The Covid-19 pandemic has thrown into sharp focus the issue of health inequalities in the UK and exposed the consequences of a longstanding failure to tackle this deep-rooted and multi-faceted problem. This report reflects engagement with NHS Confederation members, gleaned from focused discussions and webinars between June and September 2020. It also draws on the results of a member survey of more than 200 healthcare leaders on health inequalities and how to make progress in this area. This engagement is showing an increasing awareness that the NHS has not designed services in a way that accounts for the diverse needs of communities, and as a result, the outcomes experienced have been unequal. The report does not offer a comprehensive analysis of all dimensions of health inequalities or policy approaches. Instead, it provides an overview of feedback and reflections from our members on how – and if – the Covid-19 pandemic will be a turning point for the NHS.