Building and evidencing community asset partnerships in housing and health to address health disparities in North East North CumbriaAH/X009211/1

建立和证明住房和健康方面的社区资产伙伴关系，以解决北坎布里亚东北部的健康差距AH/X009211/1

• 批准号: AH/X005836/1
• 负责人: Monique Lhussier
• 金额: $ 24.92万
• 依托单位: Northumbria University
• 依托单位国家: 英国
• 项目类别: Research Grant
• 财政年份: 2022
• 资助国家: 英国
• 起止时间: 2022 至 无数据
• 项目状态: 已结题
• 来源: https://gtr.ukri.org/projects?ref=AH%2FX005836%2F1
• 关键词: Building; evidencing; community; asset; partnerships

Groups that experience the worst health outcomes include people in coastal communities (like in the North East and North Cumbria), experiencing homelessness, dependent on drugs or alcohol, vulnerable migrants, people in contact with the justice system and other socially excluded groups. In the North East, 32% of people live in the most deprived 20% of the national population. The recent Levelling up White paper (2022), the White paper on health and social care integration (2022) and the NHS's Core20PLUS5 framework (2022) all highlight the role of housing as a key determinant of health. This consortium will investigate and co-produce integrated, community led, asset-based approaches to supporting people with multiple and complex needs who have been homeless, to improve individual and community wellbeing and address health disparities in the North East North Cumbria Integrated Care System (NENC ICS). The project will:(1) Provide training for and work closely with a group of Experts by Experience (who have been homeless), who will support evidence development and decision making into practice, policy and research in this area. They will: share their experiences and views on how services might best support people with multiple and complex needs; make use of an 'innovation budget' to improve a service and evaluate their innovations; help with mapping existing services. They will be an integral part of the project, leading many aspects of it.(2) Identify all the research evidence in the area of community support for people who experience homelessness, and identify the data being held by relevant stakeholders (local authorities, health services, voluntary sector) and how it might be shared to gain a better understanding of regional needs and monitor progress.(3) Identify one integrated care service (integrating, health, social care and housing), which will be improved and evaluated by experts by experience.(4) Identify and map all local community assets and services supporting people with multiple and complex needs, particularly in relation to housing, in the NENC. The mapping will create a directory of all services, statutory or otherwise, which community members can access for support. This will form the basis of a digital dynamic data sharing platform accessed by all relevant stakeholders, which will become a virtual consortium, directly connecting research on community assets with health and social care integration efforts, and community members, to reduce health disparities. For this bid we have brought together an interdisciplinary team of experts across academia (covering expertise in housing; health inequalities; humanities; health economics; mental health; addictions; participatory research), service (housing; NHS) and policy (ICS) partners. The project is supported by Tyne Housing, a third sector organisation working with people experiencing precarious housing and homelessness; the NIHR NENC Applied Research Collaboration (a a partnership bringing together six regional universities, the NHS, health and social care providers, local authorities, the voluntary sector, community groups and members of the public); and the NENC Deep End network (a network of GP surgeries working in the most deprived areas regionally).

健康状况最差的群体包括沿海社区（如东北部和北坎布里亚郡）的人、无家可归者、依赖毒品或酒精的人、弱势移民、与司法系统接触的人和其他被社会排斥的群体。在东北部，32%的人生活在全国人口中最贫困的20%。最近的《拉平白色文件》（2022年）、《关于健康和社会护理一体化的白色文件》（2022年）和NHS的《核心20 + 5框架》（2022年）都强调了住房作为健康关键决定因素的作用。该联盟将调查和共同制作综合的，社区主导的，基于资产的方法，以支持无家可归者的多重和复杂需求，以改善个人和社区福祉，并解决东北北坎布里亚综合护理系统（NENC ICS）的健康差距。该项目将：（1）为一组经验丰富的专家（无家可归者）提供培训并与他们密切合作，他们将支持证据发展和决策，将其纳入这一领域的实践、政策和研究。他们将：就服务如何最好地支持具有多重和复杂需求的人交流经验和看法;利用“创新预算”改进服务并评估其创新;帮助规划现有服务。他们将是该项目的一个组成部分，领导它的许多方面。(2)确定社区支助无家可归者领域的所有研究证据，并确定相关利益攸关方（地方当局、卫生服务、志愿部门）掌握的数据，以及如何分享这些数据，以更好地了解区域需求并监测进展情况。(3)确定一项综合护理服务（综合、保健、社会护理和住房），由专家根据经验加以改进和评估。(4)确定和绘制所有当地社区资产和服务，以支持东北非经济中心内有多重和复杂需求的人，特别是与住房有关的人。该映射将创建一个所有服务的目录，无论是法定的还是其他的，社区成员都可以获得支持。这将成为所有相关利益攸关方访问的数字动态数据共享平台的基础，该平台将成为一个虚拟联盟，将社区资产研究与健康和社会护理整合工作以及社区成员直接联系起来，以减少健康差距。为了这次竞标，我们汇集了学术界的跨学科专家团队（涵盖住房专业知识;健康不平等;人文;卫生经济学;心理健康;成瘾;参与性研究），服务（住房; NHS）和政策（ICS）合作伙伴。该项目得到了泰恩住房的支持，泰恩住房是一个第三部门组织，与经历不稳定住房和无家可归的人合作; NIHR NENC应用研究合作（a）建立伙伴关系，将六所地区大学、国家卫生服务体系、保健和社会护理提供者、地方当局、志愿部门、社区团体和公众聚集在一起）;以及NENC Deep End网络（在区域最贫困地区工作的全科医生网络）。