Tim Guyler Announced as Executive Lead for Nottingham City Place-Based Partnership
We are delighted to announce that Tim Guyler, Executive Director of Strategy and Integration at Nottingham University Hospitals (NUH), has been appointed as the new Lead for Nottingham City Place-Based Partnership.
Tim is one of the longest serving members of our Executive Team and brings a wealth of experience from his work at NUH, as well as his leadership in supporting the design and implementation of the Nottingham and Nottinghamshire Integrated Care System.
Tim was born in Nottingham and has lived and worked here for most of his life. He has a deep passion for transforming the way organisations work for the benefit of all people who live in the city. As the PBP continues to address key priorities such as improving integrated working in neighbourhoods, tackling inequalities in healthcare, mental health and promoting healthy living, Tim is eager to build on the work of the partnership to have even greater impact.
Speaking about his appointment, Tim said: “I am honoured to take on this role. Nottingham City Place-Based Partnership has already achieved so much, and I look forward to continuing the great work alongside our partners. This means so much more to me than just a role. I believe that by working together at place with our citizens, we are stronger than any individual partner acting alone, and by continuing this journey together we have not just the opportunity, but responsibility to deliver on our shared ambition to give every person living in Nottingham equal access to care and support that meets their needs, regardless of their background, circumstances or where they live in the city. I am confident that we have what it takes.“
Legal & General Health Equity Fund
In partnership with the UCL Institute of Health Equity, Legal & General has recently announced the launch of a £3m ‘Health Equity’ Fund, designed to support projects run by organisations (e.g., charities, social enterprises, community groups) across the UK that address health inequalities.
About the Legal & General ‘Health Equity’ Fund:
£3 million fund offering grants of up to £75,000 to place-based projects that address the social determinants of health: non-medical social and economic factors, such as housing, education, infrastructure, or quality of work. These factors create and shape the conditions in which we are born, grow, live, work, and age, but they are not always equitable.
The fund pilot initially launched and opened to receive expressions of interest in early June with a trailblazer £1mn available to projects based in the North East of England.
The opportunity is now open to receiving interest from organisations with projects or ideas for projects to be delivered in regions and communities UK-wide.
Example projects that may be supported include funding for inner-city schools in areas of deprivation to community programmes which address the social determinants behind pressures on A&E services, or partnerships raising awareness of the contribution the natural environment makes to health and wellbeing.
Why is Legal & General launching this fund?
Since 2021, Legal & General and the Institute of Health Equity have worked together to explore the role of business in reducing health inequalities in the UK. Research from this partnership has shown that:
tackling the root causes of health and social inequalities – the conditions in which people are born, grow, live, work and age – can prevent or improve poor health outcomes and increase healthy life expectancy, and
business and investor involvement in addressing health and social inequalities can drive positive outcomes for people and communities and generate commercial and economic benefits (such as increased productivity) at local, regional, and national levels.[1]
[1] The Business of Health Equity: The Marmot Review for Industry (Marmot M, Alexander M, Allen J, Munro A, Institute of Health Equity (2022))
The fund is the latest outcome of Legal & General’s long history of using its role as a business and investor to positively influence health outcomes, recognising that a stable economy and healthy society go hand in hand and businesses and investors can actively help to support both.
Who can apply?
This fund will offer grants to support organisations (e.g., charities, social enterprises, community groups) to deliver place-based initiatives across the UK which directly address the social determinants of health.
The fund will provide grant funding of up to £75,000 per project. We are particularly interested in proposals that can demonstrate:
Local impact on reducing health inequality, addressing under-served communities
Potential to scale up and be replicated nationally
Potential to become financially sustainable in the medium term
Particularly innovative approaches
Initiatives which can demonstrate local support and key stakeholder engagement (including support from Local and / or Combined Authorities)
Financial wellbeing awareness training for health and care staff and volunteers
A pilot project in Nottingham has found that training and support can help health and care staff and volunteers confidently ask people about money worries, and signpost them to money help and advice.
Many people who need support with their finances are unsure how to find and access it. Health and care teams can be an important route to getting money help and advice, but staff often feel they don’t know quite how to ask their patients or clients about money or where people can find the right financial help.
As part of Nottingham city’s financial wellbeing programme, 66 staff and volunteers in different health and care teams accessed online learning about financial wellbeing and were given resources to help them signpost people to money help and advice.
After taking part in the pilot project, staff and volunteers reported that they knew more about financial wellbeing and felt more confident to ask people about their money worries and signpost to support.
A team manager described the impact for one family:
“The family had no central heating, hot water, and all had colds. The staff member asked why the family had no central heating, which led to a discussion around their housing situation, landlord and finances. She signposted them to the Law Centre who then supported the family to address the repair issues with their landlord and also supported the family to get the benefits in place that they were entitled to.
When she returned for her next visit, the family could not thank her enough for her help, as they said that it was down to her asking questions that resulted in them having better living conditions and more money to be able to support their family.”
New Study Highlights the Unique Challenges of Severe and Multiple Disadvantage in Nottingham’s Ethnically Diverse Communities
A groundbreaking new report has been published, shedding light on the experiences of Severe and Multiple Disadvantage (SMD) within Nottingham’s ethnically diverse communities. Commissioned by Nottinghamshire Healthcare NHS Foundation Trust, NHS Nottingham and Nottinghamshire Integrated Care Board, and Nottingham City Council, this study marks the first in-depth exploration of SMD in ethnically diverse communities in Nottingham.
Understanding Severe and Multiple Disadvantage (SMD)
SMD refers to the co-occurring experiences of three or more disadvantages, including homelessness, substance misuse, mental-ill health challenges, domestic and sexual violence and/or abuse, and involvement with the criminal justice system.
Until now, most research has focused on white men as the primary group affected by SMD. Previous research, such as the Lankelly Chase Foundation’s “Hard Edges” report, estimated that around 58,000 people in England are affected by SMD each year, with white men being the most represented group. However, this new study challenges these findings, evidencing the prevalence of SMD among women and minority ethnic communities.
The Impact of Racial Trauma
One of the most significant findings from the research is the role of racial trauma in the experiences of SMD among ethnically diverse communities. Participants interviewed as part of the research shared that racism often compounded their challenges, with a case being made for racial trauma being recognised as an additional, distinct, form of disadvantage within the SMD framework.
While research participants report that some local services have shown a deep understanding of racial trauma, the study advocates the need for broader staff training and development to ensure that there is a better understanding of the impact of racial trauma, particularly for people experiencing SMD.
Why this matters for Nottingham
Nottingham’s population has become increasingly diverse, with 42.7% of the population not identifying as White British in the 2021 Census. As the demographic makeup of the city continues to evolve, understanding and addressing the unique experiences of all its residents becomes increasingly important. There is an urgent need to ensure that support services are equipped to meet the needs of all its residents. This report is a crucial step towards ensuring that Nottingham’s support services are inclusive and effective for everyone, particularly those experiencing severe and multiple disadvantage.
Recommendations for the Future
In light of these findings, the report puts forward several key recommendations:
Incorporating Racial Trauma into Assessments
The report advocates for the inclusion of racial trauma in all assessments of severe and multiple disadvantage. Recognising the impact of racism is crucial to providing effective support.
Enhancing Service Provider Training
There is a clear need for comprehensive training on racial trauma within equality and diversity strategies across all service providers in Nottingham. This will ensure that staff are better equipped to address the specific needs of ethnically diverse communities.
Stimulating Further Research
The study also calls for continued research into SMD within diverse communities to build on these findings and improve the support available to those in need.
Join the Conversation
We invite you to read the full report and share your thoughts on how Nottingham can better support its diverse communities. Your feedback and ideas are essential as we continue this important work.
Nottingham City Place-Based Partnership are thrilled to announce that we have been shortlisted for a HSJ Award!
Our innovative approach to improving health outcomes of people experiencing severe and multiple disadvantage (SMD) has been named on the shortlist for the ‘Place-based Partnership & Integrated Care Award’ at this year’s event.
This is recognition and testament to the incredible work by all partners to improve health outcomes of people experiencing SMD in Nottingham.
People who experience SMD (co-occurring experiences of homelessness, problematic substance use, mental-ill health, domestic and sexual violence and/or abuse, and offending) are amongst the most vulnerable to poor health outcomes. The challenges they face substantially increases their exposure to chronic health problems, shortened healthy life expectancy, and significantly premature death.
As services are predominantly set up to focus on specific disease or issues, this unintentionally segments responsibilities for the care of people experiencing SMD across multiple organisations. Our partnership model brings together the key partners to work around people’s needs, not the other way around.
Our partnership has been successful in stopping the revolving door of the same services spinning for hundreds of people, helping them to recover, sustain tenancies and get back into employment.
To be recognised by the HSJ is a great honour and we are delighted to be able to celebrate this work of all our partners. A big thank you to everyone involved!
If you would like to know more about some of the work being done to support people experiencing SMD in Nottingham, you can watch our episode of Health & Wellbeing LIVE with Bobby Lowen from our partners at Changing Futures Nottingham.
Nottingham and Nottinghamshire Smoking and Tobacco Alliance: July 2024 newsletter
Nottingham and Nottinghamshire Smoking and Tobacco Alliance: July 2024 newsletter
The alliance has a clear, shared ambition to see smoking amongst adults reduced to 5% or lower by 2035 across Nottinghamshire and Nottingham City. Further to this, we want to make the harms of smoking a thing of the past for our next generation such that all of those born in 2022 are still non-smokers by their 18th birthday in 2040.
In this newsletter:
Programme Updates
Working with schools to prevent smoking and vaping among children and young people
Social housing and smoking
Partner Spotlight
Upcoming plans and events
1. Programme Updates
Through our work as an Alliance, we continue to raise the profile of stop smoking services, available support and organisations that work hard to tackle the harms of tobacco. Our goal is to have conversations about why people smoke in the city and county, how people feel about smoking in their communities and how we can support people to quit.
Alliance partners in the news!
Work to tackle smoking by one of our Alliance partners was recently featured on the BBC. You can read about it here: Roles created to help smokers on Nottingham hospital grounds – BBC News. The news item highlighted the harms to others caused by secondhand smoke, and the stop smoking support available to hospital patients.
Zahida, smokefree lead at Nottingham University Hospital, was also interviewed for East Midlands Today! This story was picked up in the Action for Smoking and Health national bulletin on 20th June 2024.
It’s great to see one of our Alliance partner’s activities to reduce smoking featured on a national level, and we also picked it up on our social media channels, reposting the story to our Alliance accounts.
You can keep an eye on local activity by following our Alliance social media channels at
If you’ve got any smoking-related campaigns planned in your organisation – do let us know, so we can help to amplify your messages too by reposting or responding to them from the Alliance social media accounts.
Department of Health and Social Care (DHSC) grant funding for smoking cessation
We included information in our last newsletter about the additional £70million national investment for stop smoking services in England. The aim of this extra funding is to provide a comprehensive offer to help people stop smoking and to increase the number of smokers engaging with effective interventions to quit smoking.
Following the government guidance, in Nottinghamshire and Nottingham City, most of the funding will be used to expand the existing commissioned stop smoking services to increase capacity and resources to help people in our areas to quit smoking.
Our local stop smoking providers are expanding their services by:
– Building Capacity – recruiting new members of staff to provide more tailored and targeted support to help residents quit smoking
– Increasing resources – targeting smokers with other issues such as substance use, homelessness and mental health issues
– Building demand and promotion – increasing awareness and presence of the service through enhanced marketing and communication
– Delivery costs – purchasing additional pharmacotherapy to support the additional quits generated through an increase in capacity and resource
Both Your Health Notts and Thriving Nottingham have been working hard to recruit new staff and work with Alliance partners to increase their level of support and resource. This includes further developing support for inpatients in secondary care, people with substance use, mental health issues and homelessness.
Local Tobacco Declaration
The Nottingham and Nottinghamshire Smoking & Tobacco declaration has been refreshed. By signing the Nottingham and Nottinghamshire declaration on tobacco control, organisations can demonstrate their commitment to addressing tobacco-related issues and improving the health of their workforce and customers.
Why sign up?
A reduction in smoking prevalence year on year across the county would have significant benefits to the local community by:
Improving people’s health and their quality of life, particularly in deprived wards
Increasing household incomes when smokers quit
Improving the life chances of young children by reducing their exposure to second hand smoke and reducing their chances of taking up smoking
Reducing the costs of dealing with smoking related fires
Reducing the costs of tobacco related littering
Reducing serious and organised crime linked to the sale of illegal tobacco
For individual organisations who sign up, implementing the tobacco declaration can bring the following benefits:
Improving health of staff and service users
Saving money by reducing sickness absence
Protecting your employees, customers and clients from exposure to second-hand smoke
Increasing productivity
Improving the environments around workspaces by reducing cigarette litter
Reducing cleaning costs
Sends a strong message to local communities that you are playing an active part in reducing the harm caused by tobacco.
How will this approach make a difference?
Signing the declaration is the first step in demonstrating an organisation’s commitment to addressing tobacco related issues.
Organisations who sign up can access training for their staff in having healthy conversations as well as receiving information on smoking and tobacco use, including details of local stop smoking services.
Organisations are encouraged to develop their own action plans – a toolkit with further information is provided.
2. Working with schools to prevent vaping and smoking among children and young people
We’ve developed some new materials aimed at young people and adults who work with them. We now have some new resources about the harms of vaping, designed for an audience of young people. Originally developed by Smokefree Sheffield, with support from ASH (Action on Smoking and Health), these have been adapted for our local areas.
The set of resources includes:
Two posters aimed at young people (pictured) – for display in schools and community venues
A parents’ leaflet, with tips for having conversations with young people about vaping
An animation, for sharing with young people to promote discussion. Do take time to have a look at this – it’s short, but contains important key messages
Teacher presentation slides for use in the classroom
We’re also developing online resource packs for schools to help them address vaping amongst young people. These contain factual information, template policies, advice for dealing with vaping incidents, links to teaching resources, promotional materials, and information for sharing with children and young people, and with parents / carers. You can look at the live County version here. If you have any comments on this, let us know using the feedback form within the resource pack. The City version will be available soon – at the time of writing, still in construction.
3. Work with social housing providers and the Fire Service to reduce smoking in people’s homes
Did you know that around 1 in 3 social housing residents smoke, compared to 1 in 10 residents who own their home and 1 in 8 in the general adult population?
People who live in social housing are just as likely to want to stop smoking as the general population, but it’s harder for them to quit because they tend to be more addicted and live in a more pro-smoking environment. Social housing staff have a unique opportunity to interact with this group. The Fire Service also shares an interest in getting people to stop smoking in their homes, as smoking is a big cause of house fires in the UK.
We recently delivered a joint training session to give front-line workers the confidence and tools to start conversations about smoking with tenants, and signpost them to local stop smoking services. 30 people, from local authority housing departments, housing associations and the Fire Service, attended the online session.
Feedback showed that participants valued the training and found the session useful. Participants said they felt more confident to start conversations about smoking and would definitely signpost residents to local services.
4.Partner Spotlight: Environmental health and Safer Business Team, Nottingham City Council
The Safer Business Team enforces smoke free legislation within the City, and can serve fixed penalty notices on businesses or individuals found to be smoking in premises, or prosecute those who repeatedly or flagrantly breach the law.
They also try to work with businesses where non-compliance is found, such as advising them to prevent employees smoking during working hours, restricting the use of e-cigarettes or not allowing illegal tobacco to be sold on their premises.
We’re starting to think about our delivery plan for the next three years, which will include looking at the findings from our behavioural insights research and designing activities in response.
We’re also piloting a smokefree toolkit approach to support organisations in the local area to become smokefree. As part of this, we have sent a new checklist to a small number of organisations for testing. Depending on the feedback, we hope to tell you more about this piece of work in the next newsletter. If you’re interested in joining the testing group, please contact Swathi.Krishnan@nottinghamcity.gov.uk.
Going forward we’ll continue to spread the importance of quitting and signposting Nottingham and Nottinghamshire residents to the right support. We’ll also continue to educate people on the harms of tobacco.
We want to shine a light on all our partners’ efforts to reduce smoking in our area. If you’re planning any campaigns or activities focused on tobacco, please get in touch.
2024 Healthwatch Community Roadshow
Alongside our partners at Healthwatch Nottingham & Nottinghamshire (HWNN) and Nottingham Community Voluntary Service (NCVS), we were delighted to support the Community Roadshow at The Vine Community Centre on 30th April.
The event showcased the fantastic work happening across Nottingham’s health network and gave the opportunity for people to connect, share, and discuss opportunities for collaboration to improve health and wellbeing outcomes of people living in the city.
The day was opened by HWNN CEO, Sabrina Taylor, who spoke about the progress that has been made since the last roadshow and how Healthwatch is adapting its approach to community engagement. Sabrina highlighted their goal of connecting communities, and how they aim to empower local services through better representation.
Our Programme Director, Rich Brady spoke alongside Lucy Hubber (Director of Public Health for Nottingham City) about the Joint Health and Wellbeing Strategy (JHWS). They looked back at the progress made since the strategy launched in 2022 and celebrated the success of the four JHWS programmes.
However, they cautioned there is still much work still to be done and the focus on reducing health inequalities must be relentless. For example, while a lot of good work has been done in the Smoking & Tobacco Control and Eating & Moving for Good Health programmes, Nottingham still has very high smoking and obesity rates when compared to other parts of the country.
Nancy Cordy, Head of Public Health Strategy and Service Improvement then gave insight into early thinking for the next JHWS due to be published in March 2025. While there is a need to continue to be focused on the current priorities, Nancy talked about further opportunities around improving housing support and reducing alcohol use.
Despite these ongoing challenges, much optimism was shared about how the picture can be improved by working in partnership with services across the city. The launch of Thriving Nottingham service is a key milestone in improving the delivery of integrated health and wellbeing service in the city.
The day was wrapped up with a fascinating Q&A session with Rich, Sabrina, Sarah Collis (Chair of HWNN), Jules Sebelin (Nottingham City Voluntary Service), and Jan Sensier (Nottinghamshire Healthcare Trust). We are already looking forward to the next roadshow and seeing how the new connections made at this year’s event have developed to help create a healthier Nottingham.
Mental Health Integrated Care and Health Inequality Conference
Hosted by Nottingham University Hospitals (NUH), the Mental Health Integrated Care and Health Inequality Conference on Friday 17th May brought together health professionals from across Nottingham to discuss the state of mental health provision and practice in the city.
As part of the event, Head of Programme at Small Steps Big Changes (SSBC) Donna Sherratt was invited to speak in her capacity as PBP Race Health Inequality Ambassador. In her speech, she highlighted the link between race and health outcomes, with a particular focus on mental health. Many marginalised communities have unequal access to the knowledge and connections needed to help their mental health, and many services do not respond to the specific circumstances certain minoritised groups face.
A year on from it’s launch, she reflected on the success of the PBP Maturity Matrix tool and how it has helped organisations become more culturally competent. Through better representation, marginalised communities feel their needs are understood and listened to, meaning they are more likely to access services and get the help they need.
As well as Donna, the conference featured a range of amazing and inspirational talks from experts who shared their personal stories of mental health:
Imran Akkram, CEO of Bipolar Lift, told the audience his story of being diagnosed with bipolar disorder and how his frustration at the lack information available at the time led to the creation of Bipolar Lift.
Selina Khunkhuna from Talking Therapies spoke about her experience as a member of LGBTQIA+ community from a Sikh background and the mental health challenges this presented to her.
Carolyn Cleveland from CC Empathy Training told her incredibly moving story of grief and how it led to her realising the importance of empathy in health services and wider society.
There were also talks from Anthony May of Nottingham University Hospitals and Professor Derek Tracy from West London NHS Trust. They helped the audience develop a better understanding of the mental health picture in Nottingham and across the country respectively.
Paintings by artist Andy Farr in a collaboration project with NUH to visualise the mental health
Throughout the day there were networking opportunities for people across the system to make new connections and establish new referral opportunities for their patients. Organisations in attendance included Al-Hurraya, NCVS, and Harmless to name just a few.
We would like to thank everybody who helped organise this great event, with a special mention to Shirley Tench (NUH Mental Health Practitioner) who first identified the need for such a conference and took an instrumental role in the organisation of the event.
The PBP Race Health Inequalities (RHI) and Mental Health programmes are currently working together to take forward the recommendations of the RHI report last year. As priority areas, the programmes will work together to:
Increase cultural competency across organisations who support people with mental health needs
Create community partnerships to increase knowledge and information exchange
We will be releasing further details on this project later this year. For more information you can contact PBP Deputy Locality Director Ciara Stuart on Ciara.staurt@nhs.net.
Improving Access to Diverse Communities from an Early Years Lens
PBP Race Health Inequality ambassador and Small Steps Big Changes (SSBC) Head of Programmes Donna Sherratt was amongst panel members and presenters at the Improving Access to Diverse Communities from an Early Years Lens webinar in April. This webinar launched the new report from SSBC, which cites the impact of PBP’s Culturally Competent Maturity Matrix in creating more accessible, inclusive, and culturally-sensitive childhood services.
The Culturally Competent Maturity Matrix is a bespoke self-assessment tool used to assess the responsiveness of an organisation, service, or system in delivering or commissioning provision to meet the needs of Black Asian and Minority Ethnic citizens. The purpose of the tool is to help to tackle structures and processes that can be exacerbating inequalities experienced by minority communities and to shift mindsets, by providing a platform for curious questions and difficult conversations.
Reflecting on the achievements highlighted in the report, Donna stated:
“To be able to affect change for expectant parents, in my role as SSBC Head of Programmes and PBP Race Health Inequalities Lead, has been a unique and unplanned opportunity. The webinar and report drew all these experiences together and showcased some of the amazing work I am honoured to have been a part of.
“Hearing the broad range of panel members speaking about the personal impact individuals can have, and how services have continued to develop to meet the needs of the community, was inspiring. The follow-up report features learning which can be used across the wider system. It has been great to be part of the work with such amazing colleagues across the whole system.”
To provide the best experiences, we use technologies like cookies to store and/or access device information. Consenting to these technologies will allow us to process data such as browsing behavior or unique IDs on this site. Not consenting or withdrawing consent, may adversely affect certain features and functions.
Functional
Always active
The technical storage or access is strictly necessary for the legitimate purpose of enabling the use of a specific service explicitly requested by the subscriber or user, or for the sole purpose of carrying out the transmission of a communication over an electronic communications network.
Preferences
The technical storage or access is necessary for the legitimate purpose of storing preferences that are not requested by the subscriber or user.
Statistics
The technical storage or access that is used exclusively for statistical purposes.The technical storage or access that is used exclusively for anonymous statistical purposes. Without a subpoena, voluntary compliance on the part of your Internet Service Provider, or additional records from a third party, information stored or retrieved for this purpose alone cannot usually be used to identify you.
Marketing
The technical storage or access is required to create user profiles to send advertising, or to track the user on a website or across several websites for similar marketing purposes.
