Equality and Health Inequalities Impact Assessments (EHIIA)
Assessing the impact of what we do, or what we are planning to do, involves consideration of the health inequalities that are experienced by a wide range of groups and communities. It may not be easy to see at first how our activities can impact on such diverse populations, so it is important to look at the available data, research and lived experiences of people to build a full picture. You can find lots of messages from data and research, and what people tell us is important to them throughout the ‘Health Equality’, ‘Live Well’ and ‘Best Health and Wellbeing’ sections of this website.
EHIIAs enable us to draw together in one place the story of the potential impacts we may be having, or might have going forward. They should be co-produced with local experts – people with lived experience and the groups that represent them.
Action plans should then be co-produced which identify a number of impactful activities that will mitigate the health inequalities identified. The EHIIA and associated action plans must be reviewed regularly as new issues emerge, and new solutions are needed.
The drop down boxes below highlight some of the key health inequalities issues for each of the protected characteristics and a range of marginalised and vulnerable groups, together with sources of data and local expertise. This will help kickstart your EHIIA, and help you to start to identify who you could involve in co-production. It is important to note that although there are descriptions for each characteristic, people’s lives are complex and many issues are intersectional, with poverty, unstable homes and employment, discrimination and adverse life experiences contributing to many of the barriers to good health and wellbeing that people face.
Data on the demographics and health of our local populations can be found in our county councils’ detailed Joint Strategic Needs Assessments:
Groups and Communities
Race, Ethnic Origins and Nationality
Religion, Belief or Culture
Disability - Mental, Neurological or Physical Health Conditions
People who are Transgender/ who have had gender reassignment treatments
People who are Married/ Civil Partnership
People who are pregnant, or are planning pregnancy
Deprived communities, people in poverty, and/or living in overcrowded conditions
Armed forces veterans
Domestic abuse, and sexual violence and abuse
Marginalised and vulnerable people including sex workers, drug and alcohol misuse, gambling
Asylum seekers, refugees, victims of modern slavery
Prisoners – current and former
Last Updated on 9 January 2024