Case studies

In the London boroughs of Camden, Islington and Haringey, a long-established sexual health promotion outreach team provides a trusted gateway linking sex workers with other services.

Cheshire West and Chester Council has been working with the NHS and other partners to increase uptake of the MMR (measles, mumps and rubella) vaccine, particularly in the most vulnerable communities.

Cornwall Council’s public health team have been looking at the experience of inclusion health groups including Gypsy, Roma and Traveller communities and the sea fishing community. The aim is to better understand their health experiences and improve access to services and facilities.

The vision for inclusion health in the East Riding is to reduce health inequalities through ensuring equitable access to services and targeted engagement to marginalised communities. This means working proactively with groups at higher risk of poor health outcomes to raise awareness of healthcare and facilitate access to it, so that everyone has an equal opportunity to achieve positive health outcomes.

Severe multiple disadvantage (SMD) refers to people who face multiple challenges including mental ill-health, substance use, contact with the criminal justice system, domestic abuse and homelessness. Nottinghamshire County Council’s public health division is taking a ‘Making Every Adult Matter’ approach in its work with people experiencing SMD.

Led by Luton Borough Council’s public health team and Bedfordshire Police, a wide variety of organisations are working together to improve the support for women involved in on-street sexual exploitation in Luton. They have developed a 10-year strategy and action plan which aims to reduce the harm and impact from on-street sexual exploitation and support women into routes out of it.

Portsmouth City Council funds a project providing specialist support to rough sleepers with drug or alcohol issues and those at risk of rough sleeping. A multi-agency and multi-disciplinary team work in the community to help people access treatment, psychological support and accommodation.

Wiltshire includes 65 kilometres of the Kennet and Avon Canal and is home to a vibrant and diverse ‘boater’ community. Wiltshire Council’s public health team has been working with them to find out more about this unique way of life.

In Worcestershire, a small team of service-user volunteers provide support and resources to people affected by drug and alcohol misuse who do not engage with conventional treatment services. This is just one element of the work underway to reduce the health inequalities for this vulnerable group of people.

City of York’s public health team recognised that the children in asylum-seeking families had often missed out on routine vaccinations. When other parts of Yorkshire experienced measles outbreaks, the team worked with local partners to prevent an outbreak in York’s migrant population.