Annual Review
Sharing evaluation expertise to help tackle healthcare inequalities
— Case study

Sharing evaluation expertise to help tackle healthcare inequalities

The South West AHSN has applied its expertise in logic modelling to support a new national programme tackling health inequalities across England.

Launched in 2022 and underpinned by NHS England’s Core20PLUS5 approach, the Innovation for Health Care Inequalities Programme (InHIP) aims to accelerate patient access to innovative medicines and medical technologies for those living in the 20% most deprived geographical areas in England, and other population groups experiencing poorer health outcomes.  

Through the programme, a collaboration between NHS England’s Accelerated Access Collaborative (AAC) and Healthcare Inequalities Improvement Team, and the AHSN Network, each Integrated Care System (ICS) in England could apply for up to £100,000 of funding to help close inequity in one of these groups through accelerating adoption of approved healthcare innovations. The 15 regional AHSNs were called on to support the ICSs to select and design an InHIP project.  

To ensure projects could understand and measure their impact, and that learning was captured across England, the AHSN Network and AAC commissioned the South West AHSN to guide each of the 15 AHSNs to develop and embed robust evaluation approaches in their ICS InHIP projects. 

Our team of four evaluation leads provided each AHSN with a bespoke logic modelling and measurement strategy workshop, expert advice and guidance. We also convened team sessions throughout the bid period for more in-depth support and Q&A sessions and led on a reflective learning session at the end. For the bespoke workshops, we layered a health inequities lens on our normal logic modelling approach. 

The AHSN Network and AAC are interested to capture the learning to see how this new approach can be used going forward. 

In addition to sharing our evaluation expertise, we are also supporting all three ICSs within the South West (Somerset, CIOS and Devon) to deliver the InHIP project in their region. 

doctor shows an older woman in a wheelchair how to manage her health on an ipad
  • 15 applications submitted from the AHSNs on behalf of their ICSs had coherent and consistent logic models which had all taken a health equity approach to help build the conditions for successful delivery. 
  • The InHIP measurement frameworks submitted were consistently framed in health equity terms.  
  • A lead AHSN has been appointed to lead a national  community of practice. Projects on the same clinical theme are using this forum to share learning and opportunities based on utilising the logic models. 
“The South West AHSN’s support on InHIP has delivered some excellent insight, outputs and learning for the future. Through your work we have focused AHSN minds on the challenges associated with planning and delivering healthcare inequalities innovation-based programmes, and the careful consideration that needs to go into defining measures and considering impact.”

Dr Stuart Monk, AHSN National Programme Director for the Innovation for Healthcare Inequalities Programme

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