Work Package 4 (WP4) of Places & communities work stream A (WSA) seeks to understand in depth how local authorities (LAs) develop and deliver place-centred strategies that maximise human and financial resources and assets to tackle social determinants of health and health inequalities in a context of constrained finances. It will elucidate the pathways between these strategies and improvements in health, wellbeing and inequalities, drawing on interpretative and realist perspectives. This WP will adopt a comparative, instrumental case study design using system mapping.
In a first phase, three case studies will focus on how LAs have set up initiatives to tackle poverty (Fuse), asset based community development (Cambridge) and economic inclusion (Sheffield), as these are three topics known to play a key role in health, wellbeing and inequalities. In a second phase, two further case studies will be selected by LSHTM and LiLaC to build explicitly on the findings from WP1 and WP2, taking into account the intervention typology and identification of better than expected trends in health-related outcomes in LAs.