What is the challenge your project is going to address and how does it connect to the theme of 'How can we improve across system boundaries?​

Our project targets the significant challenge of accessing healthcare, with focus on clinic non-attendance, and emergency-hospital-use notably prevalent among those from the lowest IMD-Quintiles, which exacerbates health inequalities and strains healthcare resources.(Ref1, Ref2,Ref3).Recognizing the complex interplay of social-determinants(SDoH), we aim to enhance cross-system collaboration. This effort seeks to bridge the gap between secondary-care and community resources, ensuring healthcare professionals possess the necessary knowledge and tools to support patients effectively, addressing key barriers identified by affected communities.

While directly impacting the variation in clinic non-attendance and emergency-hospital-use across IMD-Quintiles within the project’s timeframe may be ambitious, our initiative prioritises increasing the connectivity among healthcare professionals, community partners, and other stakeholders. This strategy aims to catalyze the exchange of innovative ideas and best-practices, fostering a collaborative environment conducive to tackling the systemic issues underlying non-attendance. Our approach leverages partnerships with Core20-Plus5 ambassadors to make healthcare more visible and accessible.

What does your project aim to achieve?

Making the invisible visible is a social-movement where Core20plus5-Ambassadors, diverse group of lived-experience partners, and Healthcare professionals(HCPs) from London and South-East-England, will be forming a Human-Learning-System to collectively mobilise and organise resources and tailor them to local populations needs to reduce health inequality.
The objectives of our project are threefold:
1) Increase connectivity among:HCPs, lived-experience-partners and stakeholders to foster a culture of knowledge sharing and collaboration.
2) Create a Human Library: HangOUT Space (for patients and HCPs)

HangOUT Space (PDF)

,and Creative-comprehensive-live-repository of story-tellers, and resources tailored to population needs, with best-practice on addressing inequality.
3) Implement targeted interventions based on shared learnings to make healthcare services more accessible and visible.
By enhancing connectivity, HCPs and lived-experience-partners will share insights effectively, thereby identifying and implementing practical solutions to health-inequality; and co-create digital repository of resources, making it easier for healthcare providers to access and apply the most relevant interventions to particularly benefit underserved populations.

How will the project be delivered?

Our project adopts a comprehensive approach that emphasizes the involvement of relevant stakeholders, precise impact-measurement, cost-effectiveness, and proactive risk-management.

We are engaging a diverse group of Core20-Plus5-ambassadors with various skills. This multidisciplinary-team ensures a holistic-patient-centred approach, from data-driven decision-making to navigating the complexities of healthcare policy. Collectively we aim to Co-design effective and culturally-sensitive interventions tailored to needs of the communities we serve.

We will employ specific, measurable indicators such:clinic non-attendance and emergency-hospital-use rates among the lowest-IMD-Quintiles and improvements in healthcare-access metrics.

We aim to conduct project evaluation to assess the cost-effectiveness of our initiative, providing objective measures of value for money.

To mitigate the risk of stakeholder’s resistance and technological barriers, we will conduct stakeholder engagement to build ownership among healthcare providers and ensuring our digital resources are accessible and user-friendly.
By anticipating these challenges and planning our responses, we aim to pre-emptively address obstacles, ensuring smooth project implementation.

How is your project going to share learning?

To ensure the project’s learnings are effectively shared and utilized across a wide audience, we plan to implement a comprehensive dissemination strategy that is detailed, inclusive, and measures the impact of our efforts.

We will utilize a variety of platforms for sharing outcomes, including peer-reviewed publications in accessible journals, detailed regular reports on our website, and targeted social-media campaigns to reach broader audiences. Ambassador events will be structured to include webinars and interactive sessions, facilitating real-time engagement with stakeholders. The frequency and format of these initiatives will be clearly outlined, with quarterly reports, regular webinars, and presentations at conferences that allow for deep dives into our findings and methodologies.

Beyond engaging HCPs, lived experience partners and Q-members, our strategy includes outreach to patients’ support groups, the public, and international communities through accessible summaries of our findings, patient forums, and collaboration with patient advocacy groups