INTRODUCTION
To achieve health equity, we must first understand health inequities. This article focuses on socioeconomic deprivation and associated barriers to accessing health care for children and their families in the UK, where, despite care being free at the point of delivery, economic barriers to health care access remain.

METHODS
Thematic analysis of findings from a large qualitative study with providers of secondary and tertiary pediatric care in the UK. Rapid research evaluation and appraisal lab methodology was used to analyze data and identify themes.

RESULTS
A total of 217 staff were consulted at all levels within 9 pediatric health care providers. Barriers to health care access were categorized under 2 intersectional themes: economic barriers and system accessibility. Examples of approaches to address barriers are presented and discussed.

CONCLUSION
Decision-makers, clinicians, and staff at all levels are encouraged to consider the accessibility of their services against the key themes identified in this study. To fully address equity, national policy is required to address system sensitivities and avoid unregulated approaches for certain groups/specialties widening the inequities they aim to address.