Employment is one of the most powerful levers to improve health and reduce inequalities. As the country’s largest employer, the NHS has a unique opportunity to lead by example.

Our latest report showcases how four NHS organisations—Leeds Health and Care Academy, University Hospitals of Morecambe Bay, FCMS, and Mersey Care NHS Foundation Trust—are tackling health inequalities by transforming their recruitment and employment practices.

From creating accessible local job pathways and targeted outreach to integrating employment support into mental health services, these case studies show the NHS can make a real difference as an anchor institution.

The report offers practical lessons for all NHS employers on how inclusive local recruitment, in-work support, and partnership with communities can improve health outcomes and strengthen the workforce.

The report shows how NHS employers can play a leading role in addressing the wider determinants of health—starting with the jobs they offer and the communities they serve.