Equity in Action Service

The services in scope involve community engagement, co-production of solutions, outreach, health promotion, and support in navigating health systems and contain several ambitions for positive local outcomes, all of which require a provider with deep Surrey grassroots reach and trusted relationships, both with other local providers with whom they partner and with the communities served.

The local outcome ambitions for the services within scope of delivery under this contract are described below.

• To increase awareness of women's health within ethnic minority communities and contribute to prevention of women's health issues.
• To enhance the quality of conversations about women's health and mental health in clinical practice with respect to cultural sensitivities.
• To improve physical and mental health outcomes for women from ethnic minority communities.
• To improve the mental health of women and birthing people from ethnic minority communities.
• To prevent increased severity of mental health conditions through inclusive early intervention.
• To support quality of referrals and efficiency of pathways into Tier 3 mental health support for women and birthing people in the perinatal period.
• To improve the experience of healthcare service users across Surrey Heartlands.
• To contribute to service co-production by capturing the voices of individuals from seldom heard communities and improve equity of access to health services.
• To improve cultural awareness and competency in practice and inclusion of services and practice.
• To support connections to women's health, diabetes, chronic vascular disease (CVD) and mental health services through community outreach advocacy/bridge of support.
• To empower women and birthing people, children and adults to access support and build healthcare literacy.
• To target Type 2 diabetes and CVD management education to prevent type 2 diabetes and improve outcomes.
• Prevention for families with a history of Type 2 diabetes particularly to prevent occurrence of Type 2 diabetes in children.

Services under the umbrella of Health Inequalities in Perinatal Health, Women's Health and Associated Mental Health are

• Healthy Eating and Activity Culturally Inclusive Education
• Women's 1:1 mental health provision
• Women's Health Groups
• Health Literacy and Health Check Outreach
• Cultural Awareness Training

Both the perinatal mental health counselling and Women's Health Groups are clinical services and constitute the main elements of service provision, provided on a weekly to monthly basis. Perinatal mental health support must be provided by a qualified counsellor and the Women's Health Groups must be led by a Community Development Worker (Community development worker specialising in health and wellbeing, specifically women's health.

Counselling, social prescribing and psycho-social mental health support means that the clinical element of this contract significantly exceeds 50%.