SLIDE 7 Bringing work and partners together, to reduce the negative impacts and build on positive changes resulting from COVID-19. Driving co-ordinated action that contributes to the Leeds Health and Wellbeing Strategy and tackles inequalities.
Leeds health and care approach for a fairer and equal Leeds
Informing…
Draft v3| 18/05/20
What… Understanding…
- The assets, needs, interests and
requirements of each community, and how inequalities impact on them differently
Applying our partnership principles in all that we do: We start with people | We deliver | We are Team Leeds
Development coordinated by Forum Central, Healthwatch Leeds, Public Health, Leeds CCG and Leeds Health Partnerships Team
How… Understanding… Acting… Accountable…
- What we know about the different communities
/ identities / lives and experiences of people living in Leeds
- The assets, needs, interests and requirements
- f each community, and how inequalities
impact on them differently
- Prioritising actions over words
- Being open, transparent and visible
Evaluating…
- Assessing, learning and improving
We will:
- Be guided by the expert experience of people
who have previously been excluded or marginalised to test our approaches for fairness and inclusion, adopting our Leeds Vulnerability Model
- Use data as a starting point to understand the
numbers of people who are not being served by the mainstream
- Use population health management intelligence
led approaches
- Double check for people who are frequently
excluded or marginalised based on:
- Where they were born
- What they look like
- How they live
- Who they pray to
- Who they love
- Understand who are “Communities of
Interest”, for example people with a shared ethnicity, or those who share an experience, for example survivors of domestic violence. But recognise that communities are not one homogenous group
- Use evidence to spot where there are gaps or
‘leaks’ in provision We will ensure:
- We work with people instead of doing things to
them or for them, maximising the assets, strengths and skills of people, spreading ‘better conversations
- We design solutions with people that improve
- utcomes which matter most to people
- Inclusive health and care services that are
designed and commissioned to include all people who wish to access them - in particular those often marginalized by mainstream services and society - we call this commissioning from the margins.
- Organisations will better align their service
delivery around shared priorities in order to reverse the effects of deprivation and inequalities.
- We reach every part of Leeds and no one will
be left out
- We direct our collective resource towards
people, communities and groups who need it the most and those focused on keeping people well
- We coordinate as much of our work as possible
and reduce duplication of effort
- Use our existing community models - LCPs,
Clusters, Hubs to support impact locally and be more responsive to local needs
- We work more closely together to create the
conditions for people to achieve better
- utcomes
- We share work and each take a lead on
different aspects on behalf of the partnership Through:
- Listening, not assuming
- ‘What matters to me?’ work
- ‘How does it feel for me?’ work
- ‘How does it feel for me during Covid 19?’ –
Weekly real-time report
- Peoples Voices Group
- Big Leeds Chat programme
- Spending time alongside 3rd sector and
community groups in the settings where people are
- Regular tailored two comms
- The work of the Health and Wellbeing Board
and its members Using the intelligence generated through being accountable, we will:
- Understand what communities are telling us
- Measure if health and wellbeing is improving
in all communities and inequalities are reducing
- Identify what we can learn and where we can
improve
- Going back to people and assuring to assure
we have heard and acted correctly
- Take appropriate actions to improve
This will include:
- Listening to both people who are receiving
support or services and people who are not
- Listening to and understanding changes in
protective and risk factors
- Understanding the factors and the relationship
between them which will affect an individual's health and wellbeing and using an approach similar to the ‘Frailty Fulcrum’ Which can be summarised as: Physical
- Basic Supplies (access to dietary-appropriate
foods / medications)
- Accommodation (safe, stable and affordable
home)
- Economic (changes in financial position, costs
- r income)
- Medical / clinical (support to manage long term
conditions, manage wellbeing) Social
- Social (changes in support of friends, families,
neighbours, community groups etc)
- Family and homelife (changes in household
relationships, physical space at home) Environmental
- Environmental (ability to access safe outdoor
space etc)
Why…
