critically it will be important to ensure that information on inequalities in health is then effectively used to tackle inequalities at local and regional level through ongoing central guidance as appropriate agreeing targets disseminating and encouraging the scalingup of successful local initiatives to tackle inequalities and other measures incentivising or requiring young doctors to practise in underserved areas during their early years of practice may be one way to address geographical disparities this does not seem to systematically occur today indeed a concern remains that by specialising certain hospital services at a higher level patients will have to travel further for care