
References
Association of Directors of Public Health London (2024). Project Health Resilience Pilot Presentation. London: ADPH.
https://www.adph.org.uk/networks/london/events/project-health-resilience-pilot-presentation
Berkman, N, Sheridan, S and Donahue, K et al (2011). ‘Low health literacy and health outcomes: an updated systematic review’, Ann Intern Med, 155(2).
https://pubmed.ncbi.nlm.nih.gov/21768583
Blackpool Council (2024). Public Health Annual Report 2024. Blackpool: Blackpool Council.
https://www.blackpooljsna.org.uk/Documents/Public-Health-Annual-Reports/Public-Health-Annual-Report-2024-Final.pdf
Blackpool Council (2025). Life Expectancy in Blackpool. Blackpool: Blackpool Council.
https://www.blackpooljsna.org.uk/Blackpool-Profile/Life-Expectancy.aspx
Blackpool Teaching Hospitals NHS Foundation Trust (2025). Organisational Health Literacy.
https://www.blackpoolteachinghospitals.nhs.uk/about-us/organisational-health-literacy
Camden Council (2022). Camden Health and Wellbeing Strategy 2022-30. London: Camden Council
https://www.camden.gov.uk/documents/20142/0/Camden+HWB+Strategy+%28Feb+22%29+v6.pdf
Department of Health and Social Care (2023). The NHS Constitution for England. London: DHSC.
https://www.gov.uk/government/publications/the-nhs-constitution-for-england/the-nhsconstitution-for-england
Dunn, M, Turner-Moss, E and Carpenter, B et al (2024).‘The effects of literacy on health in Gypsies, Roma and Travellers (GRT): a systematic review and narrative synthesis’, BMJ Global Health, 28, 9(11).
https://pmc.ncbi.nlm.nih.gov/articles/PMC11605813
Dunnett, J et al (2024). ‘Health literacy: reducing inequalities in healthcare access through changing the reading age of healthcare material: a mixed-methods pilot study’, The Lancet, 404(S66).
https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(24)02061-0/fulltext
Easton, P, Entwistle, V and Williams, B (2010). ‘Health in the “hidden population” of people with low literacy: a systematic review of the literature’, BMC Public Health, 5(10).
https://pubmed.ncbi.nlm.nih.gov/20687946
Geodata (2025). Health Literacy Prevalence Estimates for Local Authorities. Geodata website.
https://healthliteracy.geodata.uk
Healthwatch England (2018). Emergency readmissions: What’s changed one year on? London: Healthwatch. https://www.healthwatch.co.uk/report/2018-11-14/emergencyreadmissions-whats-changed-one-year
Healthwatch England (2023). Our policy position on accessible information. London: Healthwatch.
https://www.healthwatch.co.uk/news/2023-07-10/our-policy-position-accessible-information
Howick, J, Bennett-Weston, A and Solomon, J et al (2024). ‘How does communication affect patient safety? Protocol for a systematic review and logic model’, BMJ Open, 14(5).
https://pmc.ncbi.nlm.nih.gov/articles/PMC11131125
The King’s Fund (2025). Public satisfaction with the NHS and social care in 2024. London: The King’s Fund.
https://www.kingsfund.org.uk/insight-and-analysis/reports/public-satisfaction-nhs-social-care-in-2024-bsa
The King’s Fund, Healthwatch England and National Voices (2025). Lost in the system: the need for better admin. London: The King’s Fund.
https://www.kingsfund.org.uk/insight-and-analysis/long-reads/lost-in-system-need-for-better-admin
Lant, J (2025). Why tackling NHS admin will help improve outcomes. London: National Voices.
https://www.nationalvoices.org.uk/blogpost/why-tackling-nhs-admin-will-help-improve-outcomes
Manchester City Council (2021). Building back fairer: tackling health inequalities in Manchester 2022-2027. Manchester: Manchester City Council.
https://democracy.manchester.gov.uk/documents/s34506/104318%20Marmot%20Report_Building%20Back%20Fairer%20in%20Manchester_V8.pdf
Manchester City Council (2025). Children and Young People Scrutiny Committee Report. Manchester: Manchester City Council. https://democracy.manchester.gov.uk/documents/s51665/Attainment%20Headline%20outcomes%202024%20provisional.pdf
Manchester University NHS Foundation Trust (2025). ‘Training’. Manchester University NHS Foundation Trust website.
https://mft.nhs.uk/medical-education/trust-library/training
MBRRACE – UK (2024). Saving Lives, Improving Mothers’ Care. London: Maternal, Newborn and Infant Clinical Outcome Review Programme.
https://www.npeu.ox.ac.uk/mbrrace-uk/reports/maternalreports/maternal-report-2020-2022
Mcinnes, N and Haglund, B (2011). ‘Readability of online health information: implications for health literacy’, Informatics for Health and Social Care, 36(4).
https://www.tandfonline.com/doi/abs/10.3109/17538157.2010.542529
National Institute for Health and Care Excellence (NICE) (2021). NICE guideline: shared decision making.
https://www.nice.org.uk/guidance/ng197
National Institute for Health and Care Research (NIHR) (2022). NIHR evidence: health information: are you getting your message across? NIHR website.
https://evidence.nihr.ac.uk/collection/health-information-are-you-getting-your-message-across
National Literacy Trust (2018). Literacy and life expectancy. London: The National Literacy Trust.
https://literacytrust.org.uk/research-services/research-reports/literacy-and-life-expectancy
National Voices (2017). A new relationship with people and communities. London: National Voices.
https://www.nationalvoices.org.uk/publication/new-relationship-people-and-communities
National Voices (2023). NHS at 75 insights report. London: National Voices.
https://www.nationalvoices.org.uk/publication/nhs-75-insights-report
Naughton, J, Booth, K and Elliott, P et al (2021). ‘Health literacy: the role of NHS library and knowledge services’, Health Info Libr J, 38(2).
https://pmc.ncbi.nlm.nih.gov/articles/PMC8361722
NHS England (2016). Accessible Information Standard. London: NHS England.
https://www.england.nhs.uk/about/equality/equality-hub/patient-equalities-programme/equalityframeworks-and-information-standards/accessibleinfo
NHS England (2021a). 2021/22 priorities and operational planning guidance. London: NHS England.
https://www.england.nhs.uk/publication/2021-22-priorities-and-operational-planning-guidance
NHS England (2021b). Core20PLUS5 (adults): an approach to reducing healthcare inequalities. London: NHS England. https://www.england.nhs.uk/about/equality/equality-hub/national-healthcareinequalities-improvement-programme/core20plus5
NHS England (2022a). Digital service manual. London: NHS England.
https://service-manual.nhs.uk
NHS England (2022b). Core20PLUS5: an approach to reducing health inequalities for children and young people. London: NHS England. https://www.england.nhs.uk/about/equality/equalityhub/nationalhealthcare-inequalities-improvement-programme/core20plus5/core20plus5-cyp
NHS England (2023a). Health literacy toolkit. London: NHS England.
https://library.nhs.uk/wp-content/uploads/sites/4/2023/06/Health-Literacy-Toolkit.pdf
NHS England (2023b). Inclusive digital healthcare: a framework for action on digital inclusion.
https://www.england.nhs.uk/long-read/inclusive-digital-healthcare-a-framework-for-nhs-action-ondigital-inclusion
NHS England (2023c). A national framework for the NHS: action on inclusion health. London: NHS England.
https://www.england.nhs.uk/long-read/a-national-framework-for-nhs-action-on-inclusion-health
NHS England (2025a). Enabling people to make informed health decisions. London: NHS England.
https://www.england.nhs.uk/personalisedcare/health-literacy
NHS England (2025b). 2025/26 priorities and operational planning guidance. London: NHS England.
https://www.england.nhs.uk/long-read/2025-26-priorities-and-operational-planning-guidance
NHS England (2025c). Reforming elective care for patients. London: NHS England
https://www.england.nhs.uk/wp-content/uploads/2023/04/reforming-elective-care-for-patients.pdf
NHS England and Health Literacy Matters (2024). Delivering improved population health outcomes, tackling health inequalities and improved health and care performance. London: NHS England.
https://www.healthliteracyplace.org.uk/wp-content/uploads/2024/07/Delivering-Improved-Population-Health-Outcomes-Tackling-Health-Inequalities-and-Improved-Health-and-Care-Performance.pdf
NHS Providers (2022). A guide to the health and care act 2022 for trusts and foundation trusts. London: NHS Providers.
https://nhsproviders.org/resources/a-guide-to-the-health-and-care-act-2022
NHS Providers (2024a). Reducing health inequalities: a guide for NHS trust board members. London: NHS Providers.
https://nhsproviders.org/resources/reducing-health-inequalities-a-guide-for-nhs-trustboard-members
NHS Providers (2024b). Co-production and engagement with communities as a solution to reducing health inequalities. London: NHS Providers.
https://nhsproviders.org/resources/co-production-andengagement-
with-communities-as-a-solution-to-reducing-health-inequalities
NHS Providers (2024c). ‘Improving Health Literacy to Reduce Inequalities and Enhance Patient Experience’. NHS Providers website. https://nhsproviders.org/media/699770/improving-health-literacyto-
reduce-inequalities-and-enhance-patient-experience-slides.pdf
North East and North Cumbria NHS (2025). ‘Regional Health Literacy’. North East and North Cumbria NHS website.
https://northeastnorthcumbria.nhs.uk/our-work/regional-health-literacy
O’Cathain, A, Foster, A and Carroll, C (2022). ‘Health literacy interventions for reducing the use of primary and emergency services for minor health problems’, National Institute for Health and Care Research.
https://pubmed.ncbi.nlm.nih.gov/36534752
Office for National Statistics (ONS) (2024). Measuring NHS experience and satisfaction across the UK. Cardiff: ONS. https://www.ons.gov.uk/peoplepopulationandcommunity/healthandsocialcare/healthcaresystem/articles/measuringnhsexperienceandsatisfactionacrosstheuk/2024-05-30
Patient Information Forum (2023a). Health literacy matters. London: Patient Information Forum.
https://pifonline.org.uk/resources/health-literacy-matters-infographic
Patient Information Forum (2023b). Health and digital literacy survey 2022/23. London: Patient Information Forum.
https://pifonline.org.uk/resources/health-and-digital-literacy-survey-2223
Patient Safety Commissioner (2025). The safety gap. London: Patient Safety Commissioner.
https://www.patientsafetycommissioner.org.uk/our-reports/the-safety-gap-report
Pelikan, J, Rothlin, F, Ganahl, K (2012). Comparative report on health literacy in 8 EU member states. The European Health Literacy Survey HLS-EU website.
http://cpme.dyndns.org:591/adopted/2015/
Comparative_report_on_health_literacy_in_eight_EU_member_states.pdf
Public Health England (2015). Improving health literacy to reduce health inequalities. London: PHE.
https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/460710/4b_Health_Literacy-Briefing.pdf
Raynor, D, Blenkinsopp, A, Knapp, P, et al (2007). ‘A systematic review of quantitative and qualitative research on the role and effectiveness of written information available to patients about individual medicines’, Health Technol Assess, 11(5).
https://pubmed.ncbi.nlm.nih.gov/17280623
Rowlands, G (2013). Health literacy and the ‘inverse information law’. DOI: 10.3399/bjgp13X664081
https://bjgp.org/content/bjgp/63/608/120.full.pdf
UK Government (2010). Equality Act 2010.
https://www.legislation.gov.uk/ukpga/2010/15/contents
Wieczorek, M, Meier, C, Vilpert, S, et al (2023). ‘Association between multiple chronic conditions and insufficient health literacy: cross-sectional evidence from a population-based sample of older adults living in Switzerland’, BMC Public Health, 23(253).
https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-023-15136-6
World Health Organization (2013). Health literacy: the solid facts. Copenhagen: WHO.
https://iris.who.int/bitstream/handle/10665/128703/e96854.pdf