In this chapter we look at the social inequalities of physical health in relation to the poorer physical health experienced by people with mental health conditions and their access to health services. People with mental health conditions often experience a ‘triple jeopardy’: they experience an excess of physical health problems relative to their peers in the general population, are more likely to get serious forms of physical illness, and, once diagnosed, are more likely to die within five years. They face greater difficulties accessing good-quality healthcare than people without mental health conditions. These distinct findings also give us an illustration of the complex pathways involved in the exclusionary processes, this time linking mental and physical health conditions and outcomes through a synchrony of broader structural factors, social inequalities, early life experiences, life course adversities, risky health behaviours, the nature of the mental health condition, the medications prescribed, and the discriminatory attitudes prevalent in public services and in broader society. They also point to the need to clearly appreciate the disabilities associated with mental health conditions and to develop broad public health approaches to address these inequalities in health outcomes.