Primary Care Health Inequalities Short-Life Working Group: report

This report identifies recommendations to maximise primary care’s significant potential to tackle health inequalities and inequity across Scotland’s communities. The accompanying “Chance to Change Scotland” report also provides lived experience perspectives on the issues addressed in this report.


1. Public Health Scotland 'What are health inequalities?'

2. Public Health Scotland 'Measuring health inequalities'

3. Public Health Scotland 'Fundamental causes of health inequalities'

4. World Health Organization 'Commercial determinants of health'

5. Examples of research into commercial determinants (including the availability of alcohol, tobacco and unhealthy foods) in Scotland include work by members of the SPECTRUM consortium:

6. The Lancet '50 years of the inverse care law'

7. Scottish Government 'Mobilisation Recovery Group 7: Note of Meeting'

8. YouTube 'Chance 2 Change':

9. University of Glasgow 'Deep End Report 29'

10. University of Glasgow 'Deep End Pioneer Scheme'

11. Queen's Nursing Institute Scotland 'Catalysts for Change':

12. University of Glasgow 'The Scottish Deep End Project':

13. See, for example, Scottish Government 2021c Social Renewal Advisory Board Report, The Scottish Government (2021d) Annual Report of the Chief Medical Officer and Thomas et al 2020 'GPs with an extended role in population health'

14. World Health Organization Europe 'Weight bias and obesity stigma: considerations for the WHO European Region (2017)':

15. 'Lived experience' is a widely used term in current policy discourse. With its origins in phenomenology, it has many interpretations, and can risk being tokenistic or creating an 'other'. What matters is the genuine participation in decision-making of those who are most affected by the issues addressed in this report.

16. The term 'inverse care law' has been used since the 1970s to describe how the availability of good health care tends to vary inversely in relation to population health needs.

17. The Lancet '50 years of the inverse care law'

18. See the Deep End website for postcode analysis undertaken by Public Health Scotland (PHS) in addition to the analysis in the main PHS report (Public Health Scotland 2021): and

19. VHS, 'The Scottish Community Link Worker Network'

20. The Scottish Government 'Increasing mental health support in GP practices'

21. The Scottish Government 'Long term monitoring of health inequalities'

22. RCN, 'Results of new survey reveal extreme pressure nursing staff are feeling'

23. BMA, 'BMA Scotland: Spiralling demand pushing GPs to the brink'

24. The Scottish Government 'GMS Contract: 2018'

25. The Scottish Government 'Delivering the new GMS contract in Scotland'

26. The Scottish Government 'Memorandum of Understanding 2'

27. Fairhealth: Health Equity Action and Learning

28. NES 'National trauma training programme'

29. Deloitte (2016) 'Scottish Allocation Formula – GMS workload model' Report for the Scottish Government.

30. e.g. AE Williamson at al. (2021) "'Missingness' in health care: Associations between hospital utilization and missed appointments in general practice. A retrospective cohort study."

31. The Scottish Public Health Observatory 'Health inequalities: introduction'



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