TY - CHAP

T1 - United Kingdom (England). Supporting local systems to tackle the social determinants of health inequalities

AU - Popay, Jennifer Mary

AU - Porroche-Escudero, Ana

PY - 2018/7/1

Y1 - 2018/7/1

N2 - Developing system approaches to resilience is not an easy option. The NeighbourhoodResilience Programme (NRP) described in this inspirational example from the northwest ofEngland highlights some of the main challenges and opportunities for such an innovativeapproach. As the authors conclude, such an approach demands time, energy, commitmentand imagination from all involved. The example throws light on the possibility to move beyondtraditional, individual, topic-based approaches to collaborative partnerships with residents,local workers and institutions. It addresses major issues and works on key social, environmental,cultural and economic elements that characterize local neighbourhood systems that impact onresilience, health and well-being. The on-the-ground work of the authors and their partnersat community level maintains that strengthening resilience that impacts on health and thereduction of health inequities requires such a system perspective. Although in its early phaseof development, several powerful lessons can be drawn from NRP and its system perspective.Such lessons are useful for action that aims to strengthen resilience to promote health andwell-being and to address social and economic determinants of inequalities. These lessons areessential for developing resilient neighbourhood systems.

AB - Developing system approaches to resilience is not an easy option. The NeighbourhoodResilience Programme (NRP) described in this inspirational example from the northwest ofEngland highlights some of the main challenges and opportunities for such an innovativeapproach. As the authors conclude, such an approach demands time, energy, commitmentand imagination from all involved. The example throws light on the possibility to move beyondtraditional, individual, topic-based approaches to collaborative partnerships with residents,local workers and institutions. It addresses major issues and works on key social, environmental,cultural and economic elements that characterize local neighbourhood systems that impact onresilience, health and well-being. The on-the-ground work of the authors and their partnersat community level maintains that strengthening resilience that impacts on health and thereduction of health inequities requires such a system perspective. Although in its early phaseof development, several powerful lessons can be drawn from NRP and its system perspective.Such lessons are useful for action that aims to strengthen resilience to promote health andwell-being and to address social and economic determinants of inequalities. These lessons areessential for developing resilient neighbourhood systems.

KW - Community participation

KW - Europe

KW - social support

KW - resilience

KW - systems resilience

KW - Local Government

KW - NHS in England

M3 - Chapter

SP - 123

EP - 133

BT - Health 2020 priority area four: creating supportive environments and resilient communities

A2 - Ziglio, Erio

PB - World Health Organization Regional Office for Europe

CY - Copenhagen

ER -