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Marginalised groups

Population Outcome: People from marginalised groups in Suffolk and North East Essex have Health Equality

People in Suffolk and North East Essex should have the same opportunity of good health and wellbeing, dignity and respect regardless of their circumstances, and this should include people in more marginalised groups, including people who are homeless, are refugees, ex-offenders, and sex workers who often have poorer experiences and outcomes.


To be Identified - Coming soon

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The Story Behind the Outcome

Lived Experience


Beacon House

Refugee Action


Rough Sleeping

An individual or a family can find themselves facing the risk of homelessness and that they have no other option but to sleep on the streets, in the open air or in a car.

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Healthwatch Essex report - Prisoners, Prison Leavers and Ex-Offenders

An Exploration of the Health, Care and Wellbeing Needs of Prisoners, Prison Leavers and Ex-Offenders in Essex

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The health care experiences of homeless people in Essex

Evidence shows that homeless people are far more likely to experience poor health and die younger compared to the general population.

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Helping isolated and homeless people

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Published Evidence

Impacts of inequalities on marginalised groups

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Further Reading and evidence

Local and national organisations

Marginalised and vulnerable people including sex workers, drug and alcohol misuse, gambling

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Our Ambition

What we know matters to people and why

What matters?Why?
I have my health conditions and diseases written and recordedMy risk of health conditions and diseases can be identified early,and may be prevented.
I have equality of access to health and careInformation on my rights and options for care and support, shared in the right way for me, means I can make the right decisions and know what to expect from my care.

Understanding the impacts of discrimination on my health, and actively tackling the barriers I face, means I have access to the right care at the right time.

Arranging outreach care and support where I live and where I feel safe means I can access information and help more easily.

Full access to interpreters, translated and easy read materials mean I can be a full partner in my care.
I receive high quality careHigh quality, culturally competent, compassionate and sensitive trauma informed care, enables me to have better outcomes for my health and wellbeing.

Understanding the complexity of my needs and circumstances means my needs, and my choices, are respected and met.
I am seen and heardBeing treated with respect, not experiencing stereotypes, assumptions, bias, prejudice or discrimination, means I can have trust in the professionals who provide my treatment, care and support.

Actively listening and responding to my concerns, feelings and experiences, and giving me choice and control, means my care, and my care for others, is safe and effective.

How will things be different in Suffolk and North East Essex

We will ensure recording of complex factors e.g. homelessness, refugee status, substance misuse, is accurate and complete for everyone, using this information to inform evaluation of health risks and decisions on care.We will tackle barriers in access to, and quality of care for people from marginalised groups, in particular in access to primary care, and treatment for diseases associated with poor housing and poor nutrition.
We will co-produce information in the languages and formats that people need, taking time to explain and making sure any information is fully understood.We will ensure care and support respects people’s complex lived experiences, and is delivered sensitively and flexibly, including through outreach.
We will co-produce awareness raising and training on complexity of need; how structures and systems discriminate against marginalised groups and the barriers people face; conscious and unconscious bias in health and care; and culturally competent care.

Case Studies – how we are making progress across Suffolk & North East Essex

Publish your case study here

Publish your case study here

Publish your case study here

Publish your case study here

Publish your case study here

Relevant plans and strategies


NHS Suffolk and North East Essex Integrated Care Board
Joint Forward Plan
Health Inequalities


Ipswich and East Suffolk
Alliance Delivery Plan

North East Essex 
Alliance Delivery Plan

West  Suffolk
Alliance Delivery Plan

West Suffolk
Rough Sleeping Strategy 2021-2023

Last Updated on 29 February 2024

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