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Health & Social Care Bill: Proposed inequalities duty for Clinical Commissioning Groups

Health & Social Care Bill: Proposed inequalities duty for Clinical Commissioning Groups. “Each clinical commissioning group must, in the exercise of its functions, have regard to the need to: reduce inequalities between patients with respect to their ability to access health services

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Health & Social Care Bill: Proposed inequalities duty for Clinical Commissioning Groups

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  1. Health & Social Care Bill: Proposed inequalities duty for Clinical Commissioning Groups “Each clinical commissioning group must, in the exercise of its functions, have regard to the need to: • reduce inequalities between patients with respect to their ability to access health services • reduce inequalities between patients with respect to the outcomes achieved for them by the provision of health services…” (Clause 14S) The CCG duty complements duties proposed for the Secretary of State for Health and the NHSCB.

  2. Proposed duties for Secretary of State for health and NHSCB “In exercising functions in relation to the health service, SofS must have regard to the need to reduce inequalities between the people of England with respect to the benefits that they can obtain from the health service”. The phrase “health service” incorporates both the NHS and public health. “The NHSCB must, in the exercise of its functions, have regard to the need to: • reduce inequalities between patients with respect to their ability to access health services • reduce inequalities between patients with respect to the outcomes achieved for them by the provision of health services…..” (Clause 13G]

  3. The Bill also proposes duties to integrate health with other services Each CCG must exercise its functions with a view to securing that the provision of health services is integrated with the provision of other health services, health-related services or social care services where it consider that this would: • reduce inequalities between persons with respect to their ability to access those services; or • reduce inequalities between persons with respect to the outcomes achieved for them by the provision of those services. Health related services are broadly defined and can include services related to the wider determinants eg housing, fuel poverty, debt, education, employment etc. The practical effect should be that services are integrated around the needs of the individual. There are equivalent integration duties proposed for NHSCB and Monitor.

  4. Further resources on tackling health inequalities • Health Inequalities National Support Team resources (Masterclasses, ”How to” guides, Workbooks and practical tools: http://www.institute.nhs.uk/commissioning/general/health_inequalities_national_support_team_resources.html • Institute of Health Equity led by Professor Sir Michael Marmot at UCL: http://www.instituteofhealthequity.org/ • BMA Report: Social determinants of health – what can doctors do? http://www.bma.org.uk/health_promotion_ethics/socialdeterminantshealth.jsp CCG bite size session - handout

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