Reducing Inequalities

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In everything we do we promote equalities in the health and wellbeing of our population.

The Bedfordshire, Luton and Milton Keynes (BLMK) Integrated Care System (ICS) works to reduce inequalities in everything we do. In this priority we are specifically looking to reduce systemic inequality, building on the national Core20Plus5 approach to reducing inequalities.

There are significant differences in healthy life expectancy across our four places. In Luton, women can expect to live a healthy life until they are 60, but in Central Bedfordshire, they can expect to live healthily to 67.

Poorer health outcomes are generally experienced by those living in more deprived areas, as measured by the Index of Multiple Deprivation (IMD). Around 120,000 (13%) people in BLMK live in areas of highest deprivation (IMD 1 & 2). Deaths due to circulatory disease, cancer and respiratory disease contribute the most to the life expectancy gap seen between our most and least deprived neighbourhoods. We also have inequalities in health outcomes for people with a learning disability and/or serious mental illness (SMI).

Interventions

This priority is looking to reduce premature mortality rates and infant mortality rates through a range of interventions, including:

  • Ensuring continuity of care for women from Black, Asian and minority ethnic (BAME) communities and the most deprived groups
  • Ensuring annual health checks for people with SMI
  • Driving uptake of vaccinations and earlier diagnosis of cancer
  • Investing in local voluntary, community and social enterprise organisations to support people in different, proactive ways
  • Working with Primary Care Networks (PCNs) to identify and target high priority cohorts.