Wider Determinants of Health

​The Liverpool Marmot Partnership Group (LMPG) is a group of organisations across the public, private and voluntary sector that has been established to make collective decisions on key actions to achieve Marmot community status for Liverpool.  The LMPG – chaired by Deputy Mayor Jane Corbett – has developed a Marmot Action Plan for Liverpool and the initial key priorities have been identified below:​

• Housing​

• Income​

• Climate Change​

• Mental health and welfare ​

• Good Food Plan​

Children and young people will be a crosscutting theme across all of the priorities. All current and future actions will be mapped against the recently published ‘All Together Fairer’ Merseyside and Cheshire report recommendations and the City Plan objectives. The group are governed by the Health & Wellbeing Board who will be receiving regular updates from the LMPG throughout 2023.​

Although the LMPG has been operating less than a year, the group have made strong progress against their objectives. For example:​

• The Housing Strategy Team are at the early stages of preparing for the new housing strategy. The housing team will work with Liverpool Public Health Team to ensure that the Marmot Principles are embedded into the strategy from the beginning ​

• The Liverpool City Council Revenues & Benefits Team delivered a joint presentation with the Torus Foundation to the Registered Providers (RP) Chief Executives on the benefit of providing furniture packages and how the costs could be recovered via the benefits system. The RP Chief Executives committed to provide a working group on this matter to see if and how furniture packages could be utilised ​

• The Merseyside Fire and Rescue Service Fire Safety Programme will be using system-wide data and intelligence to target the most vulnerable in the community whilst also providing health and wellbeing advice ​

• Liverpool City Council’s Landlord Licensing team launched the Selective Landlord Licensing Scheme in April 2022 in the 16 wards in Liverpool with the worst private rented housing conditions. It means LCC has additional powers to drive up standards and keep vulnerable tenants safe, such as tackling fire and electrical safety hazards, excess cold and damp, and preventing and tackling anti-social behaviour. A series of drop-in events for tenants in the private rented housing sector who are facing issues with their property took place across Liverpool throughout 2022 ​

• The Healthy Homes Delivery of the Sustainable Warmth grant is ahead of target with 687 properties identified for retrofit and work in progress.  A further £3.5m has recently been allocated to LCC to deliver a further retrofit measures to 330 properties.   Liverpool City Council has received £16m in funding from Business Energy and Industrial Strategy (BEIS) green homes grant spread over three rounds of local authority delivery (LAD) to ensure the retrofitting of over 1500 poorly insulated homes with a variety of measures 

This set of local Marmot Beacon indicators was developed in partnership with hundreds of local stakeholders and will monitor actions on the social determinants of health in Cheshire and Merseyside, covering areas which are considered critical in reducing health inequalities.

Since its founding in 1988, and throughout its 30 plus years of experience, World Health Organization Healthy Cities Network, has been an active and vibrant process and a platform for inspiration and learning for European cities working to contribute to health, well-being and health equity. A healthy city is defined by a process, not an outcome. Healthy cities are places that deliver against the 6Ps (People, Planet, Place, Participation, Peace & Prosperity) outlined in the ‘Healthier and happier cities for all’ vision. Healthy cities lead by example to achieve change for the better, tackling inequalities and promoting good governance and leadership for health and well-being. Innovation, knowledge sharing, and health diplomacy are valued and nurtured in healthy cities. ​

The WHO European Healthy Cities Network hold an Annual Business Conference every year. The conference happens to share evidence, knowledge, experiences and discuss and decide on policy and managerial issues associated with the development of the WHO European Healthy Cities Network. In 2022, it was held in Copenhagen and Liverpool was proud to present the ‘Partnership working & data sharing for a City-wide pandemic response & recovery with global impact’ abstract at the conference. The abstract was delivered by colleagues in University of Liverpool and the UK Health Security Agency and showcased Liverpool’s COVID-19 pandemic response. ​

Liverpool City is part of the Healthy Cities Network Steering Group. The purpose of the Steering Group is to oversee and provide strategic direction and guidance to the Network, to plan for and build durability for UK Healthy Cities and to monitor the delivery of the Network work plan on behalf of the Network membership. In 2022, the Network undertook a review, to ensure the work and focus of the Network met members’ needs going forward. Liverpool will host a facilitated Network development workshop in 2023 which will create a UK Healthy Cities Network plan, identify priorities, increase influence with political leaders and develop and promote the Network across the country. ​

Liverpool have extended their designation status to 2025 and have presented two key priorities as part of their HCN designation which they will be working towards throughout 2023: ​​

1. Re-enacting the Health in All Policies approach and influencing partners to embed ill health prevention in their policies and plans. ​
2. Adopting a new and innovative model for Health Literacy across the city.​

Diagram summary: The outside of the image has the six main categories that Healthy cities deliver against which are Planet, Place, Participation, Peace & Prosperity (6 Ps).

• The circle inside the the 6 Ps represents the areas of work a city needs to do to achieve the 6 Ps. They are Sustainable Development, Urban Development, Social Development, Human Development, and Economic Governance.
• The next circle represents the equity and governance of the work a city undertakes to achieve the 6 Ps.
• At the heart of the Circle is the health and wellbeing of the cities population.