This episode breaks down the NHS Core20PLUS5 framework as a high-yield SJT strategy for reducing health inequalities safely and lawfully. It explains how to identify priority groups, dismantle access barriers, and measure impact using deprivation, ethnicity and PLUS-group data. A practical, exam-ready guide to equity, legality and ethical decision-making in UK clinical practice.

0:00 Why health inequalities matter
00:20 Hypertension screening scenario
00:40 Core20PLUS5 as NHS strategy
01:05 Legal duties for equity
01:40 T3 model: Target–Tailor–Track
02:20 Core20 definition (IMD)
02:55 Local PLUS groups
03:40 Five adult clinical priorities
04:20 CYP priorities overview
05:00 Using data to identify gaps
05:35 Stratifying by deprivation & ethnicity
06:00 Tailoring: flexible appointments
06:40 Community-based clinics
07:10 Interpreters & AIS obligations
07:45 Digital exclusion pitfalls
08:20 Co-design with communities
08:55 Tracking uptake & outcomes
09:25 Avoiding trap answers
10:00 Equity vs equality
10:40 Data-blindness risks
11:10 Delay trap (waiting for funding)
11:40 Three key takeaways
12:10 Final reflection

• Target Core20 and local PLUS groups using IMD and ethnicity data
• Tailor access: flexible slots, community venues, interpreters, AIS compliance
• Maintain non-digital routes to avoid exclusion
• Co-design services with VCSE and community connectors
• Track uptake, outcomes and experience visibly by deprivation
• Equity requires differential action to achieve fair outcomes
• Generic or passive measures always widen gaps
• Data-driven iteration is essential for improvement

T3 model (Target–Tailor–Track):
• Target – Identify Core20 postcodes + local PLUS groups
• Tailor – Remove barriers (flexible access, interpreters, community venues, non-digital routes)
• Track – Measure uptake/outcomes by deprivation & ethnicity; iterate

EQUITY mnemonic:
• E – Evaluate data
• Q – Quantify gaps
• U – Understand local PLUS priorities
• I – Implement targeted adjustments
• T – Tailor communication (AIS)
• Y – Yield measurable improvement

Links:
• passthemsra.com – Complete MSRA revision, notes, mocks, flashcards
• freemsra.com – Free podcasts, threads and rapid-learning guides
• msra.io – Smart MSRA Qbank with analytics

#MSRA #SJT #MedicalRevision #UKDoctors #HealthInequalities #Core20PLUS5 #EquityNotEquality #PublicHealth #NHSLeadership #passthemsra #freemsra #msraio