Inclusion health: Evidence pack

Corporate author: Social Exclusion Task Force

Publisher: Cabinet Office and Department of Health

Publication date: March 2010

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This evidence pack is the product of extensive consultation and research.  It brings together existing and new analysis on the primary health care needs of the socially excluded and highlights the case for change. The research confirms that a small but significant group of the nation’s most vulnerable people continue to suffer from poor health outcomes across a range of indicators including self-reported health, life expectancy and morbidity. The analysis highlights that health inequalities persist, and that socially excluded groups experience a range of health needs, which can be exacerbatedby social factors. Furthermore, socially excluded people often make chaotic and disproportionate use of health care services, and experience a range of barriers and issues relating to their access and quality of primary care. The costs of failure are great not only to the individual life chances of socially excluded clients, but also to the taxpayer, services and the communities who pick up the pieces. Through analysis of the system and services (specifically through the lens of four groups and two geographical areas), the research draws out a range of challenges that remainin meeting the primary health care needs of socially excluded groups, and identifies areas of promising practice.