The Marmot Monitoring Tool 2023

Coventry has been a Marmot city since 2013. This updated and refreshed framework recognises the impact of the Covid pandemic, the cost of living crisis, and the potential widening of health inequalities for our residents. Some of our residents’ experience inequalities in employment, income, education, face homelessness, high energy costs, and discrimination, live in poverty, poor housing, and poor health, making life challenging. As a result, they may live shorter and unhealthier lives which is unfair and avoidable.

This strategic monitoring tool describes the city-wide programmes of work aligned to the Marmot principles delivered by partner organisations, including voluntary organisations and statutory agencies across Coventry to tackle health inequalities. The monitoring tool aims to support the work of the Partnership by identifying where we can make a change and a difference to residents of Coventry across the social gradient. The Marmot Partnerships' strength is harnessing its collective voice of partners to steer and influence the wider system into prioritising health inequalities in strategic plans, programmes of work, interventions and how we can support our residents and businesses by building back fairer.

We are grateful for the support and expertise of Professor Sir Michael Marmot and his team at the Institute of Health Equity, University College London, enabling us to measure and better understand how the work described in this monitoring tool is helping us to tackle health inequalities in the city.

Monitoring our progress

The Partnership aims to work on behalf of people living in Coventry, using qualitative as well as quantitative evidence, data and real-life stories from our partners and communities to help us to understand the scale of health inequalities.

The indicators and outcome measures in this monitoring tool will enable us to build a picture over time of where things have improved, or potentially widened. This will allow us to understand what local action is needed and where in the system, what has been effective and share good practice and influence partners strategic priorities to improve health equity.

The monitoring tool will be updated annually to ensure changes in the system are reflected and the tool is kept relevant and up to date across the objective areas, so it remains a useful tool for partners in the system. The Health and Wellbeing Board will be updated annually on Marmot activity and any progress made against the indicators and outcome measures in this monitoring tool. System partners will also be provided with evidence of progress made on the Marmot Priorities key priorities to influence the strategic prioritisation of resources.

Coventry’s Health Determinants Research Collaboration (HDRC) will also further strengthen our work as a Marmot city and will enable Coventry City Council and its partners to develop the infrastructure to enable us to further build our research skills and evidence base of what works and is needed in our quest for improving health equity across Coventry.

Acknowledgements

The Marmot Partnership would like to thank all partners from across Coventry services for their time, expertise and contributions providing evidence, data and information for this monitoring tool.