x
Contact Us Contact Us

Wider Determinants of Health

Health outcomes are shaped not only by genetics and clinical care but by the broader social and economic conditions in which people live. Education, employment, housing, and income — collectively known as the wider determinants of health — have a profound and lasting impact on individual and population wellbeing.
Evidence shows that:
  • People with lower educational attainment are more likely to smoke, be physically inactive, and have limited access to digital health information or preventive care.
  • Unemployment and insecure work are associated with higher rates of anxiety, depression, and long-term illness.
  • Poor-quality housing increases the risk of respiratory disease, injuries, mental ill health, and poor developmental outcomes in children.
  • Lower household income correlates directly with shorter life expectancy, higher rates of multimorbidity, and reduced ability to manage chronic conditions such as diabetes or cardiovascular disease.
These inequalities  are not evenly distributed. They intersect strongly with ethnicity, geography, disability, and gender — meaning that some communities experience a persistent cycle of disadvantage and poor health across generations.
Curovia’s Commitment: Working with Communities
Curovia recognises that improving health in deprived areas requires more than service delivery — it requires partnership, place-based working, and social investment. We are committed to actively addressing the wider determinants of health through our operating model and through every contract we deliver.
As part of our core approach, Curovia will:
  • Work in partnership with local community organisations, charities, and grassroots leaders to understand the lived experiences of the populations we serve, co-design services, and support local resilience.
  • Recruit locally, creating employment and skills development opportunities within the communities where we operate — with a focus on ethnic minority candidates, carers, and people with lived experience of health inequality.
  • Provide paid training and volunteering pathways for community health champions, peer educators, and interpreters to build capacity and trust within under-served groups.
  • Use our presence in community settings (e.g. cultural centres, mosques, food banks, schools) to signpost people to wider support services — including housing advice, benefits, mental health, and employment programmes.
  • Align with existing local health inequality strategies and collaborate closely with Integrated Care Boards (ICBs), local authorities, and NHS partners to ensure that our interventions are joined-up and contribute to place-based outcomes.
This approach aligns with NHS England’s Core20PLUS5 framework, which explicitly calls for action on wider determinants through collaboration and community engagement. It also supports the Social Value Model used in NHS and local government procurement, which rewards providers that contribute to local economic regeneration, fair work, and wellbeing beyond the contract itself.