The One Liverpool Strategy describes how Liverpool’s health and care system, including hospitals, GPs, community organisations, health commissioners, the council, and the voluntary and community sector, will work together to tackle the city’s health challenges and reduce the life expectancy gap.
The strategy’s main ambition is to reduce the wide and growing health inequalities in Liverpool by placing extra focus on those parts of the city with the worst health outcomes, and investing more into approaches that prevent ill health.
Currently, people in Liverpool can expect to live to 78.2 years – the second lowest life expectancy of the major English cities outside London. The English average is 81.4 years. The gap with the rest of England has widened from 2.9 years in 2010 to 3.2 years in 2017. One Liverpool aims to halve the projected life expectancy gap with England to 1.7 years by 2024.
Even within the city, the difference in life expectancy between people living in the most affluent and most deprived communities is staggering. For example, in Childwall life expectancy is 85.9 years, while in Anfield it’s just 75.
The strategy comes just as the second series of the BBC’s ‘Hospital’ programme shines a fresh light onto some of the city’s incredible hospital services, but also highlights some of the pressures they face.
One Liverpool describes how health and care services will work together differently in the future to better meet the needs of the population from birth through to old age, by doing more to prevent illness, help people live well for longer, and address the main causes of poor health.
As part of this, key partners have agreed four shared objectives to help tackle these challenges:
- Targeted action on inequalities
- Empowerment and support for wellbeing
- A radical upgrade in prevention and early intervention
- Integrated and sustainable health and care services
Health and care organisations already work together on a range of issues, but the One Liverpool Strategy aims to accelerate this collaboration. In some cases, this will mean services working together in a more integrated way that can better meet people’s needs and ensure that the local health and care system is fit for the future.
One example of this is the 12 Integrated Community Care Teams (ICCT) now working across the city, which are made up of staff from GPs, community nursing, social care, mental health, acute outreach and the voluntary and community sector. These teams are breaking down some of the old barriers between different health and care organisations. They regularly meet to review patients at high risk of being admitted to hospital and decide how best to organise their care, and which professionals need to be involved in making this happen.
ICCTs are working in close partnership with Primary Care networks; groups of GP practices who will work together to support populations of 30,000 to 50,000 people. This is a new way of working for GPs, coming together with community teams to better meet their patients needs.
The One Liverpool strategy also demonstrates how the health and care system is responding to the priorities set out in the NHS Long Term Plan, published in January 2019, which requires health and care systems to come together to provide better, joined up care in partnership with local government.
Dr Fiona Lemmens, Liverpool GP and Chair of NHS Liverpool CCG, said:
“The One Liverpool Strategy marks a major change in the way that we work together as a local health and care system, but it is only the beginning. To support our ambitions, we want to create a new relationship with the people of the Liverpool, enabling them to determine what matters most to them in their supporting communities to take better control of their health and their care needs.
“Over the course of this year, we will be starting a city-wide conversation with patients, the public and health and care staff about how we can work together to improve health and wellbeing. We will be sharing more details about how people can get involved in this very soon.”
One Liverpool also highlights how as major city institutions the NHS, local authority and other partners can draw on their position to bring about positive change in employment, strengthening communities and taking action on climate change.
Joe Anderson, Mayor of Liverpool, Chair of the city’s health and wellbeing board said:
“We know that One Liverpool sets out ambitious targets in the current context of deteriorating health outcomes, financial constraints and austerity, but we have to aim high for our city and focus our efforts towards priorities that will have the greatest impact.
“Good health and wellbeing comes from all aspects of our lives; our homes and communities, education, employment and environment. This is why the One Liverpool Strategy will also become the health and care chapter of a refreshed Liverpool Inclusive Growth Plan, reflecting our hope and confidence in creating a healthier, happier and fairer city for all.”
The One Liverpool partnership represents each of the following health & social care organisations across Liverpool:
- NHS Liverpool CCG
- Liverpool City Council
- Mersey Care NHS Foundation Trust
- Liverpool University Hospitals NHS Foundation Trust
- Alder Hey Children’s NHS Foundation Trust
- Liverpool Women’s NHS Foundation Trust
- Liverpool Heart and Chest Hospital
- The Clatterbridge Cancer Centre NHS Foundation Trust
- The Walton Centre NHS Foundation Trust
- North West Ambulance Service NHS Trust
- Primary Care 24
- Primary Care Networks
- Liverpool Health Partners
- Voluntary & Community Sector
The full One Liverpool Strategy is available to read and download here.