There's lots circulating on neighbourhood health at the moment - often about integrated teams, the role of ICBs, provider models (IHOs, neighbourhood providers), funding, contracts, behaviours and collaboration.
‼️ This is all important. But it's incomplete.
?There is a massive opportunity for HWBs to form new relationships with General Practice and PCNs - after all they are described as driving forces in the new plans.
But the reality is that in most areas there is a relationship gap.
✅ If it works, then HWBs could become the place where localised population need, democratic accountability and system delivery finally come together.
A place where HWBs can hold the commissioners feet to the fire.
⚠️ If it doesn't, then we risk building neighbourhood health on foundations they were never designed for.
? Three key tensions are at play: boundaries, outcomes and power.
? It's about who defines, decides and influences...
❓ How is this playing out in your area?
❓How well connected are front-line GPs and PCNs to the work of HWBs?
❓How are outcomes being co-designed in your area?
❓Who is shaping the new neighbourhood boundaries?
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