We focus on four complex health issues more prevalent in urban areas
With the Social Progress Imperative, we've developed the first neighbourhood level, health-focused social progress index of its kind.
With Wellcome Trust
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Multiple long-term conditions
Slowing progression to multiple long-term conditions by addressing the social determinants of health
In our multiple long-term conditions programme, we support projects and activity through two strands of preventative work: addressing social determinants of health and improving healthcare. We believe that people’s progression from one-to-many long-term conditions is influenced by a complex mix of factors including their personal finances, housing and employment.
Social factors like meaningful work, financial health and housing can profoundly affect people’s health. Interventions that improve these wider determinants can practically improve people’s health.
Social factors like meaningful work, financial health and housing are key to our strategy for two reasons: we believe they can profoundly affect people’s health and that they are not set in stone but are amenable to change.
Where you live matters for your health. A healthy home is safe, stable and in good condition. There is growing evidence that secure, affordable homes that are in good condition can protect our health and wellbeing, and unsuitable, unstable homes can have a serious effect on people’s physical and mental health.
In our work on housing as a social determinant of health we focus on:
Good work – which is fairly rewarded, allows for work-life balance and gives employees a choice to shape their working lives – is physically and mentally healthy. Some jobs, however are precarious, low-paid, physically demanding or dangerous and are in unsupportive workplaces where people face discrimination, and have an adverse effect on mental and physical health.
In the work strand we focus on:
There are clear links between our physical, mental and financial health. For many people living on low-incomes, health issues and problems with money influence each other. People with long-term health conditions often have less, or a more precarious, income – due to being too ill to work or work regular hours – and more expenses on medication, transport, a special diet, physical exercise to manage pain and ways to keep emotionally well.
In our work on finances and income as a social determinant of health we focus on:
The stark differences in the length and quality of people’s lives in urban areas are not inevitable and so can be improved. We believe there is an opportunity to better support people through intervening early and championing secondary prevention, following the first diagnosis for people living with one health condition.
Through our healthcare strand, we are:
In urban places, areas of affluence and poverty often exist side by side and health inequities between neighbouring communities are stark.
Neighbourhoods can offer secure housing, good local employment opportunities and a sense of tight knit community and security – all of which are good for our health. Neighbourhoods with insecure housing, noise, fear of crime, transient population and social isolation can however be bad for our health.
In the neighbourhoods strand our work focusses on:
We want to address the social and economic determinants of health in order to ensure longer, healthier lives for people with multiple long-term conditions.
Multiple long-term conditions
During the pandemic, we've seen people turn to their communities and neighbourhoods to support each other. We explain how hyper-local approaches are key to our work to improve urban health.
Alleviating health conditions and financial difficulty