This small-scale scoping study commissioned by the Department of Health and The NSMC examined how the then Spearhead Primary Care Trusts in England understood their customer base in order to reach marginalised groups and tackle health inequalities. A major aim of this study was to promote the sharing of best practice and lessons learnt as well as ensuring the Spearheads could access and use the moost appropriate and relevant tools.

Key Conclusion

'Health and lifestyle surveys, health needs and health inequality assessment and service evaluations are all considered fairly useful. There were more mixed views on the usefulness of citizens' panels and community representation.'


This small study examined how a number of former 'Spearhead' Primary Care Trusts understood their customer base in order to tackle health inequalities.

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