National Partnership to tackle Health Inequalities in Coastal Communities

正如首席医疗官的2021年报告所示，沿海社区遭受了该国最严重的健康后果和严重的不平等。在沿海城镇，贫穷、住房条件差、机会有限和低工资经济（2）导致预期寿命低于内陆邻国，重大疾病发病率高于内陆邻国。与此同时，卫生服务过度紧张（1）。创造性的社区资产，如艺术和文化组织，有可能改善生活（3），综合护理系统（ICSs）旨在将社区资产与预防干预措施以及健康和社会护理相结合。然而，NHS，地方当局，大学，志愿和社区部门和居民之间的合作是具有挑战性的，因为组织目标，结构和文化的差异。我们需要了解这些利益相关者如何能够走到一起来改善人们的健康。我们的方法在我们第二阶段工作的基础上，我们将重点关注英格兰不同地区的三个健康状况较差的沿海地区：布莱克浦，韦斯顿超级马雷和黑斯廷斯。我们将共同努力，团结这些不同的利益相关者，制定一个基于证据的计划，以支持跨部门和与社区的合作，以解决健康不平等问题。我们将专注于我们社区确定的精神健康关键问题领域：年轻人的精神健康和福祉;药物和酒精（物质）滥用;以及限制生命的疾病和丧亲之痛。

As shown by the Chief Medical Officer's 2021 report, coastal communities suffer some of the worst health outcomes in the country, and significant inequalities(1). In coastal towns, poverty, poor housing, limited opportunities and a low-wage economy(2) result in lower life expectancy and higher rates of major diseases compared to inland neighbours. Meanwhile, health services are overstretched(1). Creative community assets such as arts and culture organisations have the potential to improve lives(3), and Integrated Care Systems (ICSs) aim to integrate community assets with preventive interventions and health and social care. However, collaboration between NHS, local authorities, universities, voluntary and community sector and residents is challenging because of differences in organisational objectives, structure, and culture. We need to understand how these stakeholders can come together to improve people's health.Our approachBuilding on our work in Phase 2 of this funding call, we will focus on three coastal areas with poor health in different regions of England: Blackpool, Weston-Super-Mare, and Hastings. We will work together, uniting these different stakeholders, to generate an evidence-based plan to support collaboration across sectors and with the community to tackle health inequalities. We will focus on key problem areas in mental health identified by our communities: young people's mental health and wellbeing; drug and alcohol (substance) misuse; and life-limiting illness and bereavement.