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Access to the UK\u2019s National Health Service (NHS) is based on clinical need rather than the ability to pay but horizontal inequities in access exist. Children North East, a charity supporting children experiencing poverty, are working with partners to reduce the impacts of poverty on NHS access. This collaborative study aimed to understand barriers to healthcare access faced by families living on low incomes to validate and support further development of a Poverty Proofing\u00a9 healthcare tool. Twenty-four parents and eight Voluntary Community Social Enterprise sector staff participated in qualitative interviews or focus groups. Data were analysed thematically, and three main themes were identified as impacting access to healthcare: hidden costs, securing appointments and developing relationships with healthcare providers. We conclude that low-income families experience both financial and other barriers to accessing NHS healthcare and that these barriers are exacerbated for low-income families living in remote\/rural areas.<\/jats:p>","DOI":"10.1371\/journal.pone.0292983","type":"journal-article","created":{"date-parts":[[2024,4,26]],"date-time":"2024-04-26T13:30:36Z","timestamp":1714138236000},"page":"e0292983","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":35,"title":["Poverty proofing healthcare: A qualitative study of barriers to accessing healthcare for low-income families with children in northern England"],"prefix":"10.1371","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0166-4506","authenticated-orcid":true,"given":"Elaine","family":"Bidmead","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Louise","family":"Hayes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Mazzoli-Smith","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Josephine","family":"Wildman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Judith","family":"Rankin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emma","family":"Leggott","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liz","family":"Todd","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luke","family":"Bramhall","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2024,4,26]]},"reference":[{"key":"pone.0292983.ref001","volume-title":"A definition of poverty","author":"C D\u2019Arcy","year":"2012"},{"key":"pone.0292983.ref002","article-title":"Addressing Education and Health Inequity: Perspectives from the North of England","author":"M Mon-Williams","year":"2023","journal-title":"A report prepared for the Child of the North APPG [Internet]."},{"issue":"8","key":"pone.0292983.ref003","doi-asserted-by":"crossref","first-page":"759","DOI":"10.1136\/archdischild-2014-306746","article-title":"Poverty and child health in the UK: using evidence for action","volume":"101","author":"S Wickham","year":"2016","journal-title":"Arch. 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