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A bright future for community care

We know our health service needs to change, says Crystal Oldman.

We know our health service needs to change. The demographic profile and health needs of the UK population are rapidly changing and a broader view of integrated health and social care is urgently required.

The Five Year Forward View has given us a vision of what services will look like in England. When it was first published, I was advised that there were some primary care providers that had already embraced radical new ways of working.

I was delighted therefore to have the opportunity to visit the Bromley-By-Bow Centre, along with George Plumptre, the chief executive of the National Gardens Scheme, to see at first hand a very different approach to meeting the health needs of the local community.

I arrived 30 minutes early and, being a community nurse, took the chance to walk around the area to get a sense of the neighbourhood – its housing, schools, nurseries, cafés, shops, services, transport, parks and local businesses.

I walked past hundreds of flats in low and high rise blocks, boarded up small shops, a derelict church and no green spaces at all between them.

It gave me a real understanding of the context of the development of the centre, as I entered through the wonderful archway adorned by a wisteria in full bloom.

We met with Sir Sam Everington – GP and chair of Tower Hamlets CCG and adviser on new models of care to NHS England. Sam was an inspiration to speak with and he is a living example of how teams of professionals can work together to change our whole approach to improving health outcomes, through partnering with the local community.

The centre includes a tree-lined public park which has been landscaped to meet the needs of children and older people, a play area, an allotment and a garden. There is a vegetarian café for the community, a pottery and several rooms for members of the community to engage with learning events and skills development. I almost forgot to mention there are consulting rooms too for the multidisciplinary team, in addition to the most welcoming atmosphere I have ever experienced.

The improved health outcomes for the community are outstanding. If this is the vision for healthcare in England, we have a very bright future.