Inequalities Advisory Group

NHS Buckinghamshire CCG’s Inequalities Advisory Group (IAG) – a summary

The aim of this group was to identify and tackle issues of health inequalities within Buckinghamshire communities by acting as an independent, critical friend to NHS Buckinghamshire Clinical Commissioning Group.

For more information on the group, please see below. Terms of Reference for the group can be found further down this page.


  • Preventative engagement
  • Community involvement

Members of the IAG:

  • Schools within deprived areas in Wycombe
  • Vulnerable/at risk children across Buckinghamshire
  • Young people within African Caribbean community
  • Community nurses – Aylesbury and Wycombe
  • Wycombe Wanderers community health
  • Mosque leaders – Aylesbury, Wycombe
  • African Caribbean community – Wycombe
  • Transgender community – Buckinghamshire Integrated sensory services – Buckinghamshire

IAG achievements to date:

  • Facilitated blood pressure checks at The Disraeli School in High Wycombe and also the mosque in Aylesbury
  • Advised CCG on promotion of Improved Access to GP services and helped to promote


  • 1,124 people responded to the Chiltern House Medical Centre survey. Working with the IAG we were able to make sure that our promotion was targeted directly to the right people, specifically through the mosque, university and schools in Wycombe.


Terms of Reference

The independent members of the Inequalities Advisory Group (IAG) and the invited staff of the Clinical Commissioning Group (CCG) should follow the general principles set out below to ensure a successful IAG:

Understand the role

  • Know the make-up of our communities across Buckinghamshire and understand how health inequalities affect those within our communities.
  • Understand the potential of IAG as a two way channel of communication to have a positive impact on the health and well being of our communities
  • Provide appropriate advice and culturally relevant tactics to optimise communication, engagement and involvement in service redesign with our more diverse communities

Increase patient and public involvement

  • Maintain mutual respect and trust
  • Create an environment in which IAG members have the confidence and space to express their own views
  • Ensure IAG members understand the role of the CCG

Confidence of communities

  • Select members carefully
  • Encourage the people from the community to nominate IAG members

Deliver outcomes in our communities

  • Be transparent
  • Help to ensure that people at the right level are listening
  • Be dynamic and evolving
  • Change objectives and discussion to reflect emerging / current health inequalities within our communities
  • Periodically review membership of the IAG to consider whether we are effective and representative of our communities

Key tasks would include:

  • Reducing inequalities – aimed at communities that are more susceptible to certain clinical conditions to target health promotion and ill health prevention messaging and service redesign involvements
  • Promoting engagement – ensuring that patients and public from our diverse communities have a channel with  which to engage and that they receive feedback on how their involvement has been used


The group was made up of members of our communities who are independent of the CCG or other health or social care organisation unless agreed by the group on an individual basis

Chair: Buckinghamshire CCG Lay Member Patient and Public Involvement

Admin: Comms and Engagement

Meetings held quarterly where availability allowed.


  • The Inequalities Advisory Group provided updates on its activity to the Engagement Steering Group (superseded  from September 2019 by the Getting Bucks Involved Group) and Equality, Diversity and Health Inequalities Steering Group.
  • Updates on IAG activity to be provided by the Communications and Engagement Team also to the CCG’s Equality, Diversity and Health Inequalities Steering Group and the Engagement Steering Group.
  • Inequalities Advisory Group was informal and so not a formally constituted group of the CCG.
  • It last met in Spring 2019. It was intending to meet in the new financial year 2020/2021, but has not met during the pandemic and has since disbanded as the Lay Member Chair has left the CCG.