Public Health Annual Report 2025-26: Challenges

The lack of alignment in the public, private and voluntary sectors in the city was also a major challenge for us. It caused a disjointed delivery strategy

Himmah

There are barriers to neighbourhood working:

Integration

  • Building neighbourhood services takes time. It means earning trust from residents and becoming part of the wider network of services.
  • Reaching and engaging some groups can be especially challenging.
  • Long‑standing ways of working were often hard to change.

Evaluating impact

  • It can be difficult to measure the impact of neighbourhood working.
  • This is especially true when services are working across many issues at once and taking a whole‑person approach to health and wellbeing.

Policy and alignment

  • Frequent changes in national policy can disrupt frontline work and slow progress.
  • Different organisations did not always share the same goals, which made partnership working harder.

Resources and infrastructure

  • Funding was often short‑term, uncertain or not designed to support neighbourhood‑based work.
  • Reliance on grants sometimes put organisations in competition for the same funding.
  • Short funding cycles did not fit well with long‑term work, such as preventing and managing long‑term conditions.
  • Hospital‑focused funding models could discourage investment in community‑based support.
  • Heavy reliance on volunteers created challenges, including limited capacity, high turnover, unclear roles and the need for ongoing training.
  • A lack of suitable local buildings and spaces made it harder to maintain a neighbourhood presence, particularly in the most disadvantaged areas.