National Partnership to tackle Health Inequalities in Coastal Communities

如首席医疗官的《2021年报告》所示，沿海社区的健康状况是全国最差的，存在严重的不平等现象(1)。在沿海城镇，与内陆邻国相比，贫穷、住房条件差、机会有限和低工资经济(2)导致预期寿命较低，重大疾病发病率较高。与此同时，医疗服务负担过重(1)。艺术和文化组织等创造性社区资产具有改善生活的潜力(3)，综合护理系统(ICSS)旨在将社区资产与预防性干预以及卫生和社会护理相结合。然而，由于组织目标、结构和文化的差异，NHS、地方当局、大学、志愿者和社区部门以及居民之间的合作具有挑战性。我们需要了解这些利益相关者如何团结起来改善人们的健康。我们的方法在第二阶段资金募集工作的基础上，我们将专注于英格兰不同地区健康状况较差的三个沿海地区：布莱克浦、韦斯顿-超级马雷和黑斯廷斯。我们将共同努力，联合这些不同的利益攸关方，制定一项以证据为基础的计划，以支持跨部门和与社区的合作，以解决卫生不平等问题。我们将重点关注社区确定的心理健康的主要问题领域：年轻人的心理健康和福祉；药物和酒精(物质)滥用；以及限制生命的疾病和丧亲。

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.