Dr Jatinder Hayre

I am an Honorary Senior Clinical Fellow at the University of Leicester and an academic medical doctor and public health researcher working at the intersection of health inequity, implementation science, and the social determinants of health. My principal academic interest is in understanding how the organisation of healthcare systems influences inequity in access, experience, and outcomes: leading to the development of equitable health systems. 

I studied Medicine at the University of Nottingham, graduating with honours and receiving a Distinction in Medicine. I subsequently undertook postgraduate clinical training across major NHS hospitals in London. Alongside clinical medicine, I have held academic and research appointments at the University of Nottingham, Newcastle University, Queen Mary University of London and the University of Leicester. My work has consequently developed across clinical medicine, population health, and health policy; with health equity providing the common thread throughout my research.

At the University of Leicester, my research has focused particularly on inequity in cancer survivorship, with the development of, OurPERSPECTIVE, a co-designed, equity-focused, and culturally-tailored survivorship intervention for women following treatment for endometrial cancer. The programme seeks to understand not only whether survivorship interventions are effective, but who is able to benefit from them, which groups risk being underserved by conventional models of follow-up, and how personalised cancer care might be designed around differences in patients’ circumstances, resources and needs.
Before joining the University of Leicester, I was a Health Equity Fellow at the Wolfson Institute of Population Health, Queen Mary University of London. There, my research included systematic evidence synthesis examining the health impacts of Sure Start on disadvantaged children and the development of pioneering machine learning approaches to mapping interventions designed to reduce health inequalities. Earlier, as a Research Fellow at Newcastle University’s Population Health Sciences Institute, I contributed to commissioned research for Independent SAGE examining the unequal consequences of the COVID-19 pandemic. My earliest academic research at the Nottingham Digestive Diseases Biomedical Research Centre included epidemiological work on Wilson’s disease and research examining the organisation of specialist clinical care.

I am currently undertaking doctoral research through the University of Bergen and University of Oslo in Norway. My PhD seeks to develop and empirically evaluate an equity-oriented model of structured chronic kidney disease care, bringing together implementation science, digital health, behavioural theory and health services research. This programme operationalises my Agentic Demand Theory, which examines whether inequity can arise partly from the hidden agentic demands that healthcare systems place upon patients, and whether those inequities can be attenuated by designing services that assume greater responsibility for recognising and responding to patient need.

Alongside my academic research, I have contributed to commissioned national and international programmes of work involving Independent SAGE. My wider research and policy interests include childhood poverty, primary care, digital health, healthcare workforce organisation and the relationship between social disadvantage and health outcomes.

I have also held leadership and governance positions across health policy and healthcare, including serving as an elected Governor of an NHS Trust and Co-Chair of the Fabian Society Health Network. I have contributed to health policy through the Socialist Health Association and am a Fellow of the International Network for Research on Inequalities in Child Health.

I serve in editorial roles across a number of international academic journals, including International Urology and Nephrology, Frontiers in Nephrology and Rheumatology Advances in Practice. My academic collaborations extend across the United Kingdom, Norway and the Netherlands and encompass health inequity, nephrology, primary care, implementation science, gynaecological oncology and health services research. My research has been published across clinical medicine, population health and health policy, including in EClinicalMedicine (Lancet Family), BMJ Open, BMC Public Health, Clinical Medicine, Public Health in Practice and the Journal of the Royal Society of Medicine. I am also an author of books examining health inequity and the organisation of healthcare, including The Lost Generation of COVID-19: A Critical Analysis of Health and Social Inequality in Post-Pandemic Britain, published by Routledge.

My work has received recognition through national and international awards, including the Royal Society of Medicine National Prize, the Cambridge Health Leaders Competition and the Duke Elder Prize from the Royal College of Ophthalmologists. I have also received significant investigator-initiated and charitable research funding.

My research spans public health, health inequalities, implementation science and health services research, with a particular focus on understanding how social conditions and the organisation of healthcare shape access, experience and outcomes.

A major strand of my work has examined the social determinants of health and the distribution of health inequalities. This has included research on child poverty, socioeconomic disadvantage, the health effects of public policy and the evaluation of interventions intended to reduce inequality. My work has encompassed Sure Start, inequalities arising during the COVID-19 pandemic, and machine learning assisted evidence mapping of interventions designed to improve health equity.

I have also developed a substantial programme of work in implementation science, particularly within endometrial cancer survivorship. As principal investigator of the OurPERSPECTIVE programme, I have led the development and evaluation of an equity focused survivorship intervention designed to better reflect differences in patient circumstances, needs and capacity to engage with healthcare.

More recently, my work has sought to advance the theoretical understanding of how healthcare systems themselves may generate or amplify inequality. Through Agentic Demand Theory, I examine the informational, administrative, behavioural and organisational demands placed upon patients, and how apparently uniform systems may produce unequal outcomes when individuals possess differing resources and capacities to navigate them.

My current doctoral research in Norway operationalises this work within nephrology and chronic kidney disease. It combines implementation science, digital health, behavioural theory and health services research to develop and evaluate models of structured surveillance and system responsiveness intended to reduce inequity in chronic disease care.

Cumulatively, my research has progressed from identifying the structural origins of poor health, to evaluating the policies and services intended to address them, to developing and testing new theoretical and practical models of care. The unifying ambition is to move beyond describing inequality and towards designing healthcare systems that are demonstrably more equitable.

My research encompasses original clinical and population health research, systematic and umbrella reviews, commissioned policy research and academic commentary.

Selected original research and evidence synthesis

Hayre J, Canning E, Pearce H, Khera R, Ford J. Public health policies and interventions to address health inequities in high-income countries: an umbrella review. BMC Public Health. 2026.

Hayre J, Pearce H, Dehn Lunn A, Ford J. Health impacts of the Sure Start programme on disadvantaged children in the UK: a systematic review. BMJ Open. 2025.

Tzortziou Brown V, Hayre J, Ford J. Opting out of the Quality and Outcomes Framework and impact on practices’ performance. Public Health in Practice. 2024.

Wijayasiri P, Hayre J, Nicholson ES, et al. Estimating the clinical prevalence of Wilson’s disease in the UK. Journal of Hepatology Reports. 2021.

Tsien C, Tan H, Sharma S, et al. Long-term outcomes of liver transplant recipients followed up in non-transplant centres: care closer to home. Clinical Medicine. 2021.

Selected peer reviewed policy research, viewpoints and commentary:

Hayre J. COVID-19, Education and Child Health. BMJ Paediatrics Open. 2023.

Hayre J, Pollock AM. Children in Poverty: time for action to address rising inequalities in the United Kingdom. Poverty & Public Policy. 2022.

Cirelli C, Hayre J, Applebee J. Doctor apprenticeships: a dilemma for the future of general practice in the NHS. Journal of the Royal Society of Medicine. 2021.

Hayre J, Cirelli C, Sharma M. Teledermatology for the many, not the few: tackling the racial health divide in a digital world. EClinicalMedicine. 2021.

Hayre J. Tackling poverty, treating obesity: a ‘whole system’ approach. Archives of Disease in Childhood. 2020.

Bambra C, Hayre J, Pollock AM, Brown H. The Independent SAGE Report 21: COVID-19 and Health Inequality. Independent SAGE. 2020.

Published Books:

The Lost Generation of COVID-19: A Critical Analysis of Health and Social Inequality in Post-Pandemic Britain, published by Routledge, examines how the health, social and economic consequences of the COVID-19 pandemic were distributed unequally across British society, with particular attention to children and younger generations and the structural determinants that shaped their experiences.

Translation of research into policy and public discussion has been an important component of my academic career.

I was a commissioned researcher with Independent SAGE, contributing to its national work on COVID-19 and health inequality. My research and policy writing have subsequently addressed childhood poverty, social security, housing, primary care, health inequalities and the organisation of healthcare.
I have held a number of positions at the interface between medicine and health policy. I served as Co-Chair of the Fabian Society Health Network and as an elected Governor of an NHS Trust, and have subsequently contributed to the leadership of the Socialist Health Association.

Alongside academic publication, I have written on medicine, health inequalities and social policy for national and specialist publications including The Independent, City AM, Metro, Tribune, Jacobin and BJGP Life.

I am available for academic collaboration, policy consultation and media commentary relating to health inequalities, healthcare systems, health policy, evidence synthesis and the organisation of healthcare.

Alongside my research, I contribute to academic medicine through teaching, editorial work, scientific leadership and engagement with public policy. My activities are centred on connecting research with practice; bringing evidence into clinical education, professional debate and the wider organisation of health services.

I have held a number of editorial and scholarly roles across nephrology, public health and related clinical disciplines, including positions with International Urology and Nephrology, Frontiers in Nephrology, Rheumatology Advances in Practice and the International Journal of Public Health Science. I also contribute to the development of new areas of scholarship through invited editorial work focused on health systems transformation and health equity.

Teaching and academic development form an important part of my work. I have contributed to undergraduate medical education in health systems and the social determinants of health, developed teaching programmes for medical students, and supervised and mentored researchers undertaking work in systematic review methodology, survivorship and health inequalities.

My wider leadership experience has included serving as an elected Governor of an NHS Trust, alongside roles within health policy and think tank organisations. I have also undertaken commissioned research for national and international bodies, contributing analytical work at the interface of population health, health systems and public policy.

I have established and led scientific meetings addressing emerging questions in health and healthcare, including the International Conference on Health Inequalities in Gynaecological Cancer Care and a national conference on decolonising the medical curriculum. Across these activities, I aim to contribute not simply to the production of research, but to the academic and institutional environments through which evidence is scrutinised, communicated and translated into meaningful change.

I regularly present my research at national and international scientific meetings across public health, health inequalities, health services research and clinical medicine. My work has been presented at major European and international conferences, alongside national scientific meetings spanning academic medicine, primary care, dermatology and health policy.

2026
Workforce Innovation or Workforce Risk? International Lessons from Advanced Clinical Practitioner Expansion in the United Kingdom
Jatinder Hayre
Accepted Oral Presentation
Global Health Workforce Barcelona Congress, Barcelona, Spain, 2026
International health workforce research examining the expansion of Advanced Clinical Practitioner roles in the United Kingdom and the implications of workforce substitution for health systems, clinical practice and workforce policy.

Physician Substitution as a Complex Systems Intervention: Lessons from the United Kingdom for International Workforce Reform
Jatinder Hayre
Conference Abstract
All Together Better Health XII, 2026
Research examining physician substitution as a complex health systems intervention, drawing upon experience from the United Kingdom to consider implications for international workforce reform.

2025
Co-location of services: an umbrella review of how primary care estates can be used better to support disadvantaged groups
Helena Painter, Ananya Arora, Jatinder Hayre, Amy Dehn-Lunn, John Ford
National Scientific Presentation
Society for Academic Primary Care, United Kingdom, 2025
An umbrella review examining how the organisation and co-location of services within primary care estates can improve access and support populations experiencing disadvantage.

Co-location of services in primary care: an umbrella review of how primary care estates can be used better to support disadvantaged groups
Helena Painter, Jatinder Hayre, Ananya Arora, Anna Gkiouleka, Amy Dehn-Lunn, Liam Loftus, Rebecca Rosen, John Ford
National Scientific Presentation
Society for Social Medicine and Population Health Annual Scientific Meeting, United Kingdom, 2025

2024
The Health Impacts of Sure Start on Disadvantaged Children in the UK: a Systematic Review
Jatinder Hayre, John Ford, Raj Khera, Helen Pearce, Amy Dehn-Lunn
International Scientific Presentation
European Public Health Conference, 2024
Systematic review examining the health effects of the Sure Start programme upon disadvantaged children in the United Kingdom and the implications of area-based early-years interventions for health inequalities.

Machine learning to produce living evidence maps for what works to reduce health inequalities in primary care
Jatinder Hayre, Ofelia Torres, Helen Pearce, Lucy McCann, Heidi Lynch, Helena Painter, John Ford
International Scientific Presentation
European Public Health Conference, 2024
Research examining the application of machine learning to the development of living evidence maps for interventions addressing inequalities in primary care.

A novel approach using machine learning to produce Living Evidence Maps for what works to reduce health inequalities in primary care
Helena Painter, Ofelia Torres, Helen Pearce, Jatinder Hayre, Lucy McCann, Heidi Lynch, John Ford
National Scientific Presentation
Society for Academic Medicine, 2024

2023
Inner City Asthma: Housing as a Key Social Determinant of Health
Jatinder Hayre, Raj Khera
International Scientific Presentation
European Academy of Allergy and Clinical Immunology, 2023
Research examining housing and the built environment as determinants of asthma and respiratory health within socioeconomically disadvantaged urban populations.

2022
Outcomes following development of hepatic encephalopathy
Shauntelle Quammie, Jatinder Hayre, Edward Nicholson, Emilie Wilkes, Aloysious Aravinthan
International Scientific Presentation
GUT / British Society of Gastroenterology scientific meeting, 2022
Clinical research examining outcomes following the development of hepatic encephalopathy.

Health Inequalities and Child Health Research
Jatinder Hayre, Raj Khera, Cecilia Cirelli
International Scientific Meeting
13th Annual Conference, International Network for Research on Inequalities in Child Health, 2022

2021
Virtual clinics in teledermatology: an opportunity for all?
Jatinder Hayre, Maulina Sharma
National Scientific Presentation
British Association of Dermatologists Annual Meeting, 2021
Research examining the equity implications of virtual dermatology and the potential for digitally delivered services to widen or reduce inequalities in access to specialist care.

COVID-19 and Health Inequality
Allyson Pollock, Clare Bambra, Jatinder Hayre
National Scientific Presentation
Independent SAGE Scientific Press Conference, 2021
Presentation and public dissemination of research examining the unequal effects of COVID-19 across the United Kingdom and the implications for national public health policy.

2020
Perils and Pitfalls of Sleep Apps
Jatinder Hayre
National Presentation
Royal Society of Medicine, London, 2020
Presentation examining the clinical and technological limitations of consumer sleep applications and their implications for healthcare.

My principal research interests include:

• Health inequity and the social determinants of health  
• Health services and health systems research  
• Equity-oriented healthcare design and evaluation  
• Agentic Demand Theory and the demands imposed by healthcare systems  
• Implementation science  
• Public health policy, poverty policy and healthcare reform  
• Chronic kidney disease and kidney health equity  
• Patient-reported outcomes and patient-centred care  
• Culturally tailored and equity-sensitive health interventions  
• Healthcare workforce organisation, substitution and skill mix  
• Evidence synthesis, including systematic and umbrella reviews  
• Machine learning-assisted evidence mapping