Joint Forward Plan

Trauma-informed

Why it’s important

Trauma and adversity can significantly impact individuals, families, communities, and our workforce. These experiences influence how people engage with services and are closely linked to poorer mental and physical health outcomes, particularly for those experiencing deprivation and existing inequalities.

Staff are also affected, often encountering trauma directly or indirectly. Without support, this can lead to stress and burnout.

Embedding trauma-informed approaches is a key enabler for delivering our ICS strategy, helping us provide safer, more equitable, and compassionate care.

Find out more on the Trauma-Informed section of our website.

What we can do 

We are committed to creating a trauma-informed system. Our Trauma-Informed Pledge brings together partners from health, social care, education, policing, and the voluntary sector to adopt shared principles and practices.

The Bristol, North Somerset and South Gloucestershire Trauma-Informed Systems Programme, hosted within the ICB, supports this work by:

  • Providing workforce training and support
  • Embedding trauma-informed principles in service design and commissioning
  • Promoting co-production with people with lived experience
  • Creating safer, more supportive environments for staff and people using services.

How we’ll measure progress 

We will monitor our impact through:

  • Uptake of the Trauma-Informed Pledge
  • Training participation and feedback
  • Staff wellbeing indicators
  • People’s experience of services
  • Evidence of trauma-informed design in policies and services
  • Improvements in outcomes for communities facing disadvantage.

This page provides an overview. To read about our plans in detail, take a look at the full Joint Forward Plan 2025 to 2030.

Joint Forward Plan 2025 to 2030

Strategic Commitments

Align everything we do to the outcomes we want
Demonstrate our system-wide commitment to prevention
Focus on the first 1,001 days to give our children the best start
Change how we work to reduce health inequalities actively
Prioritise the health impacts of poverty and disadvantage
Build a workforce who are supported, skilled and healthy
Focus on the whole person – not just the disease
Work together as equal partners to tackle our biggest problems
Support the economy with our purchasing and employment practices
Develop a better, healthier environment for people to live in

Outcomes Framework

The healthy life expectancy of our population
The health and wellbeing of our population
The health of services
The health and wellbeing of our staff
The health and wellbeing of our communities
The health and wellbeing of our environment

The Strategic Commitments and Outcomes Framework tick boxes show a brief summary of how different areas of work contribute to our wider strategic aims and outcomes.

Outcomes framework – We use a system outcomes framework to measure our progress. Each outcome has linked indicators designed to monitor our progress and link it back to our strategic objectives.

Strategic commitments – These are the nine commitments we made in our Integrated Care System Strategy to transform our services.