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

健康状况最差的群体包括沿海社区（如东北和北坎布里亚郡）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以及其他被社会排斥的群体。在东北部，32%的人生活在占全国人口20%的最贫困人口中。最近的《提升水平白皮书》（2022年）、《卫生和社会保健一体化白皮书》（2022年）和《国民保健制度Core20PLUS5框架》（2022年）都强调了住房作为健康的关键决定因素的作用。该联盟将调查并共同生产综合的，社区主导的，基于资产的方法，以支持无家可归的有多种复杂需求的人，以改善个人和社区福祉，并解决东北东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（他们曾经无家可归）提供培训，并与他们密切合作，他们将支持证据开发和决策纳入该领域的实践、政策和研究。他们将就服务如何最好地支持有多种复杂需要的人分享经验和观点；利用“创新预算”改善服务，并评估他们的创新；帮助映射现有服务。他们将是项目不可分割的一部分，领导项目的许多方面。(2)查明社区支助无家可归者领域的所有研究证据，并查明相关利益攸关方（地方当局、保健服务机构、志愿部门）掌握的数据，以及如何共享这些数据，以便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），专家将根据经验对其进行改进和评价。(4)确定和绘制所有当地社区的资产和服务，以支持具有多种和复杂需求的人，特别是在NENC中与住房有关的人。映射将创建所有服务的目录，无论是法定的还是其他的，社区成员都可以访问该目录以获得支持。这将构成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，直接将社区资产研究与卫生和社会保健整合工作以及社区成员联系起来，以减少健康差距。为了这次竞标，我们汇集了一个跨学科的专家团队，包括学术界（包括住房专业知识、健康不平等、人文学科、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，这是一个第三部门组织，致力于帮助那些经历不稳定住房和无家可归的人；国家卫生研究院、国家新能源中心应用研究合作（一种伙伴关系，汇集了六所区域大学、国民保健制度、保健和社会保健提供者、地方当局、志愿部门、社区团体和公众成员）；以及NENC Deep End网络（在最贫困地区开展全科医生手术的网络）。

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).