RT Journal Article SR Electronic T1 Mitigating inequalities at a large COVID-19 vaccination centre JF Future Healthcare Journal JO Future Healthc J FD Royal College of Physicians SP 321 OP 325 DO 10.7861/fhj.2022-0035 VO 9 IS 3 A1 Samantha Taplin A1 Belinda Andrews-Jones A1 Anna Chainey A1 Sudipto Das A1 Dawn Dawson A1 Andrew Dean A1 Kate Harvey A1 John Holloway A1 Natasha King A1 Brett Pennell A1 Cara Southgate A1 Jill Warn A1 Faisil Sethi YR 2022 UL http://www.rcpjournals.org/content/9/3/321.abstract AB Introduction The COVID-19 vaccination service is a key component in the UK approach to reducing disease morbidity and mortality. Groups within the population at increased risk of severe outcomes from COVID-19 overlap with groups that are less likely to take up the offer of vaccination. This article outlines some learning from approaches within a large vaccination centre in the UK to reduce inequalities.Solution Continuous quality improvement processes were used to operationalise the mitigations to inequalities with vaccination uptake that were identified by a systematic equality impact assessment framework and continuous service feedback.Outcome Quality improvement processes and community engagement enabled tailored mitigations to vaccination uptake. Engagement with community ambassadors strengthened community relationships and the co-creation of bespoke sessions encouraged vaccination uptake within specific groups.Conclusion Recommendations for strengthening approaches to inequality reduction include having a systematic framework for assessment and mitigation of inequalities, embedding quality improvement, identifying resources, and taking a collaborative and co-design approach to services with underserved groups.