Making Greater Manchester Fairer

The Build Back Fairer framework is vital to the Integrated Care Partnership’s efforts to enhance health, reduce inequalities and create a greener, fairer and more prosperous city region.

The Build Back Fairer framework outlines priorities for co-ordinated action to reduce inequalities and create a greener, fairer, more prosperous city-region.

This requires partnerships from neighborhood to local and city region level, enabled through a set of shared principles that were co-designed by Greater Manchester partners, across the public, voluntary, community, faith and social enterprise (VCSE) sectors who came together in Spring 2022 (see figure X)

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People Power

We will work with people and communities to ensure we listen to all voices - including those who are often left out.

We will ask “what matters to you” as well as “what is the matter with you”

We will build trust through collaboration, recognising that not all people have had the same opportunities in life.

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Proportionate Universalism

We will co-design universal services (care for all) but with a scale and intensity that is tailored to individual and community needs.

We will change how we spend resources so more is available for those with the greatest need, and funding is directed towards keeping healthy people healthy.

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Build Back Fairer is Everyone’s Business

We will put inclusion and equity at the centre of everything we do and how we do it.

We will make sure how we work makes life in Greater Manchester better for everyone

We will tackle structural racism, systemic prejudice and discrimination.

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Representation

The people who work in our organisations will
be representative of
the people we provide services for. For example, the different races, religions, ages, sexuality and physical abilities.

We will make sure the people that represent us help us make important decisions.

We will change how we spend resources so more is available for those
with the greatest need and funding is directed towards keeping healthy people healthy.

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Health Creating Places

As anchor institutions we will build on the strengths or our communities and leverage collective power - to support communities and local economies

We will focus on place and work collaboratively to tackle social, commercial and economic determinants of health

The understanding of health and care as an investment that can help grow a prosperous economy is increasing. In both a social and an economic sense, the health and care sector’s scale, values and coverage matter now more than ever to partners and communities as we develop thriving places.

Several recent reviews found strong links between poor health and poor economic outcomes for individuals at all life stages, from childhood through to later life. Both health and productivity are lower in the North and poor health is responsible for almost a third of that productivity gap.

Equally, the reverse is true. Poverty is one of the key drivers of poor health in our city region. People experiencing financial insecurity are more likely to be in poor health. The cost-of-living crisis is exacerbating existing poverty and will adversely impact health outcomes and public service sustainability, particularly if the impact is sustained, inflation persists, and real term income reduces.

Poverty, low employment rates and poor health are a toxic triad which is more common in people who experience racial discrimination.

The challenge is clear, if we can level up, and improve both the health
and financial security for all people in Greater Manchester, particularly those that experience discrimination and disadvantage, then we will increase wealth for individuals, communities and our city region.

“Injustice anywhere is a threat to justice everywhere. We are caught in an inescapable network of mutuality, tied in a single garment of destiny. Whatever affects one directly, affects all indirectly.”

Martin Luther King Junior