This priority focuses on:
- Prioritising prevention to tackle the causes of health-related problems to reduce the impact of ill-health on people’s lives, their families, and communities.
- Empowering people to take action to improve health and wellbeing for themselves and others and providing effective, timely and appropriate support where needed.
- Co-ordinating services, working together to design services which take account of the complexity of people’s lives and their overlapping health and social needs.
- Coventry and Warwickshire’s Integrated Care (ICS) priorities: prioritising prevention and improving future health outcomes through tackling health inequalities and improving access to health and care services.
Background
The Marmot Review summarised the importance the impact of addressing inequalities in health in later life and investing in the early years to preventing ill health later in life.
Coventry’s Health and Wellbeing Strategy and the Coventry & Warwickshire Integrated Care Partnership Inequalities Strategic Plan highlight the importance of taking a ‘population health’ approach to reduce inequalities in health as well as improving health overall.
The Core20PLUS5 is a national NHS England approach to inform action to reduce healthcare inequalities at both national and system level. The approach focuses on the most deprived 20% of the national population as identified by the national Index of Multiple Deprivation (IMD), priority groups identified locally (in Coventry these are transient communities and working-aged people on long-term sickness), and five clinical priorities (maternity, severe mental illness, chronic respiratory disease, early cancer diagnosis and hypertension). There is also an additional Core20PLUS5 for children and young people with five clinical priorities of asthma, diabetes, epilepsy, oral health and mental Health.
What we know
There are a number of programmes of work and interventions that support the strengthen the role and impact of ill-health prevention recommendation, these are:
- Programmes which promote healthy behaviours and lifestyles across the system to maximise impact and tackle barriers to healthy lifestyle, including mental well-being, diet, exercise, smoking and drugs and alcohol.
- Programmes which ensure we are doing all we can to reduce suicides.
- Domestic abuse programmes offering a range of interventions and programmes for the ‘whole family’ including victims, children and young people and perpetrators.
- An integrated health and care system with seamless local services in Coventry.
Legislation, Government guidance that support the strengthen the role and impact of ill-health prevention recommendation:
- The Marmot Review Fair Society, Healthy Lives (2010) [https://www.instituteofhealthequity.org/resources-reports/fair-society-healthy-lives-the-marmot-review]
- The Marmot Review 10 Years On [https://www.instituteofhealthequity.org/resources-reports/marmot-review-10-years-on]
- Levelling Up the United Kingdom White Paper [https://www.gov.uk/government/publications/levelling-up-the-united-kingdom]
- NHS England Core20PLUS5 [https://www.england.nhs.uk/about/equality/equality-hub/national-healthcare-inequalities-improvement-programme/core20plus5/]
- Suicide prevention strategy for England: 2023 to 2028 [http://Suicide prevention strategy for England: 2023 to 2028]
- NHS Long-Term Prevention Plan [https://www.longtermplan.nhs.uk/publication/nhs-long-term-plan/]
- NHS Long Term Plan; more NHS action on prevention and health inequalities; Obesity [https://www.longtermplan.nhs.uk/online-version/chapter-2-more-nhs-action-on-prevention-and-health-inequalities/obesity/]
- NHS Long-Term Plan for more NHS action on prevention and health inequalities; Smoking [https://www.longtermplan.nhs.uk/online-version/chapter-2-more-nhs-action-on-prevention-and-health-inequalities/smoking/]
- Stopping the start: our new plan to create a smokefree generation [https://www.gov.uk/government/publications/stopping-the-start-our-new-plan-to-create-a-smokefree-generation/stopping-the-start-our-new-plan-to-create-a-smokefree-generation]
- The Tobacco and Vapes Bill 2023-24 [https://commonslibrary.parliament.uk/research-briefings/cbp-9992/#:~:text=This%20Bill%20would%20prohibit%20the,Commons%20on%2020%20March%202024.]
- HM Government Tackling Violence Against Women and Girls (VAWG) Strategy 2016-2020 [https://www.gov.uk/government/publications/tackling-violence-against-women-and-girls-strategy/tackling-violence-against-women-and-girls-strategy]
- Domestic Abuse Act 2021 [https://www.gov.uk/government/publications/domestic-abuse-act-2021]
- From harm to hope: A 10-year drugs plan to cut crime and save lives. Published 6 December 2021 [https://www.gov.uk/government/publications/from-harm-to-hope-a-10-year-drugs-plan-to-cut-crime-and-save-lives]
- Women's Health Strategy for England Policy Paper 2023 [https://www.gov.uk/government/publications/womens-health-strategy-for-england/womens-health-strategy-for-england]
- Obesity policy in England [https://commonslibrary.parliament.uk/research-briefings/cbp-9049/]
- Physical Activity Guidelines (all ages) [https://www.gov.uk/government/collections/physical-activity-guidelines]
Links to service developments and strategies to support this recommendation:
- Coventry Health and Wellbeing Strategy 2023-2026 [https://www.coventry.gov.uk/data-reports/coventry-health-wellbeing-strategy-2023-]
- The One Coventry Plan 2022-2030 [https://www.coventry.gov.uk/strategies-plans-policies/one-coventry-plan]
- Coventry & Warwickshire Integrated Care System Health Inequalities Strategic Plan 2022-27
- Supporting Families Outcome 3; Improved Mental and Physical Health [https://www.gov.uk/government/publications/supporting-families-programme-guidance-2022-to-2025]
- Coventry Early Help Strategy 2023 to 2025 [https://www.coventry.gov.uk/earlyhelpstrategy]
- Coventry and Warwickshire Suicide Prevention Strategy 2023 – 2030 [https://edemocracy.coventry.gov.uk/documents/s55719/DRAFT%20CW%20Suicide%20Prevention%20Strategy%202022-2030%20-%20copy%20for%20comment%20HWBB%20Jan2023%20v4.pdf]
- Coventry and Warwickshire Mental Health JSNA [https://www.warwickshire.gov.uk/directory-record/6791/coventry-and-warwickshire-mental-health-needs-assessment-2021-]
- Family Hubs and Start for Life programme [https://www.gov.uk/government/collections/family-hubs-and-start-for-life-programme]
- Coventry Domestic Abuse Strategy 2018-2025 [https://www.coventry.gov.uk/downloads/download/5118/domestic_abuse_strategy_2018-2023]
- Serious Violence Strategy [https://www.gov.uk/government/publications/serious-violence-strategy]
- Coventry Drug and Alcohol Strategy [https://www.coventry.gov.uk/health-wellbeing/alcohol-drugs-substance-abuse/2#The%20Governments'%20National%20Drug%20and%20Alcohol%20Strategy%20'From%20Harm%20to%20Hope]
- Coventry Local Plan (2011-2031) [https://www.coventry.gov.uk/planning-policy/coventry-local-plan-2011-2031]
- Coventry City Council Green Space Strategy 2019 – 2024 [https://www.coventry.gov.uk/downloads/download/754/green_space_strategy]
- Coventry and Warwickshire Tobacco Control Delivery Plan 2023-2024 (in development)
Indicators
- Low wellbeing in adults
- Support for adults’ mental health
- Adults/children obese
- Life expectancy female/ male
Programmes and activities
- Community programmes
- Commissioned domestic abuse services
- Commissioned drug and alcohol recovery services
- Family Hubs
- Family Health and Lifestyles service
- Healthy Lifestyles Service
- Post-intervention bereavement support
- Real-time surveillance programme
- Supporting Families Programme- Intensive Family Support
- Support for adults’ mental health
Delivery partners
- Coventry and Warwickshire Integrated Care System
- Ecology Team CCC
- Family Health and Lifestyles service
- Healthy Lifestyles Service
- Planning Team CCC
- Parks Team CCC
- Public Health Team CCC
How we will measure progress
- Self-reported perceptions, opinions, lifestyles, and behaviours
- Self-reported wellbeing
- Smoking prevalence
- National Child Measurement Programme measures
- Childhood immunisation rates
- West Midlands Fire Service information