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News Article
Charity commits £250m to ‘neighbourhood health’
Patient Safety Learning posted a news article in News
A charity will invest £250m over the next three to five years in a government-backed scheme testing a new funding model for neighbourhood health. Macmillan Cancer Support has partnered with West Hertfordshire Teaching Hospitals Trust, non-profit enterprise Social Finance and the government’s Office for the Impact Economy to help other systems raise money from non-NHS sources. The intention is that investors who want to use their money for social purposes will add to the £250m, and will earn a return over an extended period, as the schemes reduce secondary healthcare demand. The “trailblazer” programme will choose six areas to develop more integrated and preventative care in the community, the organisations are due to announce today. The programme builds on a £10m initiative launched last year in West Hertfordshire, with the same partners, to improve care for older people with multiple conditions. In each area, the organisations will run a nine-month programme with financial and technical expertise, to design their model and build skills, confidence and culture to help attract “impact investment” finance. Read full story (paywalled) Source: HSJ, 17 June 2026 -
Content Article
Connect North is an innovative, integrated and co-designed social prescribing service operating across the Northern Health and Social Care Trust (NHSCT) area in Northern Ireland. Finalist in two Picker Experience Network (PEN) Awards categories both in 2024 and 2025, Connect North demonstrates how integrated, person-centred approaches can improve access to care, reduce system complexity and patient safety risks associated with fragmented services and delayed support. We spoke to Claire Ramsey, Health and Wellbeing Manager at Connect North, to find out more about the service. Hi Claire. Can you tell me about Connect North and why was it set up? Connect North was established in response to system-wide challenges highlighting a fragmented and confusing system. Signposting information was available, but only by referral, and services held varying referral criteria—individuals could be known to multiple services for similar supports while others in need were left unsupported. This fragmentation created clear risks to clients, including delays in accessing support, increased likelihood of deterioration while waiting for help and the potential for vulnerable people to fall through gaps between services. In response, Connect North was created to integrate and streamline services into one coordinated model, reduce duplication, improve access to community-based support and empower individuals to access support earlier through better information and self-service options. We support adults to address social, practical or emotional issues through a publicly available online directory of services, accessible signposting or via referral to our link worker service for more tailored support. How did you involve patients in co-designing Connect North? Connect North actively engaged with clients and carers at every stage; from review of services to identifying problems, shaping the service model and co-producing resources, to ongoing evaluation. Their needs form the anchoring principles of the Connect North model, service and improvements. What is social prescribing and what are the benefits to patients? Social prescribing is a holistic, person-centred and community‑based approach, which recognises that non-medical health-related social needs—for example, work, money, housing problems, the challenges of managing long-term conditions or feeling lonely or isolated—are just as important to our health and wellbeing as our physical health needs. Social prescribing connects people to activities, groups and services in their community to meet the practical, social and emotional needs affecting their health and wellbeing. It can lead to better mental wellbeing, stronger social connections, improved self‑management of long‑term conditions, greater empowerment and control, and reduced reliance on traditional healthcare services. You mention long-term conditions; can you give an example of how Connect North can help a patient with a long-term condition? I’ll use a diagnosis of dementia as an example here. The impact of this diagnosis on the person and their care circle can be overwhelming, leaving many unsure where to turn for help or feeling alone. Without timely and coordinated support, this uncertainty can lead to increased carer stress, social isolation, delayed access to services and a higher risk of crisis situations developing. Connect North provides personalised, early support to guide people through this difficult time. Clients are offered a one-to-one appointment with a dedicated link worker who takes time to assess and understand their needs, concerns and what matters most to them, before connecting them to services and activities to improve their wellbeing. To speed up connection and reduce misconnections between those who need help and support to those who provide it, we set-up our Community Appointment Days (CADs). CADs enable clients with dementia and their carers to connect directly with a wide range of support within a single appointment. Can you tell me more about the Community Appointment Day? The aim of our Community Appointment Day (CAD) is to make things simpler, faster and less stressful, helping people with dementia and their care circle feel informed, supported and more confident about the future. Immediately following a personalised assessment and care planning appointment with their link worker, clients and their carers are directly introduced to services who can support their needs, within the same appointment. Delays and misconnections to these services are completely eliminated and we use our own service data to ensure relevant statutory, community and voluntary sector organisations are represented for maximum impact. Support services invited typically include those who provide carer support, dementia-specific information, benefits advice, personal and home safety information, and those hosting local groups and activities to improve social connectivity. Another important feature of our CADs is that they are hosted in accessible, non-clinical community venues. At each event we create a relaxed and warm environment enabling positive engagements. Every conversation is purposeful and led by the pace of each client and their carer. Clients and carers can attend together or separately as they require, and we encourage regular breaks throughout with refreshments provided. At the end of the appointment, each client/carer is provided with a clear, easy to understand record of their conversations and connections made on the day supporting recall and follow-up. What were the outcomes and how has it benefited the community? Our CADs make dementia support for our clients and their carers timelier and more effective while also improving how local services work together as an integrated system. Providing multi-agency care and support via a single appointment reduces referral administration and delays/misconnection to care provision. Evidence indicates increased uptake of support at an earlier stage, improved coordination between services and reduced duplication of referrals, contributing to a more responsive system. It also alleviates the burden of responsibility experienced by clients and their carers to navigate complex systems, connect with services and coordinate multiple appointments. We consistently find that more people are accessing and taking up support earlier. This earlier engagement is critical in preventing deterioration and reducing the likelihood of crisis developing. From a system where people frequently felt on their own with no help and support, to our CADs which offer direct and coordinated care within a single appointment, the client experience is far improved: “This has completely changed our whole outlook, we are so much more positive about the future.” “We had no idea so much help and support was available.” “I can’t believe the tenderness of it all—it’s been wonderful.” Co-delivery partners find the CAD and our targeted approach to service delivery around the client to be a more effective use of their time, generating appropriate referrals more efficiently. They also enjoy the opportunity to network, share learning and connect meaningfully with clients and carers to make a positive impact to their health and wellbeing following a diagnosis of dementia. What advice would you give others wanting to set up something similar in their community or region? Bring the system to the person, not the person to the system. A CAD requires targeted planning based on needs. While strong partnerships and continuous improvement are essential for any event, a CAD specifically requires data-driven planning and effective organisation to deliver a streamlined and personalised appointment with a clear focus on the reality of client and carer needs and experiences. Application of good health literacy principles in practice is essential at all stages and support needs to be timely, coordinated and always centred around the needs of the individual. What are your next goals and plans for the future? The future focus for Connect North is on sustaining and refining our CAD model, ensuring it remains efficient, person-centred and adaptable, while extending its benefits to more people and, potentially, other areas of care through sharing learning, resources and good practice. In the NHSCT, we are particularly interested in how this model can be adapted to support other population groups and conditions. We will continue to collect and share our own service data and outcomes with partners and stakeholders to support further improvements, ensuring our service remains targeted, efficient and responsive to need. Are you doing something similar in your community? We would love to hear about it and share on the hub. Email [email protected] or comment below (you need to be a hub member and signed in).- Posted
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News Article
First ‘neighbourhood contract’ links GP income to A&E attendances
Patient Safety Learning posted a news article in News
Some £1.7m of primary care revenue will be tied to A&E attendances from next year, under a first-of-its-kind “neighbourhood” contract deal. Kent and Medway Integrated Care Board has agreed the first local variations to the national primary care network contract with Kent Local Medical Committee. It is understood to be the only local change to PCN contracts signed off so far by NHS England, under freedoms just introduced by the national body. The ICB said the deal will “support general practice to lead new single neighbourhood arrangements”. The national “single neighbourhood provider” contract promised in the 10-Year Health Plan is yet to be launched. K&M ICB said the changes to the PCN contract – known as the PCN direct enhanced service – would begin in July and be worth £10.1m in 2026-27. The full-year funding will be £13.5m – with £9.9m coming from underspends in its primary care budget, and £3.6m from existing “local enhanced services” already commissioned by the ICB from GP practices. The K&M contract will require PCNs to focus on about 92,000 people across the ICB area who have the most complex care needs, including care home residents, people on palliative care registers, and housebound patients with severe frailty. GP practices will have to provide proactive interventions such as advance care planning discussions, comprehensive geriatric assessments and structured medication reviews. Read full story (paywalled) Source: HSJ, 10 June 2026- Posted
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Content Article
The term ‘neighbourhood’ when used in reference to health and care, often suggests a collective, cross-sector and/or community approach. A recent Digital Care Hub webinar investigated the latest updates connected to the NHS / DHSC’s Neighbourhood Heath Policy, what it might mean for adult social care providers, and what’s needed to unlock the digital systems and processes that will help make it a reality. If you missed it, the webinar can be viewed below.- Posted
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News Article
ICBs facing clash between PCNs and neighbourhood health
Patient Safety Learning posted a news article in News
Dozens of primary care networks in some areas may need to be reorganised to take on neighbourhood contracts, because they do not cover a coherent geographic area. Of 1,210 multipractice primary care networks nationally, between 166 and 392 (14% to 32%) have member GP practices that are intermingled with others, and/or do not serve a single joined-up area, HSJ analysis has found. They make up 900-2,000 of the 6,100 total practices nationally. Five integrated care board areas – mainly in London and inner West Midlands – are particularly affected, with more than half of PCNs not serving a single joined-up patch (see below). The pattern reflects how PCNs were formed in 2019. GPs were allowed to determine networks, with little challenge from NHS England. Many were decided based on factors such as pre-existing practice relationships or common working methods. In contrast, ICBs and councils have set boundaries for neighbourhood teams largely based on municipal or other natural boundaries. For now, ICBs are mainly working around the mismatch with PCNs. In urban areas, they have set “neighbourhood” or “locality” footprints with large populations, which they say will function with multiple intermingled PCNs within them. Read full story Source: HSJ, 28 May 2026 -
News Article
NHSE project to put FDP into primary care
Patient Safety Learning posted a news article in News
NHS England is exploring how to push the federated data platform into primary and community care. A document seen by HSJ reveals the FDP, of which controversial US firm Palantir is the main contractor, was last month being scoped for use in integrated neighbourhood teams. Shifting care to the community is one of the government’s priorities for the health service. It said the “minimum viable product capabilities that address user challenges and are technically feasible to build” were: A triage patient list to prioritise patient by urgency, complexity or eligibility for interventions Tracking and coordinating tool to “assign and track actions with explicit ownership and escalation routes, supported by targeted alerts” Tool to monitor patient outcomes. This would “compare patient progress to baseline and intervention goals and iterate model of care” The British Medical Association last year called for the NHS to move to a publicly owned alternative to Palantir. Asked about the move to involve the FDP in neighbourhood health, a BMA spokesman said: “It is essential that patients can trust that their data is safe and being used responsibly by institutions across the NHS. “To have that trust, patients need confidence not only in the technical safeguards but also in the regulations governing these organisations. If that trust is eroded, there is a real risk that patients who fear their personal health information may be misused could delay seeking care, withhold important information from clinicians, or avoid engaging with vital services altogether." Read full story (paywalled) Source: HSJ, 27 May 2026- Posted
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Event
untilNeighbourhood is the big buzzword at the moment in the health and care system. This is driven largely by the government’s vision of creating a ‘Neighbourhood Health Service’ - outlined in the 10 Year Health Plan, aiming to help people to live well in their local areas and reduce the need for care delivered in hospitals. Despite this newfound enthusiasm for neighbourhoods, neighbourhood health has actually existed long before the current use of it, often referred to as integrated care or place-based working. Within the context of potentially changing national policies and funding cuts to the very structures that can help enable neighbourhood health how can the enthusiasm for neighbourhoods match up to the reality on the ground? This King's Fund event will tackle the conceptual ambiguity around neighbourhood health with a people-first, community-led focus that enables the NHS, the voluntary sector, other public services and communities to work together as equal partners to keep people happy and healthy where they live. Join for interactive workshops, panel debates, keynote talks and case studies from people already making it work. Let’s shift the dial on improving population health and creating a neighbourhood health service that works for us all. Sessions will explore: what is a people-first approach to neighbourhood health and why it matters examples of innovative and creative approaches to neighbourhood working that put the needs of people first overcoming barriers to true neighbourhood health, including habits and behaviours, and expectations from national bodies international approaches to neighbourhood – what’s worked and what hasn’t why thinking beyond traditional transactional contracts and breaking organisational siloes is key to enabling people-first neighbourhood health. Register- Posted
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News Article
Neighbourhood plans ‘in danger’, says top five trust leader
Patient Safety Learning posted a news article in News
The government’s neighbourhood health agenda is “in danger of not happening” amid a lack of clarity over governance structures and funding, the chair of England’s fourth-largest trust has claimed. Ian Jacobs, who chairs the £2bn Barts Health Trust, said his organisation was committed to the development of neighbourhood health services. However, he added that the work was “dependent on goodwill” from staff and partners and lacked a ”real structure to support it”. His comments came at a public Barts Health board meeting during a discussion over how the trust will implement the national Neighbourhood Health Framework published in March. The guidance set a number of targets for shifting acute care to the community, including that GPs must see 90% of clinically urgent patients on the same day by March 2027. Professor Jacobs said: “It feels at the moment it’s dependent on goodwill and people setting up forums. It doesn’t seem very strong on structure that will ensure operational delivery… If there’s no formal structure, it’s in danger of being something that’s nice which disappears in a few years.” He added: “The risk is that this is a nice idea which we’re all committed to, but unless there’s real structure that support it, it’s in danger of not happening.” Read full story (paywalled) Source: HSJ, 20 May 2026 -
Event
untilUKAuthority’s flagship virtual conference returns in May 2026 to unite NHS, local government, social care and trusted suppliers around the practical delivery of integrated, neighbourhood based care. The NHS 10 year plan is now in its delivery phase, with new planning and commissioning frameworks that explicitly depend on partnership with local authorities and joined up data across health and social care. This conference is designed to support the people doing the work: adult social care, public health, NHS and ICB leaders, digital and transformation leaders, commissioners and information governance leads, and the innovators building capability on the ground. We will focus on the three end-to-end shifts: From hospital to community: what does 'neighbourhood health at pace' mean in practice, and how do integrated neighbourhood teams, intermediate care, reablement, virtual wards and housing linked pathways work as one system, not separate programmes? From analogue to digital: the NHS App is being positioned as a digital by default operating model for access, triage, planned care pathways and prevention. How do we make the digital front door work for citizens, professionals and carers, while avoiding digital exclusion and creating real capacity release rather than extra demand? From sickness to prevention: strategic commissioning is being reframed around linked, re identifiable person level data and neighbourhood level insight. How will systems target proactive support to the cohorts most likely to need it, and how do we measure impact in ways that are meaningful to both NHS and local government? And the enabling reality: Social care digitisation is accelerating, alongside work on the bridging Social Care Interoperability Platform. Meanwhile the Better Care Fund and shared records programmes are moving into cross organisational boundary sharing. What can be delivered credibly in 2026, and what must be put in place now to make single record ambitions achievable later? Join policy makers, technology leaders, and innovators driving the delivery of the NHS 10 year plan to deliver the three key, end-to-end shifts, and explore where AI, digital, data and technology has a vital role to play in the integration of health and social care. Register- Posted
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10 Year Health Plan – one year on
Patient Safety Learning posted an event in Community Calendar
untilMore than a year on after its publication, the focus has shifted from ambition to action. What does it really look like to turn the plan into reality? What challenges have emerged, where have leaders found ways through and what does this early progress tell us about what comes next? At the centre of the plan are three shifts – moving care from hospitals to local communities, preventing illness not just treating it, and realising the potential of digital technology. But what do the shifts actually mean in practice for those working locally and a year on does it feel any different for staff, patients and communities? Join the King's Fund to take stock of progress a year on, explore what still needs to happen and look ahead to what will be possible if the ambitions of the 10 Year Health Plan are brought to life. Sessions will explore: what progress has been made a year on changes in the policy landscape over the past year what the shifts mean for the experience on the ground for staff, people and communities the tension leaders face between balancing delivering the plan and other priorities what the future of ‘patient power’ can and should look like how leaders can unlock their agency to drive change how local systems have been delivering the three shifts and how to take this further what is possible if the plan is fully realised. Register- Posted
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The 10 Year Health Plan sets out an ambition to build a truly modern NHS that delivers better treatment for patients and better value for taxpayers. To realise this vision, we must deliver services in new ways that better meet patients’ needs, and provide care as close to home as possible, in a way that is most convenient for them and gives them what they need when they need it. As set out in the Neighbourhood Health Framework, this will mean improving routine healthcare services, moving to a more proactive care model for people with multiple long-term conditions and delivering better alternatives to hospital care. Commissioning reform and development will support integrated care boards (ICBs) to become more expert strategic commissioners, moving to a population health approach that aligns incentives, reduces fragmentation and addresses the imbalance of resources. Commissioners will increasingly use population-based contract models to enable providers to work together to deliver joined-up care. Delivering this vision does not require disruptive organisational change. This publication sets out new population health delivery models to facilitate this change, supporting ICBs to commission providers around the needs of defined populations. ICBs – working with partners, including local authorities and health and wellbeing boards – will agree neighbourhood footprints that form clearly defined populations. Single neighbourhood, multi-neighbourhood and integrated health organisation contracts will be commissioned around these populations. Single neighbourhood providers (SNPs) will deliver services, through integrated neighbourhood teams, within a defined single neighbourhood, enabling primary care to take on new neighbourhood services that are not contracted through today’s general practice contracts – General Medical Services (GMS), Personal Medical Services (PMS) or Alternative Provider Medical Services (APMS) – which will continue to be determined nationally and commissioned locally. Multi-neighbourhood providers (MNPs) will co-ordinate the consistent delivery of services across multiple neighbourhoods. This may include delivering services directly at a larger scale than a neighbourhood or by ‘filling in’ services where an SNP is not willing or able to. Integrated health organisation (IHO) contracts will give providers a whole population health budget for a geographically defined population, underpinned by a contract. The model will empower highly capable providers to lead change through their understanding of local population need, knowledge of activity and costs, and ability to engage frontline clinicians in service redesign. IHOs will undo needless NHS fragmentation and create incentives to invest in community-based preventative care.- Posted
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How do you create a strong foundation of primary and community care in neighbourhoods? The King's Fund brought together senior leaders from across health and care in England and Singapore to discuss the shift to population health, prevention and neighbourhood-based health and care.- Posted
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News Article
GP upgrades ‘stuck in layers of approval’
Patient Safety Learning posted a news article in News
A string of bureaucratic barriers are still holding up development of buildings for primary and community care, multiple NHS and industry organisations have warned. Concerns were raised in written evidence to the health and social care committee’s ongoing inquiry into what is needed from the NHS estate to deliver the government’s vision of a neighbourhood health service. Primary Health Properties PLC, the UK’s largest primary care property investor, said it has 19 planned developments of new health centres and around 20 upgrades to existing buildings serving more than 500,000 patients that are “currently stuck due to challenges with local NHS decision-making and agreeing a viable rent”. Rugby Primary Care Network also said the “health on the high street” concept had “completely stalled” in Rugby and was “costing thousands due to acquisition from private landlords”. Warwickshire District Council, meanwhile, said local community estate, including GP surgeries, was “antiquated and out of date”, adding: “What you have got for the most part isn’t good enough to do the job.” NHS organisations and industry sources have raised concerns in recent years over barriers to upgrading primary care premises. HSJ reported how debate over rent prices was contributing to an “untenable stalemate” back in 2024. The government is now seeking to develop and expand hundreds of primary and community facilities to create “neighbourhood health centres”, with some funded publicly and some by a new private finance programme. It issued guidance last week that asked ICBs to set out their planned schemes. Read full story Source: HSJ, 23 April 2026- Posted
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Letter from Sir James Mackey, Chief Executive, NHS England covering priorities and a look ahead for the new financial year. Key points Outpatient transformation – shifting away from traditional outpatient models through a major expansion of Advice and Guidance and a reduction in unnecessary follow‑ups. A step‑change in reducing hospital bed‑days for highest‑risk cohorts – with neighbourhoods playing a central role in implementing proactive care models for high‑risk groups. Scheduling and access reform for urgent care – making it easier for patients to book urgent care appointments in GP practices, urgent treatment centres, or other appropriate settings, reducing avoidable ED attendances. Technology‑enabled productivity improvements – expanding the deployment of Ambient Voice Technology and a suite of tools to improve theatre utilisation, discharge flow, RTT validation, community waiting lists, Advice and Guidance, electronic prescribing in all trusts, and crisis response. The NHS App – accelerating efforts to expand the role of the App as the digital front door into the NHS, supporting more convenient and effective triage and navigation for patients. Payment reform – realigning the payment system to the service changes you are seeking to deliver, including new payment models for urgent and emergency care. Quality – putting quality back at the heart of everything we do, including the publication of a new quality strategy, the development of modern service frameworks focused on cardiovascular disease, sepsis, serious mental illness, frailty and dementia, children and young people, and palliative and end-of-life care, and testing new delivery models for secondary prevention to tackle variations in the uptake of high-impact CVD and diabetes interventions. Capability building and a focus on our people – launching the new Leadership College, which will be the most radical change to leadership development and talent management that the NHS has seen in over a decade.- Posted
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News Article
NHSE sets requirements for neighbourhood health centres
Patient Safety Learning posted a news article in News
A building can be designated a “neighbourhood health centre” (NHC) without offering mental health services, urgent or minor-injuries care, diagnostics or an on-site pharmacy, as determined by NHS England criteria published this week. Guidance issued by NHSE set the minimum threshold for a building to qualify as an NHC at two functions: an on-site general practice and a community health or integrated neighbourhood team presence. Centres must be open at least 12 hours a day, six days a week. All other services commonly associated with a “one-stop shop” health centre appear only in the larger tiers of the accompanying design specification, or are not required at any tier. The specification sets out three tiers of NHCs. It notes, however, that: “The precise mix of complementary services, including diagnostics and other hospital-to-community functions, will vary by place according to local need and the wider service model.” In relation to NHC’s mental health services, the guidance says it “focuses on primary care‑led and early intervention support, closely integrated with GP services”, meaning “community-based mental health centres complement, rather than replace, NHCs”. Read full story (paywalled) Source: HSJ, 15 April 2026- Posted
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Neighbourhood health centres (NHCs) support the NHS shift towards prevention, early intervention and more integrated care delivered closer to home. The Neighbourhood health centre guidance for regions and integrated care boards sets out the practical planning instructions for developing NHCs in the current planning period. The Neighbourhood health centres: design and performance specification supports the planning and delivery of new‑build neighbourhood health centres.- Posted
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It is a revolution that might just save the NHS – and the high street. Imagine being able to have your eyes tested, mole examined or get an appointment with a consultant without going to your local hospital – and maybe fit in some shopping or a cinema visit afterwards. That, increasingly, is what people in Barnsley are doing after an unprecedented relocation of medical services from the district general hospital into a purpose-built outpatients centre in the Alhambra shopping centre, which is getting a new lease of life thanks to the experiment. Those involved say the initiative – the first of its kind in the NHS – is trailblazing and revolutionary. After a recent visit, Wes Streeting, the health secretary, described it as “really inspiring”. He said: “What we’re seeing right here in the heart of Barnsley town centre is the future of the NHS.” The outpatients centre has been created as a result of a collaboration between Barnsley hospital NHS foundation trust and the town’s Labour-run council. Hundreds of people a week are visiting it to have tests or treatment, including minor operations,for example to treat cataracts, blocked tear ducts or ingrowing eyelashes. Soon the number will rise to 1,000 or more. It gives patients easier access to a range of non-urgent services than at the hospital on the town’s outskirts, where parking is limited. Through the extra footfall it is generating, it is also boosting custom for shops, cafes, restaurants and leisure facilities. “It’s about having your mammogram while your husband wanders around at Sports Direct, or meeting your friend for a coffee after a dermatology appointment where someone looked at your rash,” says Michael Brown, the architect who designed the new facility. The outpatient centre’s location is proving a hit with patients, partly because it is a quick walk from the bus and rail station, says Alan Heathcote, Barnsley hospital’s project manager. “Patient feedback has been very positive. And the themes are consistent: easier access, a better location, less walking, shorter waits and no need to battle for hospital parking”, he says. Parking near the Alhambra is plentiful and cheap. The experience of the CDC so far suggests that offering care in a town centre location has helped to reduce “DNAs” – patients who don’t show up – by 24%. Read full story Source: The Guardian, 16 April 2026- Posted
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The government has published its much-awaited Neighbourhood Health Framework. It sets out in new detail what neighbourhood health aims to do and how this will be achieved, building on the 10 Year Health Plan, the Neighbourhood health guidelines 2025/26 and the Medium Term Planning Framework. The framework describes neighbourhood health as putting the person at the centre of how local services are organised and delivered – including GP and community services, urgent care and outpatients, as well as services commissioned by local authorities such as social care and public health. The new guidance brings some long-awaited clarity to commissioners and providers about what neighbourhood health should deliver. There is much to welcome. But questions remain around whether targets can ease pressures on the acute sector as well as improve patient care and experience; whether focus can be maintained on long term population health priorities among a plethora of specific shorter term delivery goals; whether permissiveness in designing local services and rigid structures can coexist; and, fundamentally, whether integrated care boards (ICBs) and other organisations have the capacity to action it all. In this King's Fund article, experts set out their more detailed analysis of the framework. They consider the parts to celebrate, the aspects that raise some concerns, what’s missing, and the questions that remain outstanding.- Posted
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Communities to benefit from health centres on their doorstep
Patient Safety Learning posted a news article in News
Tens of thousands of patients in England will benefit from improved healthcare on their doorstep, as the government rolls out the first 27 neighbourhood health centres – bringing more services into the community. Once completed, patients will immediately be able to access a greater range of health services from these centres - all under one roof and closer to their homes - including include urgent treatment, GP and pharmacy services. The 27 will be open by 2027 and are the first of 50 neighbourhood health centres backed by a total of £200 million in government investment to upgrade existing buildings. In total the government has pledged to open 250 by 2036, with the first 120 open by 2030. Neighbourhood health services will benefit patients by providing end-to-end care and tailored support, looking beyond the condition at wider causes of health issues to the specific individual, helping avoid unnecessary trips to hospital, prevent complications and end the frustration of being passed around the system. This will have particular benefits for people with complex conditions, such as those at the end of their lives. A range of services under one roof will mean more conditions can be treated swiftly locally - allowing people to talk through their health conditions as well as their lifestyle and quality of life and any other relevant contributing factors, enabling a rapid referral to the appropriate care and support where this is needed. Read press release Source: Department of Health and Social Care, 26 March 2026 -
News Article
DHSC sets first targets for neighbourhood health
Patient Safety Learning posted a news article in News
The first targets for neighbourhood health have been set in long-awaited government guidance. The neighbourhood health framework, published on Tuesday afternoon, gives several national targets related to GP, elective outpatient and community services. They include: At least 25% diversion rate from outpatient referrals through “single points of access” in at least 10 high‑volume specialties by next March; Reduce secondary care outpatient follow-up appointments by at least 10% by next March; A 10% reduction in acute outpatient appointments for under‑16s by March 2029; A new target date of March next year for GPs to see 90% of clinically urgent patients the same day – an objective first announced last autumn; A 10% reduction in non‑elective admissions and bed days for people with mid to severe frailty, care home residents and housebound patients by March 2029; A 10% increase in people identified as approaching end of life and a 10% reduction in their non‑elective admissions and bed days by March 2029; At least a 10% improvement in evidence‑based clinical outcomes for people with CVD, diabetes, COPD, mental health conditions and dementia; and A 10% cent increase in patients with diabetes receiving all eight recommended care‑process elements. In addition, the framework says that each area – “through” health and wellbeing boards – should agree local priorities and measures, which are likely to focus more on prevention and wider public services. Read full story (paywalled) Source: HSJ, 17 March 2026- Posted
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Content Article
The 10 Year Health Plan for England envisions a major shift from hospital to community, towards the creation of a Neighbourhood Health Service. This is intended to bring care into local communities, convene professionals into patient-centred teams and end fragmentation. This policy paper, published by the Department of Health and Social Care, sets out how Integrated Care Boards (ICBs), local authorities, health and wellbeing boards and other partners should create and deliver neighbourhood health services. Neighbourhood health puts the person at the centre of how we deliver their health and care by organising services so they can work together to serve a defined population. This policy paper describes the aims of this approach as follows: Improve people’s health and care outcomes, reduce health inequalities and help them stay well at home This will be done by: focusing on prevention and proactive care management, including using data to effectively manage risk and prevent escalation strengthening primary and community services working better with specialists traditionally based in hospitals, public health, adult and children’s social care, VCSEs and other partners. Organise services around the person with more convenient, personalised and joined-up care Orientate services around a person’s needs, rather than organisational convenience. A strong digital approach will be critical to this. This includes: improving access to care (by phone, online or in person) moving more outpatient care from hospitals into neighbourhoods improving continuity of care for those with longer-term needs more effectively co-ordinating services for those with the most complex needs, for example, those at end of life. Reduce pressure on more acute services - including hospitals and care homes This will be done by: using effective neighbourhood working to decrease avoidable hospital admissions or attendances and facilitate timely discharge reducing the de-conditioning that happens to many people when they spend time in hospital reducing avoidable care home admissions ensuring acute services are focused on those who need them most. Cut waste and duplication This will be done by: integrating services across health, local government and wider partners making full use of digital opportunities ensuring the NHS is more sustainable.- Posted
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Content Article
This long-read from Macmillan Cancer Support explores what it truly takes to shift from rhetoric to reality when it comes to a neighbourhood health service. This article includes sections titled: Inside the shift toward community centred care in England and what is needed to make it work. What is the vision for a neighbourhood health service in England? What might this vision of neighbourhood health mean in practice? What's needed to make this vision of a neighbourhood health service work? Conclusion - going forward with neighbourhood health- Posted
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News Article
NHS England is worried about the “rigour of management” of neighbourhoods, its chair has said. Asked to summarise progress on neighbourhoods and what aspects needed most attention, Penny Dash told a conference on Wednesday: “The bit we worry about is, actually, management. “Because quite a lot of [neighbourhood health] still feels that it’s great people doing great work, but it hasn’t got quite that rigour of the management behind it that you might want to see.” Dr Dash also said she was concerned the health service was “still slightly struggling to create this impetus and momentum” to fulfil the ambitions of the 10-Year Health Plan. She stressed that progress needs to be made “now”, “not least because the science is here now”, referencing things like genomics. “There’s an awful lot happening in the live world of healthcare that we need to bottle and keep the momentum up on that,” she said. Read full story (paywalled) Source: HSJ, 13 February 2026 -
News Article
No neighbourhood provider contracts for another year
Patient Safety Learning posted a news article in News
None of the neighbourhood contracts proposed in the 10-Year Health Plan will go live until at least April 2027, HSJ understands. A “model neighbourhood” document is still due to be published this month, asking local organisations to continue the planning and development of neighbourhood health. However, anticipated details of the new contracts will not be published until at least the summer. Officials have now decided they need to hold a public consultation on the purpose of single neighbourhood provider (SNP) and multiple neighbourhood provider (MNP) contracts. After that has taken place, findings will feed into development of future annual GP contracts and NHS standard contract. The very earliest they could be implemented is 2027-28. No firm timeline had been promised before, but many of those involved had expected quicker progress, and the 10-Year Health Plan said: “We will introduce two new contracts, with rollout beginning next year.” Earlier draft proposals had suggested SNPs may go live from April this year, HSJ understands. The publication of the model neighbourhood, and details of how SNPs, MNPs and integrated health organisations will work together, have been subject to several months of delays as government struggled to agree the details. Read full story (paywalled) Source: HSJ, 12 February 2026 -
News Article
Twelve key takeaways from Labour’s 10-year NHS plan
Patient Safety Learning posted a news article in News
The 10-year NHS plan aims to make healthcare more digital, focus on preventing ill health and provide more services locally, rather than in hospitals. It will greatly expand the NHS app and increase the use of AI and other technology. Structural changes aim to bring routine healthcare closer to patients, with the aim that most outpatient care will happen outside hospitals, while new neighbourhood health centres will provide most services so that acute hospitals can focus on looking after the most unwell. The main measures include: 1. NHS app becoming a “doctor” in patients’ pockets 2. Patient league tables from this summer 3. Integrated digital patient records 4. Patients referring themselves for hearing tests, counselling, podiatry and back pain 5. Digitised “red book” system of recording baby and child health records 6. Greater use of AI and genomic sequencing and free wearable devices in some areas 7. One million people being offered a personal health budget by 2030, with everyone eligible by 2035 8. Community health hubs providing a “one-stop shop” for integrated care 9. Treatment targets brought back and promises to end “corridor care” 10. Specialist mental health emergency departments 11. Expanded access to weight loss jabs and anti-obesity measures 12. More NHS staff Read full story Source: The Guardian, 3 July 2025- Posted
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