How can integrated neighbourhood teams (INTs) tackle health and care inequalities? A policy evidence brief

Tackling health inequalities requires sustained, multi-sectoral collaboration across health care, social care, and local and national authorities. Integrated neighbourhood teams (INTs) are increasingly discussed as a key component of an integrated strategy which can increase equity in health and health care – these involve micro-integration of health and care at the neighbourhood level. However, despite their potential, there is currently no evidence-informed approach guiding their design, implementation, and evaluation in relation to health inequalities. There are four key principles for designing and delivering INTs to maximise their impact on reducing health inequalities: 1) locally sensitive, autonomous, and needs-based approaches, 2) trust between health care services and disadvantaged communities, 3) accessible, co-located, multi-sector services for disadvantaged groups, 4) integrated IT systems and information governance. Further research is needed to establish a robust, equity-focused framework for the implementation and evaluation of INTs. Policy makers and health care leaders should focus on ensuring funding allocation according to local need, fostering community partnerships, co-locating health and social care services, and standardising IT systems and information governance to maximise the potential of INTs to reduce health inequalities. • Integrated Neighbourhood Teams (INTs) offer a promising model to address health and care inequalities through place-based, multidisciplinary partnerships. • Building trust with disadvantaged populations and investing in community engagement are essential for improving health outcomes and equity. • Co-located, accessible services that cover health, social care, and welfare can support the wider determinants of health • Integrated IT systems are important for seamless, coordinated care delivery for all patients.