Strategy Unit Neighbourhood Insights session — notes

What can the NHS learn from neighbourhood working in other policy areas?Intro / framingNHS is developing neighbourhood healthThere's a long, rich tradition of neighbourhood working in other policy areas to draw on (New Deal for Communities, neighbourhood renewal, Pride in Place, Big Local, Independent Commission on Neighbourhoods)James Plunkett has been invited to talk about thisTwo conceptions of "neighbourhood"Neighbourhood as site of deliveryA more localised health service, smaller unit, closer to people, but the model is essentially unchanged. Service remains primary.Neighbourhood as community in the leadCommunities of people put in charge of their own health - system becomes relational infrastructure, an enabler of an empowered, agentic neighbourhoodThe second is much richer, has long history, and is a much bigger ask of NHS instinctsWhy this matters: historical contextOriginal NHS institutions built for technical problems (clean water, railways, acute/communicable illness):…