SJT: The Core20PLUS5 Framework – Target, Tailor, Track (passthemsra.com) - Free MSRA revision

This episode breaks down the NHS Core20PLUS5 framework as a high-yield SJT strategy for reducing health inequalities safely and lawfully. It explains how to identify priority groups, dismantle access barriers, and measure impact using deprivation, ethnicity and PLUS-group data. A practical, exam-ready guide to equity, legality and ethical decision-making in UK clinical practice. 0:00 Why health inequalities matter00:20 Hypertension screening scenario00:40 Core20PLUS5 as NHS strategy01:05 Legal duties for equity01:40 T3 model: Target–Tailor–Track02:20 Core20 definition (IMD)02:55 Local PLUS groups03:40 Five adult clinical priorities04:20 CYP priorities overview05:00 Using data to identify gaps05:35 Stratifying by deprivation & ethnicity06:00 Tailoring: flexible appointments06:40 Community-based clinics07:10 Interpreters & AIS obligations07:45 Digital exclusion pitfalls08:20 Co-design with communities08:55 Tracking uptake & outcomes09:25 Avoiding trap answers10:00 Equity vs equality10:40 Data-blindness risks11:10 Delay trap (waiting for funding)11:40 Three key takeaways12:10 Final reflection• Target Core20 and local PLUS groups using IMD and ethnicity data• Tailor access: flexible slots, community venues, interpreters, AIS compliance• Maintain non-digital routes to avoid exclusion• Co-design services with VCSE and community connectors• Track uptake, outcomes and experience visibly by deprivation• Equity requires differential action to achieve fair outcomes• Generic or passive measures always widen gaps• Data-driven iteration is essential for improvementT3 model (Target–Tailor–Track):• Target – Identify Core20 postcodes + local PLUS groups• Tailor – Remove barriers (flexible access, interpreters, community venues, non-digital routes)• Track – Measure uptake/outcomes by deprivation & ethnicity; iterateEQUITY mnemonic:• E – Evaluate data• Q – Quantify gaps• U – Understand local PLUS priorities• I – Implement targeted adjustments• T – Tailor communication (AIS)• Y – Yield measurable improvementLinks:• passthemsra.com – Complete MSRA revision, notes, mocks, flashcards• freemsra.com – Free podcasts, threads and rapid-learning guides• msra.io – Smart MSRA Qbank with analytics#MSRA #SJT #MedicalRevision #UKDoctors #HealthInequalities #Core20PLUS5 #EquityNotEquality #PublicHealth #NHSLeadership #passthemsra #freemsra #msraio