Case study · Luton Council · 2023

Coaching Luton's health and care organisations to reach diverse communities

How practical, tailored coaching helped a hospital trust, a wellbeing service and a disability charity change the way they serve Luton's communities, in months rather than years.

3

anchor institutions coached

8,000+

staff in the largest organisation, 40 in the smallest

12

point action plan from one charity

LGA

independently evaluated

The challenge

Luton is one of the most diverse towns in the UK. During COVID-19, the council's Talk, Listen, Change (TLC) research found that many communities felt overlooked or misunderstood by local services. As part of its Marmot Town approach to health inequalities, Luton Council asked DiverseCT to coach three anchor institutions and test a model other organisations could follow.

The brief

  • Bespoke coaching for up to three anchor institutions
  • Three realistic action plans, co-developed with each organisation
  • A joint workshop on common health inequalities
  • A report on barriers, strengths and lessons for others

Our approach

  1. Step 1

    Project kick-off

    Agreed issues, timeline and deliverables with Luton Public Health.

  2. Step 2

    Steering group

    Chaired by a former LGA chief executive, with the council, University of Bedfordshire, Healthwatch and the institutions.

  3. Step 3

    Desk-based review

    Each organisation's website, record and data reviewed against the TLC findings.

  4. Step 4

    Engagement

    Met each organisation's leads to shape coaching around their real priorities.

  5. Step 5

    Tailored coaching

    Group and one-to-one sessions for frontline staff, managers and a hospital board.

  6. Step 6

    Peer workshop

    A joint health inequalities workshop so the three could learn from each other.

  7. Step 7

    Independent evaluation

    Commissioned through the Local Government Association.

Three tailored programmes

Disability Resource Centre

Charity, 40 staff and volunteers

What we did

  • Coaching for frontline staff, then managers
  • Strategy session on data collection and confidence

Results

  • 12-point action plan, four times what was asked
  • Data-collection script so staff can explain why equality data matters
  • Staff language audit and redesigned forms
  • Review of anti-discrimination practice and access barriers

Total Wellbeing Luton

Talking therapies and wellbeing, 60 staff

What we did

  • Session on barriers and tailoring services
  • Session on storytelling and engaging diverse audiences

Results

  • Community presentations rewritten to be relatable
  • Multilingual leaflets and registration forms
  • Campaign targeting young Asian women
  • Picture-based sessions adapted for refugees with PTSD

Luton and Dunstable University Hospital

Bedfordshire Hospitals NHS FT, 8,000+ staff

What we did

  • Development session with the Trust Board
  • One-to-one coaching with senior leads

Results

  • Board commitment to tackling health inequalities
  • Equality and Diversity role reshaped to focus on health inequalities
  • Missed appointments analysed by ethnicity
  • Maternity outcomes prioritised

The impact

The Health and Wellbeing Board endorsed continuing the approach, with three more institutions lined up. Findings were presented at Luton's Health Equity Town Conference in November 2024. The final report went to several council boards and elected Members.

"A small investment in terms of time of the coaching has quickly turned into some positive evidence-based actions that we can share."
Chief Executive Officer, Disability Resource Centre
"This has been a catalyst."
Deputy Operations Manager, Total Wellbeing Luton
"Whilst always committed to the equality and diversity agenda, the support from the project assisted us in reframing how the organisation can weave inequalities into our objectives and service changes."
Associate Director of Corporate Governance, Bedfordshire Hospitals NHS Foundation Trust
"Prior to all of this we would have been too scared to do all of that and this has given us the confidence that we can do it."
Senior Operations Manager, Total Wellbeing Luton

Lessons for other organisations

Commitment from the top

Good data, confidently collected

Trusted voices

Tailor the approach

Keep supporting change

Want results like these for your organisation?