This paper described the development of a Climate Change Inequality Health Impact Assessment (CCIHIA) framework for health services, to provide a systematic process for assessing potential unequal health impacts of climate change on vulnerable and marginalised populations and places. This can support effective planning to address these impacts; and to develop contextually appropriate local strategies.

While there are many intervention points within this framework for health services to address, many factors influencing unequal impacts are created outside the health sector’s direct control. The framework’s development process reflected the focus on collaboration and the interdisciplinary nature of climate change response. Ultimately, the CCIHIA framework is an assessment tool and an approach for prioritising inclusive, cross-cutting, multi-sector working, and problem-solving.