PT - JOURNAL ARTICLE AU - Matilda Allen AU - Michael Marmot AU - Dominique Allwood TI - Taking one step further: five equity principles for hospitals to increase their value as anchor institutions AID - 10.7861/fhj.2022-0098 DP - 2022 Nov 01 TA - Future Healthcare Journal PG - 216--221 VI - 9 IP - 3 4099 - http://www.rcpjournals.org/content/9/3/216.short 4100 - http://www.rcpjournals.org/content/9/3/216.full SO - Future Healthc J2022 Nov 01; 9 AB - Hospitals have the potential to create value beyond the direct clinical care that they provide through tackling the social determinants of health as an ‘anchor institution’: shifting the way in which they employ staff; procure goods and services; use their physical and environmental resources and assets; and partner with others. However, the societal value of this work is not automatically or accidentally created, it must be intentionally designed and delivered, particularly if it is to tackle inequities.This article proposes five equity principles for healthcare leaders to consider in their hospitals' anchor institution work. There have already been important shifts from the ‘traditional way’ of conceiving of a hospital's role in the community, but going ‘one step further’ could help to maximise the equity impact.