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The Neighbourhood Development Programme in City and Hackney in London is a primary care network based around eight neighbourhoods with populations of between 30-50,000. The neighbourhoods are structured round GP practices with a bottom-up, clinically-led support network bringing together all local partners engaged in integrated health and social care. In this podcast Ben talks to Clinical Lead and local GP Dr Steph Coughlin and Nina Griffith who is the work stream director for Neighbourhoods. They describe how the network functions and how it is bringing together all constituent organisations to improve access, reduce duplication, improve integration and, in the medium term, change outcomes for patients.

Show Notes

Steph and Nina describe their roles in the programme (41secs)

Describing a neighbourhood (1min 26secs)

How the neighbourhood model impacts on the population (2mins 14secs)

The integrated care model (3mins 18secs)

History of integrated work in City and Hackney – focussing on relationships (4mins 47secs)

Focussing on improvement and joined up services (5mins 49secs)

Practical work streams – shared data about the neighbourhoods (6mins 52secs)

Pilots – adult community nursing, mental health support, adult social care & learning disabilities and complex patients (7mins 47secs)

Local focus on problems within neighbourhoods (8mins 38secs)

Enthusiasm across the system including residents (9mins 25secs)

Engaging residents in the programme – A Patients’ Panel (10mins 22secs)

Forming the Patients’ Panel, using PPGs (11mins 18secs)

Advice on building relationships across the system – the programme structure (12mins 44secs)

Neighbourhoods look different (14mins 28secs)

Trust and confidence (15mins 25secs)

Vision for the future of the model – seamless care and happier workforce (16mins 36secs)

Long term versus quick wins (18mins 13secs)

Finding out more (19mins 37secs)

Contact Nina via nina.griffith@nhs.net or Steph via stephaniecoughlin@nhs.net