Background and rationale
It is well-established, both locally and more broadly, that more attention must be paid to addressing the persistent inequalities in health outcomes, healthcare access, and the social determinants of health. The Fair Shares Fund aims to target additional funding to populations (defined by demographic or geographic characteristics) in which have historically been under-invested. The Fair Shares Fund originated in response to a recognition of historic underinvestment in the Western Locality as compared to the rest of Devon, together with significant deprivation and social challenges in the locality.
The Devon ICS has developed the Health Inequalities Game Changer strategy, part of which requires Local Care Partnerships (LCPs) to set out plans to demonstrate how we will take action to address the health inequalities experienced by our local populations by the end of March 2022. This framework serves as part of the Plymouth LCP plan to address health inequalities in the local area.
The Fair Shares initiative has a dual aim:
- Reducing health inequalities
- Improving baseline mental and physical health
Investments has been agreed for a set of programmes to address, for example, frailty, complex lives and homelessness, and general mental health and well being throughout Plymouth.
To maximise the impact of the Fair Shares funding, the Western Locality commissioned a researcher from the University of Plymouth to co-develop, alongside the CCG and provider organisations, a prospective evaluation framework to demonstrate the impact of the initiatives. By considering evaluation at the same time as intervention design and implementation, the aim is to ensure alignment with Devon’s long-term strategy and the stated aims of the funding of each constituent programme.