Evidence Hub

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Understanding the impacts of COVID-19 in the North of England to help shape future policy

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Research collection: COVID-19 and health inequalities

Since 2020, the NIHR Applied Research Collaboration (ARC) North East and North Cumbria has led an ongoing, cross-ARC programme of research around COVID-19 and health inequalities.

We have worked particularly closely with colleagues in the Northern ARCs to deliver this; namely the ARC Yorkshire and Humber, ARC North West Coast, and ARC Greater Manchester, as well as supporting joint reports led by our colleagues in the Northern Health Science Alliance and Health Equity North – which is supported by all four Northern ARCs.

The programme of research has highlighted the extent and evolution of regional inequalities in COVID-19, their causes, and the health and social impact of interventions to reduce them.

You can find links to the published work, below.

Key findings included demonstrating the disproportionate impact of COVID-19 on the North of England in terms of both health and productivity. This included impacts on mental health.

The work also identified the pathways that led to pandemic inequalities and explored the effectiveness of the national vaccine roll out in reducing inequalities in COVID-19.

ARC NENC health inequalities and marginalised communities theme lead Professor Clare Bambra was appointed as an expert independent witness on health inequalities to the UK’s Public Inquiry into COVID-19. She was commissioned to co-lead and present an evidence report on health inequalities, resilience and preparedness.

This resulted in a House of Commons debate on inequalities in COVID-19 in July 2023.

The work also directly influenced the Inquiry’s first official report to government in July 2024, the recommendations of which are now being considered by the UK government and UK Health Security Agency as they update their policies.

We also led work to examine regional differences in rates of Long Covid, the relationship between Long Covid and socioeconomic deprivation, the impact on sufferers’ lives.

The findings prompted calls for more research into Long Covid and for Government to undertake a consultation with patients to better understand the condition and to implement care plans to support rehabilitation and management.

Links to the work

A-Year-of-COVID-in-the-North-report-2021.pdf

Research reveals regional inequalities in Long Covid rates – ARC

Declining mental health, long COVID and preventable deaths – new book explores how the COVID-19 pandemic hit the North harder – ARC

Deprived communities in the North of England ‘shouldered the greatest burden’ of COVID-19. – ARC

The impact of deprivation on COVID-19 deaths in the North of England – ARC

How ARCs rose to the challenge of COVID-19 – ARC

The COVID-19 pandemic and health inequalities | Journal of Epidemiology & Community Health

The Child of the North: Building a fairer future after COVID-19 – ARC

COVID-19 is hitting the North hardest – ARC

Report reveals impact of COVID-19 on the North’s health and economy – ARC

North of England experiences a ‘parallel pandemic’ of mental ill health alongside Covid-19 – ARC

The implications of health inequalities on Covid-19, and how the cost of living crisis is a public health issue – ARC

Recover and rebuild: New research offers practical advice on how to ‘level up’ health at an area level – ARC