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Transforming healthcare in England’s core cities

Health inequalities, integrating care more effectively, ensuring parity of esteem for mental health: the issues that keep commissioners in England’s core cities up at night will be familiar to colleagues across the country.

What is unique, however, is the scale of the challenges being faced in these highly complex urban environments. Just take equity of care: in Bristol, early death rates from cancer, heart disease and stroke are above the average for England; in Liverpool, there is a difference of male life expectancy of over ten years in different parts of the city; in Newcastle, levels of child poverty were almost 10 per cent above the national average in 2011.

Through a series of case studies, this report explains how core cities commissioners are addressing such challenges.

It is grouped around four key themes:
• equitable care
• partnership working
• improving wellbeing
• changing healthcare.