All Together Fairer: Tackling Health Inequalities in Cheshire & Merseyside

Cheshire and Merseyside has been a Marmot Place since 2021, committed to reducing health inequalities by addressing the social determinants of health. The Population Health Board of the Cheshire and Merseyside Health and Care Partnership commissioned the Institute of Health Equity to support this work, ensuring the region built back fairer from COVID-19.

In 2022, the All Together Fairer report was published, providing a strategic framework to drive action on health equity across the region. Since then, a dedicated team of All Together Fairer leads has worked to implement the report’s recommendations, delivering local initiatives that create fairer communities and healthier futures. 

The Champs Public Health Collaborative has been instrumental in supporting this work, providing programme governance and ensuring a coordinated, system-wide approach to tackling health inequalities across Cheshire and Merseyside.

Sefton’s Child Poverty Strategy: A Local Approach to Reducing Inequalities

As part of this commitment, Sefton, a local authority in Liverpool, developed a child poverty strategy to tackle inequalities at a local level. By bringing together key partners, Sefton has created a coordinated approach to addressing child poverty, ensuring that families receive the support they need to improve health and well-being.

This report outlines Sefton’s local strategy, highlighting the practical actions being taken to reduce child poverty and create a fairer, healthier future for children and families in the area.

CHAMPS Public Health Collaborative and the IHE

This report explores the role of the Champs Public Health Collaborative in driving strategic alignment, coordination, and leadership across the nine local authorities in Cheshire and Merseyside.

Champs brings together Directors of Public Health from all nine local authorities, working in close partnership with the NHS and wider system leaders. As a regional public health collaborative, it plays a central role in turning evidence into action, supporting collective delivery, and advancing shared priorities around the social determinants of health.

The report highlights how Marmot-informed thinking has been embedded in local policy and planning, enabling more integrated, preventative approaches across the region. It also affirms the importance of strong regional infrastructure in maintaining momentum, building public health capacity, and fostering cross-sector collaboration.

Offering practical insights into how health equity can become a shared goal, the report features evidence and case examples to support other areas looking to embed Marmot principles through regional coordination and long-term system change.