Health Literacy

Health literacy is a two-sided issue, comprising both an individual’s ability to understand and use information to make decisions about their health and care. This page includes links to information sources to help healthcare staff and patients use verified, fact-checked sources of information and how to improve healthcare interactions in patient care.

NHS services are for everyone. But many adults in the UK have low health literacy skills. This means they struggle to read and understand medical content intended for the public.

What is health literacy?

Health literacy is about a person’s ability to understand and use information to make decisions about their health.

 A user with low health literacy will generally struggle to:  

  • read and understand health information
  • know how to act on this information
  • know which health services to use and when to use them

Research shows that:

  • more than 4 in 10 adults struggle with health content for the public
  • more than 6 in 10 adults struggle with health content that includes numbers and statistics

This is because a lot of health content is written, often unintentionally, for people with higher health literacy skills.

Why health literacy is important

Low health literacy has been linked to a range of important problems.

These include:

  • unhealthy lifestyles and poor general health
  • low use of preventative services, like vaccinations and screening
  • difficulty taking medicines correctly
  • increased A&E attendances and hospital admissions
  • reduced life expectancy

It’s estimated that health literacy-related problems like these account for up to 5% of national health spending.

Health literacy is also a health inequality issue. There is a close link between socio-economic deprivation and low health literacy.

For more NHS information about health literacy, please go to the NHS Digital Services Manual here: https://service-manual.nhs.uk/content/health-literacy

There are many different subjects that affect health literacy and Cornwall Health Library has resources about many of these areas.

Please scroll down for more information about these:

Digital Resources

  • NHS Medical Document Readability Tool – This helps the writer of the document to check the reading age, average reading time, complex words etc. Just upload the document and get your result.
  • National Health Literacy Community of Practice              Knowledge and Library Services (KLS) in the healthcare sector know how crucial good Health Literacy skills are for underpinning patient decision-making and co-creation of care. These skills enable the public (inclusive of all gender, cultural and intellectual backgrounds and abilities) to access and process information in a way which allows them to take ownership of their long-term health and wellbeing.

    This site has sections on Accessible and Easy Read Resources, Misinformation, Evidence and articles about health literacy, health literacy tools and sites that can help you and your patients:
  • The National Institute for Health and Care Research (NIHR) group has a collection of articles on health literacy making the case for improving patient information.
    It also includes tips on how to make sure everyone can understand the information they are given:
    ‘Health Information: Are you Getting your message across?’

Health Literacy: Prevalence Estimates for Local Authorities

This tool provides an estimate of the percentage of a local authority population with low health literacy and numeracy or with just low health literacy. It draws on the most recent national survey of literacy and numeracy in England (the 2011 Skills for Life Survey) with a population update based on the 2021 Census and the 2019 Index of Deprivation.

  • Independent Age offers advice on managing your health online.  Technology can help you stay active and healthy, manage long-term conditions, book appointments and order prescriptions. This page covers health apps, NHS services, how to find reliable health information and other ways you can manage your health online:
  • The Readable SMOG Index is an influential and popular writing tool. It helps writers write longer pieces of understandable information.  SMOG stands for ‘Simple Measure of Gobbledygook’.

    It is a readability framework. It measures how many years of education the average person needs to have to understand a text. It is best for texts of 30 sentences or more. This was the length of text sampled in the creation of the formula for their work for readability and clarity of message:
  • The Hemingway AI App makes your writing concise and correct.

    The app highlights lengthy, complex sentences and common errors. Subscription may be necessary for some of its advanced tools:
  • Easy Health stores over 390 accessible health resources.
    They are made for anyone who finds written information hard to understand (including people with learning disabilities), so they can make decisions about their own lives:
  • National Literacy Trust Fake News and Critical Literacy Final Report (2018):
  • News Literacy Network: find the right fake news and critical literacy resources. The News Literacy Network aims to empower and equip news consumers of all ages with the confidence, knowledge and skills they need to engage critically with news and current affairs.

    Founded in 2018, the network is chaired by the National Literacy Trust and comprises media, education and charitable organisations. Set up initially to help find the most useful resources about fake news and critical literacy, the News Literacy Network has compiled the best resources we could find from a wide range of providers that can help anyone:
  • Full Fact. Full Fact fights bad information.  A team of independent fact checkers and campaigners who find, expose and counter the harm it does.

NHS England E-learning for Healthcare (e-lfh) Health Equity Assessment Tool.   The Office for Health Improvement & Disparities (OHID) has refreshed the Health Equity Assessment Tool (HEAT) developed by Public Health England (PHE) to enable professionals and communities to systematically identify and address health inequalities and equity in their work programmes or services.

This eLearning module (20 mins approx) supports the use of the tool, providing the context and purpose, outlining the benefits of using the tool, and taking the learner step-by-step through each stage of the tool. It also provides a general introduction to health inequalities and equity, as well as examples of good practice:

UK Safer Internet Centre: The UK Safer Internet Centre (UKSIC), established in 2011, is a leading global partnership helping to make the internet a great and safe place for everyone.
They provide support and services to children and young people, adults facing online harms, and professionals working with children.
A bridge between Government, industry, law enforcement and society, we are the engine of the online protection landscape in the UK, dealing with both prevention and response.


Books in Stock

We are constantly updating our stock but here are some of the titles that will help you to learn more about health and information literacy.  

If you have any suggestions for stock or any other queries, please email rcht.cornwallhealthlibrary@nhs.net

WE ARE CHANGING BOOK SYSTEMS AT THE MOMENT SO PLEASE EMAIL rcht.cornwallhealthlibrary@nhs.net IF YOU ARE INTERESTED IN A BOOK ADVERTISED 

Health Literacy

Book CoverBook TitleBook CoverBook Title
Health Literacy in a NutshellHealth literacy in a 
nutshell: 
A practical guide to health 
communication
Health Literacy and Child Health OutcomesHealth literacy and child health outcomes: promoting effective health communication strategies to improve quality of care
International Handbook of Health Literacy : Research, Practice and Policy Across the Life-Span
International handbook of health literacy: research, practice and policy across the life-span
Health literacy among older adults (eBook)Health literacy among older adults (eBook)
Developing health literacy skills in children and youthDeveloping health literacy skills in children and youth: proceedings of a workshop

Information Literacy

Book CoverBook TitleBook CoverBook Title
Cover image of The Art and Science of Patient Education for Health LiteracyThe art and science of patient education for health literacyUncertainty in MedicineUncertainty in medicine: a framework for tolerance
Health Literacy in Context- Settings, Media, and Populations
Health literacy in context – settings, media and populations
Practical psychopharmacology: translating findings from evidence-based trials into real-world clinical practice
Health informatics: an interprofessional approachHow to read numbers: a guide to statistics in the news (and knowing when to trust them)

How charts lie: getting smarter about visual information
The health gap: the challenge of an unequal world
Under the skin: racism, inequality, and the health of a nationAgeing, diversity and equality: social justice perspectives
Social determinants of healthHealth inequality: an introduction to concepts, theories and methods

Patient Information

Book CoverBook TitleBook CoverBook Title
Communication in Nursing
Communication in 
nursing
Effective Communication for Nursing Associates
Effective communication 
for nursing associates
Relational Care
Relational care: improving communication in healthcareThe Bedside Communication HandbookThe bedside 
communication handbook: speaking with patients and families
Bedside Matters
Bedside matters: a journey through doctor-patient communicationPatient and Person
Patient & person: interpersonal skills in nursing
Core competencies of civility in nursing & healthcareCore competencies of civility in nursing & healthcareDiagnosketch Diagnosketch: a visual guide to medical diagnosis for the non-medical audience
Health promotion and health education in nursingGreen & Tones’ health promotion : planning and strategies
Handbook for culturally competent careTranscultural concepts in nursing care
Handbook of refugee health : for healthcare professionals and humanitarians providing care to forced migrantsThe patient paradox : why sexed-up medicine is bad for your health
Diabetes management: a manual for patient-centred careFast facts: lymphoma
Pocket guide to oncologic emergenciesFast facts: medication adherence: a practical approach to optimizing medication use
Pfenninger & Fowler’s procedures for primary careThe freedom of information officer’s handbook

Patient Consultation

Book CoverBook TitleBook CoverBook Title
The Art of Medical CommunicationThe art of medical communication: bringing the humanities into clinical practiceHistory Taking and Communication Skill Stations for Internal Medicine Examinations
History taking and communication skill stations: for internal medicine examinations
Reconsidering Patient Centred CareReconsidering patient 
centred care: between autonomy and abandonment
improving person-centered innovation of nursing careImproving person-centered innovation of nursing care: leadership for change
Understanding Person-Centred Care for Nursing Associates
Understanding person-centred care for nursing associatesFinding What Matters Most to Patients
Finding what matters most to patients: forming the foundation for better care
Dignity in CareDignity in care: the human side of medicineThe Art and Science of Person-Centered CareSkill checklists for Fundamentals of nursing: the art and science of person-centered care
Essential communication skills for nursing and midwiferyEmpathy in health professions education and patient care
Fundamentals of person-centred healthcare practiceBreaking bad news: a ten step approach
Communication skills in nursing practiceEffective communication for nursing practice
Effective communication : a guide for the people professionsHow to listen : tools for opening up conversations when it matters most
Inclusive ConversationsUnconscious Bias : Everything you need to know about our hidden prejudices
Conversations worth having : using appreciative inquiry to fuel productive and meaningful engagementYou’re not listening : what you’re missing and why it matters
Communication skills for nursing practicePatient and provider interaction : a global health communication perspective
The complete CSA casebook : 110 role plays and a comprehensive curriculum guideEffective communication skills for health professionals

Mental Health

Book CoverBook TitleBook CoverBook Title
Improving the mental health consultationImproving the mental 
health consultation: introducing a short circuit tool to aid patient understanding and dispel stigma
Mental Health Literacy and Young People
Mental health literacy and young people
Communicating with FamiliesCommunicating with 
families: taking the language of mental health from research to practice

Health Literacy & Diversity

Book CoverBook TitleBook CoverBook Title
Multicultural Health Translation, Interpreting and Communication
Multicultural health 
translation, interpreting and communication
Diversity and Cultural Awareness in Nursing Practice
Diversity and cultural 
awareness in nursing practice
Health equity and nursingHealth equity and nursing: achieving equity 
through policy, population health, and interprofessional collaboration
Equity, diversity & inclusion for nursing associates
Managing clinical risk: a guide to effective practiceThe neurodiversity edge: the essential guide to embracing autism, ADHD, dyslexia and other neurological differences for any organization
Subtle acts of exclusion: how to understand, identify, and stop microaggressionsABC of equality, diversity and inclusion in healthcare
Systemic approaches to brain injury treatment: navigating contemporary practicePositively purple: build an inclusive world where people with disabilities can flourish
Global perspectives in cancer care: religion, spirituality, and cultural diversity in health and healingClinician’s guide to LGBTQIA+ care: cultural safety and social justice in primary, sexual and reproductive healthcare
Fast facts about LGBTQ+ care for nurses: how to deliver culturally competent care and inclusive careAnti-discriminatory practice: equality, diversity and social justice
The queens’ English: the LGBTQIA+ dictionary of lingo and colloquial phrasesThe neurodiversity reader: exploring concepts, lived experience and implications for practice
Transcultural concepts in nursing careHandbook of refugee health: for healthcare professionals and humanitarians providing care to forced migrants

Digital Literacy and combatting misinformation

Book CoverBook TitleBook CoverBook Title
Combating online health misinformationHealth Promotion: The Basics
The health information workforceVerified : how to think straight, get duped less, and make better decisions about what to believe online
Cultivating a digital culture for effective patient engagement: a strategic framework and toolkit for health-provider websitesEmpowering the connected physician in the e-patient era: how physician’s empowerment on digital health tools can improve patient empowerment and boost health(care) outcomes
The digital doctor: hope, hype, and harm at the dawn of medicine’s computer ageTowards a digital ecology: NHS digital adoption through the COVID-19 looking glass

Health Literacy: A guide to improving patient communication (Eakin Healthcare)

According to Health Education England (2020), Healthcare organisations need to ensure that the information they provide, and the way it is communicated, are at an appropriate level for most of the population to understand.  

This blog gives a clearly explained guide to health literacy and improving patient communication
View it here

Health Inequality

Book CoverBook TitleBook CoverBook Title
The health gap: the challenge of an unequal worldUnder the skin: racism, inequality, and the health of a nation
Ageing, diversity and equality: social justice perspectivesSocial determinants of health
Health inequality: an introduction to concepts, theories and methods

Page last reviewed: 1 July 2026

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