{"id":44645,"date":"2019-05-19T20:28:28","date_gmt":"2019-05-19T19:28:28","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=44645"},"modified":"2019-05-20T10:23:47","modified_gmt":"2019-05-20T09:23:47","slug":"james-goodyear-the-nhs-is-an-anchor-institution-for-local-communities","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2019\/05\/19\/james-goodyear-the-nhs-is-an-anchor-institution-for-local-communities\/","title":{"rendered":"James Goodyear: The NHS is an \u201canchor institution\u201d for local communities"},"content":{"rendered":"

The NHS contributes to the health and wellbeing of the population over and above providing access to healthcare<\/p>\n

<\/p>\n

The NHS is famously the fifth biggest employer globally<\/span>, spends nearly \u00a330 billion each year on goods and services, and is one of the largest land and property owners in the UK. \u00a0But the economic and social impact that NHS organisations bring to the towns and cities they serve has been underappreciated, not least by the NHS itself. Awareness of how the NHS acts as an “anchor institution” and contributes to the health and wellbeing of the population over and above providing access to healthcare is gaining momentum within the health and care sector. In Leeds, working with our health and civic partners has accelerated this effect.<\/span><\/p>\n

We know that health has a social gradient, and those who live in deprived neighbourhoods are more likely to suffer ill health and have lower life expectancy<\/span>, resulting in higher healthcare costs<\/span>. If the NHS is going to make the biggest difference to population health outcomes, we need to consider how we can positively influence the wider social determinants of health\u2014for example access to good quality education, employment and housing\u2014alongside action on prevention and healthier lifestyles. These complex issues require action across organisations, working in partnership with a clear place-based strategy, aligning discrete interventions so that we are greater than the sum of our parts.<\/span><\/p>\n

In Leeds our ambition is to be the best city for health and wellbeing and to improve the health of the poorest the fastest; over 170,000 people live in areas ranked amongst the most deprived 10 per cent nationally. To meet these aims, anchor institutions across Leeds have come together to form a network: the city council together with NHS trusts, universities and Further Education colleges. We are collectively using our assets and influence as large employers, spenders, land owners and providers to develop a common strategy to improve outcomes for people, address organisational needs, and realise civic opportunity. With help from the city council and third sector partners, \u00a0we are developing a deeper understanding of \u2018priority neighbourhoods\u2019 to provide targeted support based on the needs, assets and aspirations of local people.<\/span><\/p>\n

Leeds has a younger population than other comparable cities, with the largest proportion of young people living in poorer areas. If we can maximise the potential of these young people through access to good quality employment, we can improve their health over a lifetime. The Leeds Health and Care Academy brings together healthcare and education anchor institutions to provide opportunities for skill development, job and wealth creation, with a focus on engaging and recruiting those in our most disadvantaged communities. This not only supports local prosperity, but importantly, is a proactive response to the workforce pressures in the health and care system. The NHS struggles to attract and train enough staff to meet demand, so engaging and supporting more local recruitment is key part of inspiring the next generation of the health and care workforce.<\/span><\/p>\n

Within Leeds Teaching Hospitals our apprenticeship programmes widen access into employment, including into professional roles such as nursing. We have a comprehensive development offer and have worked hard to increase the proportion of our lower paid staff who are promoted, improving retention and investing in people\u2019s future. <\/span><\/p>\n

One of our sites St James\u2019s University Hospital is situated within Lincoln Green, the third most deprived area in the city, and among the 1% most deprived nationally. Working with the city council we have run bespoke outreach events promoting health and care careers to the local population. Over 130 people attended the first such event earlier this month and every person left with either a place on an employability skills training course with a guaranteed interview for a job on completion, a place on an English as a second language course, or an invite to apply directly for a currently advertised role. <\/span><\/p>\n

With the publication of the NHS Long Term Plan, NHS organisations across the country will be thinking about how they can address health inequalities. To maximise the opportunity, they should consider their role as an \u2018anchor\u2019 within the local economy and seek to work with partners to best address some of the social determinants of health.<\/span><\/p>\n

\"\"<\/a>James Goodyear<\/strong> is Associate Director of Policy and Partnerships at the Leeds Teaching Hospitals NHS Trust.<\/span><\/em><\/p>\n

Competing interests<\/strong>: none declared<\/span><\/em><\/p>\n

Twitter<\/strong>: @jamesgoodyear1<\/a><\/span><\/em><\/p>\n

James will be presenting a session, \u2018Anchored in the community \u2013 how the NHS can influence population health\u2019 at <\/b>the Health Foundation annual event 2019<\/b><\/a> on Thursday 23<\/b>rd<\/b> of May, with Dr Tammy Boyce from the WHO Regional Office for Europe, John Craig from Care City and Sarah Reed from the Health Foundation.<\/b><\/p>\n

Keynote sessions from the event will be livestreamed and you can register now to watch them <\/b>here<\/b><\/a>.<\/b><\/p>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

The NHS contributes to the health and wellbeing of the population over and above providing access to healthcare […]<\/p>\n

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