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Leicester's Care, Health and Wellbeing Strategy 2022-2027

Core 20 Plus 5 aims to reduce health inequalities

NHS England also have a national framework for addressing health inequalities. This is called CORE20PLUS5. This approach defines target populations and five focus clinical areas.

CORE20 is the people living in the 20% most deprived areas.

PLUS incorporates groups that experience poorer than average access to services, experience of services or outcomes and inclusion groups.

5 includes specific targets within:

  • maternity
  • severe mental illness
  • chronic respiratory disease
  • early cancer diagnosis
  • hypertension.

The CORE20PLUS5 approach is being used in Leicester, and Health and Wellbeing Board partners are working on reducing health inequalities in these groups alongside other initiatives.

Ensuring continuity of care for 75% of women from BAME 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 success seen in Learning Difficulties).

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.

Pregnant woman caressing her bump
Doctor giving vaccination
Man having blood pressure checked in a sports hall