the Health Inequalities Improvement agenda and specifically the Core20PLUS5 approach. NHS England and NHS Improvement has also provided additional capacity to accelerate coordinated health inequalities improvement activity across the seven NHS regions.