Neighbourhood and Wellbeing Delivery Alliance Progress Report 2022-23

Strategic Priority 1: Prevention

Our priority outcome: preventing ill health and enabling people to live happier, healthier lives.

152 per 100,000
People under 75 who die from preventable causes

What we offer

To overcome these challenges, and support more people to live well for longer, we’ve prioritised three important projects: 

Thriving Communities

We know some of the most effective improvements in health tackling health inequalities are where GP surgeries work together with their local communities and local council colleagues. This approach works by building relationships with residents in their neighbourhoods, listening to their needs and bringing services to them. 

Our Thriving Communities approach is a collaboration of voluntary, community, faith and social enterprises in Lambeth. They meet to talk about the needs of the communities they represent and discuss ways they can work together to provide support. This could be an event designed with the community, held in a local and accessible venue such as the Health and Wellbeing Hubs (see more under ‘our impact’ below).     

There are currently five Thriving Communities and our objective is to expand them into more areas. The current Thriving Communities are: 

  1. Thriving Stockwell – linked to Beckett House Practice, Binfield Road Practice, Grantham Practice, Springfield Medical Centre, Stockwell Group Practice
  2. Thriving Streatham – linked to Edith Cavell Practice, Streatham High Practice, Palace Road Surgery, Prentis Medical Centre, Streatham Common Group Practice, The Exchange Surgery, The Streatham Hill Group Practice, The Vale Surgery, Valley Road Surgery
  3. Thriving Fiveways – linked to Herne Hill Road Medical Practice, The Corner Surgery, Minet Green Health Practice, Vassall Medical Centre, and Akerman Medical Practice 
  4. Thriving Hills, Brook and Dales – linked to Brixton Hill Group Practice, Herne Hill Group Practice, Knights Hill Surgery, Lambeth Healthcare Practice, North Wood Group Practice, The Deerbrook Surgery
  5. Thriving Norwood – linked to Brockwell Park Surgery, Paxton Green Group Practice, The Old Dairy Health Centre and some HBD General Practices

Building Healthier Communities

The Building Healthier Communities programme is focused on working with residents and local communities at a neighbourhood level to build trust, support better access to health and care, raise awareness and sign-post to a wide range of other services that support wellbeing.  

The key elements of the programme are:   

  • The Lambeth Together Health and Wellbeing Bus which provides free signposting to health services as well as health screening, such as blood pressure checks, to residents around the borough on a walk-in basis  
  • Health and Wellbeing Hubs – these are community-led and includes the Ascension Trust Beacon Project. They deliver a range of support to residents, including access to nutritious food, welfare advice, mental health support and other activities that tackle social isolation and support wellbeing. They’re hosted in trusted settings such as community halls and places of worship. 

High Blood Pressure (hypertension)

It’s estimated that there are around 28,000 Lambeth residents with high blood pressure, but many have not been diagnosed. Inequalities are also observed with residents from the most deprived areas of Lambeth and Black African and Black Caribbean people are less likely to monitor and reduce their high blood pressure.    

estimated number of Lambeth residents with high blood pressure

New community insight

To understand more about how we can improve blood pressure detection and control among our Black African and Black Caribbean residents, we undertook some community research. This involved setting up a patient advisory group to help us understand:    

  • what new approaches are needed to improve access to information and blood pressure management services,  
  • and how to better share blood pressure data between the voluntary and community sector and GPs.   

Our impact

Thriving communities

Since April 2023, there have been six health and wellbeing events run from North Lambeth to Streatham, engaging with hundreds of residents. Events were run in partnership with social prescribing link workers, GP’s, public health and voluntary, community and faith organisations. They included:

  • A Black health and wellbeing event in Streatham, attended by over 300 people,
  • Events on women’s health and chronic pain,
  • An LGBTQ+ lunch,
  • A wellbeing event for the Latin community.

We’ve also provided small grants to local organisations, such as the Lambeth Somali Community Association, to assist in promoting health activities for Somali men. The funding has aided the development of health promotion resources for the community and the provision of blood pressure monitors.

Building Healthier Communities (BHC) Programme

The BHC Programme has engaged many residents, bringing health and wellbeing support directly into communities experiencing greater health disparities via the Lambeth Together Health and Wellbeing Bus and our 13 health and wellbeing hubs, with a further two in development.

The Lambeth Together Health and Wellbeing Bus

Pharmacists stand outside the Lambeth Together Health and Wellbeing Bus
Number of interactions at the Health and Wellbeing Bus between July and December 2023

Public health clinicians have also been piloting a programme on the bus to help more people detect early signs and symptoms of high blood pressure. So far, their impact has been:

blood pressure checks*
people referred to their GP for close monitoring
people given healthy eating advice

*87% were Lambeth residents or work in Lambeth

Case Study: Hills, Brook & Dale PCN Women’s Health Network

The Women’s Health Network run monthly support sessions to engage women in conversation and help them learn more about health and wellbeing support in Lambeth. Coordinated by the Social Prescribing Link Worker Team, their events in the community cover a range of subjects, from healthy eating and pain management to mental wellbeing or cost of living advice.

Social prescribing link workers are based at GP practises across Lambeth. Their role is to help people with practical, social, and emotional needs affecting their health and wellbeing. The Hills, Brook and Dale Link Worker team set up this programme to proactively meet the needs of women in their primary care network, rather than waiting for them to be referred.

They support women to find out about local opportunities such as exercise classes, health education workshops and wellbeing-related activities. They can also access more support from a social prescribing link worker if needed.

Since October 2022, the Women’s Health Network team have hosted 36 sessions, attended by 733 patients, allowing them to impact more people than they would have on a one-to-one basis. This has also enabled some of the most vulnerable women in Lambeth to build their local support network, share and process their experiences, and give one another peer support.

So far, the Women’s Health Network has partnered with 19 community groups, giving patients the chance to find out about these projects and services directly from the people who run them. This has been invaluable in helping more women feel confident going directly to the organisations and joining in with the activities they have on offer.

When asked what they enjoy about the network, the women fed back they liked:

“Finding out about the variety of services offered” 

“Meeting new people” 

“The sessions are thrilling, everyone is enthusiastic and always very practical”

Taking time out from home for myself” 

“Having people to talk to face to face”