{
  "abstract": "Background Tackling health inequalities (HI) remains a high priority at Great Ormond Street Hospital, due to the increasing challenges experienced by our most vulnerable patients and parents/carers. Our HI quality improvement (QI) project continues to empower and enable staff to identify and address HI within their service for the benefit of patients and families. Methods Following the development of the GOSH HI self-assessment standards (SASs) and a self-assessment portal, we conducted our first Pan-Trust gap analysis. Table 1 describes our methodology.Results The HI self-assessment was successfully completed by 27 patient-facing teams or departments. Figure 1 shows aggregated results from the self-assessment, identifying gaps in the four priority areas: equitable access to healthcare services; digital inclusion and literacy; language and communication; logistical coordination and support for families. Three clinical areas demonstrated a commitment to change by completing thorough improvement plans with the inclusion of relevant staff members, and sharing their innovative ideas for tacking HI.Next Steps 1) Health Inequalities QI team to work with the three clinical areas above on achieving the goals set within their improvement plans, sharing their achievements via the self-assessment portal as exemplars to follow, thereby creating a community of practice; 2) supporting all other departments who had completed the HI SASs to develop and implement their HI improvements; 3) reassess at 6 months; 4) embed into business as usual by incorporating the HI SAS into the GOSH Ward Accreditation Scheme during 2026.Conclusion Pan-Trust HI self-assessment has enabled the identification of gaps in service delivery related to HI, with tangible, realistic and achievable interventions now being implemented across the organisation. This not only reduces the impact of HI but actively promotes health equity for our patients and their families.Acknowledgements for Funding or Support The authors would like to thank the members of the Health Inequalities Awareness working group for their valued and ongoing contribution to this initiative in disseminating information across the organisation, and supporting clinical teams in conducting their self-assessment and improvement efforts.Abstract 120 Table 1Methodology used for pan-trust health inequalities self-assessmentAbstract 120 Figure 1Aggregated pan-trust self-assessment results",
  "authors": [
    {
      "affiliations": [
        "Great Ormond Street Hospital for Children NHS Foundation Trust, UK"
      ],
      "name": "Pippa Sipanoun"
    },
    {
      "affiliations": [
        "Great Ormond Street Hospital for Children NHS Foundation Trust, UK"
      ],
      "name": "Jatinder Olk"
    },
    {
      "affiliations": [
        "Great Ormond Street Hospital for Children NHS Foundation Trust, UK"
      ],
      "name": "Agnes Kiraly"
    }
  ],
  "title": "120 Health Inequalities Quality Improvement Project – Pan-trust self-assessment of patient-facing departments, teams and wards",
  "uid": "70047508-fc66-5dea-bc75-1e2ed0a36673"
}