Interview School

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Segment 7Hot TopicsWith Hope Clarke

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1How to answer any hot topic

2The resident doctors' strikes

3Physician associates and the Leng review

4Letby and the Thirlwall Inquiry

5Martha's Rule

6Maternity failures and infected blood

7Weight-loss jabs and obesity

8Smoking, vaping and prevention

9Vaccines, measles and the next pandemic

10Young people's mental health

11Health inequalities

12Climate, AMR and global health

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ReadingLesson 11 of 12

Health inequalities

What this lesson covers

The gap, with the latest figures
Why: Marmot and the social determinants
The inverse care law and Core20PLUS5
What doctors can actually do
How this comes up on the day

The words to use

Healthy life expectancy: The years a person can expect to live in good health. In England (2022–24) it was about 20 years lower in the most deprived areas than in the least.
Social gradient: The pattern in which health gets worse as deprivation rises, at every step, not only between the richest and the poorest.
Inverse care law: Julian Tudor Hart's 1971 observation that good medical care tends to be least available where it is most needed, most of all where markets rule.
Core20PLUS5: NHS England's approach to healthcare inequalities: the most deprived 20% of the population, plus locally chosen groups, across five clinical priorities.
Inclusion health groups: NHS England's term for groups experiencing social exclusion. Core20PLUS5 lists them among the PLUS groups that local services should prioritise.

This lesson opens on 29 November

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The words to use

Healthy life expectancy

The years a person can expect to live in good health. In England (2022–24) it was about 20 years lower in the most deprived areas than in the least.

Social gradient

The pattern in which health gets worse as deprivation rises, at every step, not only between the richest and the poorest.

Inverse care law

Julian Tudor Hart's 1971 observation that good medical care tends to be least available where it is most needed, most of all where markets rule.

Core20PLUS5

NHS England's approach to healthcare inequalities: the most deprived 20% of the population, plus locally chosen groups, across five clinical priorities.

Inclusion health groups

NHS England's term for groups experiencing social exclusion. Core20PLUS5 lists them among the PLUS groups that local services should prioritise.