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    Modular update: Equality and health inequality impact assessment (EHIA)

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    We have updated this service so that members of the same organisation can now collaborate on a joint online response.

    Read our blog to learn more.

    Appendix C: Extracts from Developing NICE guidelines: the manual

    Factoring equalities and health inequalities into decision making

    Refer to Developing NICE guidelines: the manual (PMG20) for further information.

    Promoting equality and reducing health inequalities

    The equality and health inequalities assessment (EHIA) form should document how the committee's responsibilities under equality legislation and our equality scheme have been discharged in reaching the recommendations (see the section on key principles for developing NICE guideline recommendations in the introduction chapter), and how the recommendations address equality issues and health inequalities.

    The committee needs to consider whether:

    • the evidence review has found evidence to support recommendations to address any equality issues and health inequalities identified during guideline development (if not, consider other sources of information for example expert testimony or health inequality briefings, if available)

    • criteria for access to an intervention might be discriminatory (for example, through membership of a particular group, or by using an assessment tool that might discriminate unlawfully)

    • any groups of people might find it impossible or difficult to receive or access an intervention.

    Ideally, recommendations should be formulated to promote equality and reduce health inequalities (for example, by making access more likely for certain groups, or by tailoring the intervention to specific groups). If this is not possible, the committee should consider whether it is appropriate to make a research recommendation (for further details see the section on formulating recommendations for research).