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Core20PLUS5 – An approach to reducing health inequalities

Core20PLUS5 is a national NHS England and NHS Improvement approach to support the reduction of health inequalities at both national and system level. The approach defines a target population cohort – the ‘Core20PLUS’ – and identifies ‘5’ focus clinical areas requiring accelerated improvement.


The most deprived 20% of the national population as identified by the national Index of Multiple Deprivation (IMD). The IMD has seven domains with indicators accounting for a wide range of social determinants of health.


PLUS population groups we would expect to see identified are ethnic minority communities; inclusion health groups; people with a learning disability and autistic people; coastal communities with pockets of deprivation hidden amongst relative affluence; people with multi-morbidities; and protected characteristic groups; amongst others.

Inclusion health groups include: people experiencing homelessness, drug and alcohol dependence, vulnerable migrants, Gypsy, Roma and Traveller communities, sex workers, people in contact with the justice system, victims of modern slavery and other socially excluded groups.


The final part sets out five clinical areas of focus. Governance for these five focus areas sits with national programmes; national and regional teams coordinate local systems to achieve national aims.

  1. Maternity: ensuring continuity of care for 75% of women from Black, Asian and minority ethnic communities and from the most deprived groups.
  2. Severe mental illness (SMI): ensuring annual health checks for 60% of those living with SMI (bringing SMI in line with the success seen in learning disabilities).
  3. 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.
  4. Early cancer diagnosis: 75% of cases diagnosed at stage 1 or 2 by 2028.
  5. Hypertension case-finding and optimal management and lipid optimal management: to allow for interventions to optimise blood pressure and minimise the risk of myocardial infarction and stroke.

The first event on the 17th August 2022 was around raising health awareness, it was an extremely successful event, with over 70 attendees .  The feedback was great. This was to help empower the African and Caribbean community with their health and wellbeing.

The event took place at the Shiloh Worship Centre in Thornton Heath.

The event covered:

  • Long Term Conditions Team
  • Blood pressure/ diabetes health checks
  • Diabetes and Nutrition – Herbalist in the hood (guest speaker)
  • Man Van – Prostate cancer talk
  • The benefits of eating Healthy
  • Health and Fitness
  • Community Development Workers for mental health (25 -65 years old) and (Over 65s)

We incorporated free food and a raffle to engage the community to come to our event for the Health Awareness

Some feedback:


The event was good. It will be brilliant if the event could be held at other times at evenings or Saturdays do younger people (40+) could attend


Pleased how it was set up. It was organised. People take you around. The welcoming of people was lovely. Set out of different section really good.


The second event on the 31st August 2022 was also about addressing the health inequalities within the community, to connect health care service providers with communities to improve health with focus on the key areas of health inequalities within the CORE plus 5.

The event covered:

  • Long term health issues
  • Blood pressure health checks
  • Cancer awareness
  • Diabetes and Nutrition – Herbalist in the hood (guest speaker)
  • The benefits of eating Healthy
  • Health and Fitness – Salsa class
  • Clear Community Web – Digital Inclusion

Some feedback:


A pleasant experience. Helpful suggestions about diet, exercise and etc.


Eye opener, have to change the way I eat and what I eat.

For more information please email or 

Opening Hours

Head Office 

Mon-Fri: 9am – 5pm

Wellness Centre

Mon-Fri: 10am – 5pm 

Health & Wellbeing Space

Mon-Sat: 10am – 4:45pm

Sun: 11am: – 4pm 

Contact Info

Head Office 
56a Mitcham Road
Croydon CR0 3RG

Opposite Kwik Fit and BP Petrol Station Corner of Albion Street

Travel information
Buses: 264 – 1 Min to Head Office
Nearest Train or Tram Stop: West Croydon

TEL: 020 8684 3719 

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