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Results for 'health inequalities'

Results 1 - 10 of 12

Health 2020 priority area four: creating supportive environments and resilient communities: a compendium of inspirational examples


2018

Brings together innovative examples of actions taken in 13 countries to strengthen resilience and build supportive environments for population health and well-being. The examples show how building resilience can be achieved by developing and sustaining partnerships between institutions and communities; by community action and bottom-up efforts; at system level, both nationally and locally. The examples, primarily gathered from community initiatives, are linked to the four types of resilience capacities: adaptive, absorptive, anticipatory and transformative. Topics covered include the role of resilience building in addressing human rights, health inequities, environmental hazards, and health-related topics such as communicable and noncommunicable diseases. Examples from the UK include: Promoting social connections and community networks for older people through Better in Sheffield; Supporting local systems to tackle the social determinants of health inequalities; Strengthening resilience through the early intervention and prevention: breaking the generational cycle of crime project; and A social movement for health and resilience in Blackburn with Darwen. Each example attempts to describe: the action undertaken; the resilience-related issue that the action aimed to address; and the impact and lessons learnt in the process of strengthening resilience.

Due North: the report of the Inquiry on Health Equity for the North

INQUIRY PANEL ON HEALTH EQUITY FOR THE NORTH OF ENGLAND
2014

This inquiry report sets out a series of strategic and practical policy recommendations to address the social inequalities in health that exist both within the North of England, and between the North and the rest of England. The inquiry, commissioned by Public Health England, was led by an independent Review Panel of leading academics, policy makers and practitioners from the North of England. The report identifies the main causes of the of health inequalities within and between North and South to be differences in the: poverty, power and resources needed for health; exposure to health damaging environments, such as poorer living and working conditions and unemployment; chronic disease and disability; and differences in opportunities to enjoy positive health factors and protective conditions that help maintain health, such as good quality early years education; control over decisions that affect your life; social support and feeling part of the society. The report provides recommendations on what agencies and central government need to do to reduce these inequalities. They cover: tackling poverty and economic inequality; promoting healthy development in early childhood; sharing power over resources and increasing the influence that the public has on how resources are used to improve the determinants of health and developing the capacity of communities to participate in local decision-making; and strengthen the role of the health sector in promoting health equity.

The impact of faith-based organisations on public health and social capital

NOVEMBER Lucy
2014

Summarises research evidence on the relationship between faith and health, and on the role of faith communities in improving health and reducing health inequalities. It also provides an overview of faith in the UK and the health problems prevalent within different ethnic and faith communities. The literature was identified through searches carried out on a range of databases and organisational websites, and was structured into two ‘strands’. Strand one looks at how faith based organisations represent communities with poor health outcomes, and provide an opportunity for public health services to access these ‘hard to reach’ groups. Strand two looks at how the social and spiritual capital gained by belonging to a faith community can result in physical and mental health benefits and mitigate other determinants of poor health. Findings from the review included that regular engagement in religious activities is positively related to various aspects of wellbeing, and negatively associated with depressive symptoms. There was also evidence to show that volunteering can positively affect the health and wellbeing of volunteers, and that faith communities represent a large proportion of national volunteering. The report provides recommendations for faith-based organisations and public health bodies, on how they might work effectively in partnership to realise the potential for faith groups of improving health and wellbeing.

Health and digital: reducing inequalities, improving society. An evaluation of the Widening Digital Participation programme

TINDER FOUNDATION
2016

Evaluation of the Tinder Foundation and NHS England Widening Digital Participation programme, which set out to improve the digital health skills of people in hard-to-reach communities in order to help them take charge of their own heath. It aimed to ensure that health inequalities resulting from digital exclusion do not become more pronounced. The programme involved: building a Digital Health Information network of local providers who provided face-to-face support to help people improve their skills; developing digital health information; supporting people to access health information online and learn how to complete digital medical transactions; and funding Innovation Pathfinder organisations to test innovative approaches to help people improve their digital health skills. This report evaluates the key figures and learning from the final year of the project and also provides a summary of the key findings across the three-year programme. It discusses the scale and impact of behaviour change on frontline services; priority audiences participating, including people with dementia and people with learning disabilities; and new models of care. The evaluation found that during the duration of the project 221,941 people were trained to use digital health resources. This has resulted in more people using the internet as their first port of call for information, and potential savings from reduced GP and A&E visits. The report estimates that the combined annual cost savings of reduced visits to GPs and A&E comes to approximately £6 millon against an NHS investment of £810,000 in year three.

Community engagement: improving health and wellbeing and reducing health inequalities (NG44)

NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE
2016

This practice guideline covers approaches to involving local communities as a way of promoting health and wellbeing and reducing health inequalities. Recommendations cover: developing collaboration and partnership approaches encourage alliances between community members and statutory, community and voluntary organisations to meet local needs and priorities; involving people in peer and lay roles to represent local needs and priorities; local approaches to making community engagement an integral part of health and wellbeing initiatives; and making it as easy as possible for people to get involved. The guideline also makes recommendations for future research which include research on effectiveness and cost effectiveness; frameworks to evaluate the impact of community engagement; aspects of collaborations and partnerships that lead to improved health and wellbeing; and the effectiveness of social media for improving health and wellbeing. The guideline updates and replaces NICE guideline PH9 (published February 2008).

At the heart of health: realising the value of people and communities

WOOD Suzanne, et al
2016

This report explores the value of people and communities at the heart of health, in support of the NHS Five Year Forward View vision to develop a new relationship with people and communities. It seeks to bring together in one place a wide range of person- and community-centred approaches for health and wellbeing. It provides an overview of the existing evidence base with a particular focus on the potential benefits of adopting these approaches. The report suggests that there is evidence from research and practice to demonstrate the benefits of person- and community-centred approaches, across three dimensions of value: mental and physical health and wellbeing – these approaches have been shown to increase people’s self-efficacy and confidence to manage their health and care, improve health outcomes and experience, to reduce social isolation and loneliness, and build community capacity and resilience, among other outcomes; NHS sustainability – these approaches can impact how people use health and care services and can lead to reduced demand on services, particularly emergency admissions and A&E visits; and wider social outcomes: these approaches can lead to a wide range of social outcomes, from improving employment prospects and school attendance to increasing volunteering. They also can potentially contribute to reducing health inequalities for individuals and communities. The report includes an outline of the ‘Realising the Value’ programme, which is designed to develop the field of person- and community-centred approaches for health and wellbeing by building the evidence base and developing tools, resources and networks to support the spread and increase the impact of key approaches.

Improving the health and wellbeing of communities

COMMUNITY DEVELOPMENT FOUNDATION
2014

This paper is part of the ‘Tailor-made’ series, which aims to demonstrate the valuable contribution that the community sector makes to people’s lives and society as a whole. Specifically, this paper explores the significant role that community groups play in improving the health and wellbeing of communities. Key points include: the community sector is well placed to support wellness, rather than just treat illness through connecting organisations and supporting people with wider factors that affect health, including poverty, education and social isolation; the community sector has unique qualities that allow it to provide tailor-made support - they are trusted and understand the needs of their community, they can reach people that find it hard to access traditional support and they take a person-centred approach meaning they can support people’s multiple-needs; the community sector contributes significant social and economic value by improving physical and mental health, improving quality of life and reducing health inequalities. The paper also forms part of the full report 'Tailor-made: how community groups improve people’s lives.'

Growing healthy communities: the Health and Wellbeing Index

GRANT THORNTON UK LLP
2015

This report highlights the extent to which economic, social and environmental determinants translate to good or bad health outcomes in their broadest sense. It also shows the scale and nature of inequality across the country and reiterates the need for a local, place-based approach to tackling health outcomes. The report is based on league tables that assess 33 key health determinants and outcomes at local authority district level. The analysis reveals that the top three determinants that most strongly correlate to health outcomes are child poverty, deprivation and unemployment. Crime ranks as only seventh strongest with childhood education, social cohesions and occupations all proven as having a bigger impact on overall health outcomes. Case studies from Barnet, Greenwich and Richmond and Kingston outline some of the lessons that can be learnt from these and where collaboration has been seen to address an area’s determinants to improve health outcomes. That nine of the ten fall within London, where the boundaries of health commissioning are coterminous with those of the local authority may imply more readily facilitated joint-working leading to improved outcomes.

Creating a better care system: setting out key considerations for a reformed, sustainable health, wellbeing and care system of the future

ERNST AND YOUNG
2015

In this report, commissioned by the Local Government Association, a journey towards better health and care for individuals is set out; driven by local system leaders and supported by a more empowering and enabling system. The report has been developed through: a review of existing literature published by partners, charities and research organisations; four workshops with the LGA and partners to define the vision, understand the system barriers from a range of perspectives and describe the required changes; and further discussion with regional contacts and the Health Transformation Task Group to sense check that barriers and key considerations are locally relevant and reflect the experience in local areas. Section 1 sets out a vision for better care and support, arguing that a reformed system needs to deliver: better health and wellbeing more equally enjoyed; better choice and control for all; better quality care, tailored for each person; and better outcomes for each pound spent. Section 2 focuses on key barriers preventing the achievement of a reformed system. These include: creating dependency through the way treatment is provided; chronic underfunding of the system and a lack of capacity to transform; fragmented commissioning incentivising treatment over demand management; and national regulations that disempower local areas. Section 3 sets out four steps to better care, which are: put people in control; fund services adequately and in an aligned way; devolve power to join up care, support and wellbeing; and free the system from national constraints. The report concludes that collectively these steps will enable localities to address challenges, deliver a better system and ultimately drive better outcomes and greater sustainability for all.

Beyond fighting fires: the role of the fire and rescue service in improving the public's health

LOCAL GOVERNMENT ASSOCIATION
2015

The case studies contained within this publication explore the activities of fire and rescue service to help the most vulnerable individuals and families in their communities. The trust placed in these services and the comprehensive access to the public that this provides means they have a unique ability to provide critical interventions, promote health messages and refer to appropriate services. These case studies include programmes spread across England, covering both rural and urban environments and with varying levels of deprivation and affluence. They show a range of ways in which the fire and rescue service supports prevention and contributes to tackling health inequalities by: supporting people with dementia; using firefighters to be ‘health champions’; tackling child obesity; reaching out to the most vulnerable; looking out for babies and toddlers; getting people active; working with others to save lives; and reducing falls in the home.

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