Last Updated: 2024-01-18 13:00:43
Fairer Health for All
What is Fairer Health for All?
More than a mantra or a rally cry, ‘Fairer Health for All’ is a system-wide commitment and framework which sets forth a blueprint for how we can work together to reduce health inequalities and tackle inequalities across the wider, social determinants of health, as well as create a greener, fairer, more prosperous city-region.
Fairer Health for All is everyone’s business
We will think about inclusion and equality of outcome in everything we do and how we do it.
We will make sure how we work makes things better, and makes our environment better, for the future.
We will tackle structural racism and systemic prejudice and discrimination.
Representation
The mix of people who work in our organisations will be similar to the people we provide services for.
For example, the different races, religions, ages, gender, sexuality, disabled people and people
with multiple severe disadvantages.
We will create the space for people to share their unique voice and be involved in decision making.
Health Creating Places
As anchor institutions we will build on the strengths of our communities and leverage collective power – to support communities and local economies.
We will focus on place and work collaboratively to tackle social, commercial, economic and environmental determinants of health.
People Power
We will work with people and communities, and listen to all voices – including people who often get left out.
We will ask ‘what matters to you’ and ‘what has happened to you’ as well as ’what is the matter with you’.
We will build trust and collaboration and recognise that not all people have had equal life opportunities.
Proportionate Universalism
We will co-design universal services (care for all) but with a scale and intensity that is proportionate to levels of need (focused and tailored to individual and community needs and strengths).
We will change how we spend resources – so more resource is available to keep people healthy and for those with greatest need.
What will the framework help to achieve?
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Work together to fulfil statutory NHS responsibilities such as unlocking social and economic potential and delivering against CORE20plus5 inequalities targets
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Enhance and embed prevention, equality, and sustainability into everything we do as a health and care system
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Tackle the discrimination, injustices and prejudice that lead to health and care inequalities
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Create more opportunities for people to lead healthy lives wherever they live, work and play in our city region.
Tools central to workforce development, leadership and strategic intelligence
The Fairer Health for All Academy and Health and Care Intelligence Hub foster shared learning and collaboration and collate intelligence, data and insights from across public and VCFSE partners. These tools will build capacity – for people, systems and places – for planning, commissioning and delivery of health and care that reduces inequalities, provides greater equity and achieves Net Zero.
Why is the Fairer Health for All Framework needed?
Reduce unwarranted variation in health outcomes and experiences
• Eliminate the difference between the highest and lowest social groups in the experience of having two or more multiple
health harming behaviours such as smoking and excess alcohol consumption
Increased social and economic activity because of reduced ill health
• Narrow the 15-year gap in the onset of multiple morbidities
between the poorest and wealthiest sections of the population
to 5 years by 2030
Reductions in preventable or unmet health needs leading to reductions in demand
• Close the health inequalities gap in smoking prevalence with England by 2030*
• Reduce avoidable mortality rates by 40% by 2030 compared to 2018-20 baseline
Reduce the difference in life expectancy and the incidence of physical health conditions for people with Serious Mental Illness
Reduce Infant Mortality
• Narrow the gap in Infant Mortality with England by 15% by 2030
• Close the school readiness gap by 2030
How will we do it? Our system-wide approach
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Continue to develop GM as a Population Health System, including shaping an Integrated Care Partnership that takes a population health approach, uses population health management, actively values and includes the contribution and challenge of public health and sees itself as an active participant in shaping the four domains of the GM Population Health model and the overlaps between them.
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Take action to embed a strategic approach to improving health outcomes and tackling inequalities across NHS GM, including through the implementation of the Integrated Care Partnership Strategy
and the Fairer for All framework and the iterative implementation
of an upstream model of care, supported by key tools including:
• Fairer Health For All Academy – supporting workforce and leadership development
• Health and Care Intelligence Hub and development programmes – supporting the building of population health management capability including people, systems and analysis
• Fairer Health For All assurance framework – supporting governance and resourcing
Strengthen and scale our approaches to primary and secondary prevention by building upon our preventive work to date, fulfilling the NHS long term plan commitments, and taking additional comprehensive action on the leading modifiable causes of poor health in GM.
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Shape GM as a place conducive to good health by increasing the role of NHS GM in social and economic development across GM, by enhancing the role of the Integrated Care Partnership as an anchor system in levering change, and by shaping the wider, social, economic and commercial determinants of health in GM.
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Invest in the potential of people and communities to create happy healthy lives and places through the continued expansion of person and community centred approaches, including social prescribing, and personalised care and support.
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Strengthen our strategic approach to contributing to the national sustainability ambition for the NHS, through delivery of our Green Plan via a collaborative multi-stakeholder approach which maximises delivery of co-benefits such as clean air, improved health and efficient use of resources.
The 160 actions to deliver these strategic objectives are detailed within our recently published Joint Forward Plan | Greater Manchester Integrated Care Partnership
The purpose of the Engagement Draft Summary is to provide as much opportunity as possible for the final framework to be informed and shaped by our colleagues from the VCFSE sector as well as our service users, partner agencies, practitioners, staff and leaders from across all ten localities, in the way it has been co-produced over the fifteen months to date
We welcome all your comments and will be engaging directly with stakeholders to provide a direct space for feedback. Alternatively, please get in touch to share any comments or answer the four questions by emailing:
gmhscp.adminpopulationhealth@nhs.net