Here are three case studies showing how Right Care, Right Here has made a difference. Use the tabs to learn more.
The Tipton area of Sandwell contains some of the most disadvantaged neighbourhoods in England.
Local residents face significant challenges from the cradle to the grave.
At one end of the age spectrum, one in four children at school year six is classified as obese with lack of regular exercise a key contributor. There are higher than average numbers of teenage pregnancies. Smoking during pregnancy and the reluctance of mums to breastfeed are real issues.
At the other end of the age spectrum, while the number of local people dying prematurely from cancers, heart disease and strokes has fallen over the last ten years, life expectancy for both men and women is well below the national average. In some neighbourhoods, life expectancy is the lowest of any area in the West Midlands.
Sandwell’s Public Health team has identified tackling alcohol-related illness, early years and adolescent health, frail elderly care, dementia, long-term conditions and the need for integrated services as key priorities for health and care provision.
The challenge faced by health and care commissioners was to provide local residents with the support they needed to break the hold that health inequality and disadvantage had on their lives. There was a need to widen the range of health and care services that were easily accessible – especially services that gave every child the best possible start in life and that supported people in making vital lifestyle choices.
Two notorious 1960s tower blocks on the Glebefields Estate – Jellicoe House and Beatty House – were finally demolished in 2004.
Find out how health and care commissioners took advantage of the opportunity that the site offered to improve the lives of local residents.
Our Right Care Right Here response
Jellicoe House and Beatty House were local landmarks for all the wrong reasons.
Glebefields Neighbourhood Health Centre, which now occupies the site where the tower blocks stood, has become a local landmark for all the right reasons.
The striking two-storey building was the result of collaboration between Sandwell Primary Care Trust, Sandwell Metropolitan Borough Council and LiftCO, a public/private partnership that designs, funds and builds new public buildings. The scheme represents a £6.5 million investment in improving the range and quality of local health and care services for a patient population of around 35,000.
Glebefields opened in Autumn 2011 and provided a much-needed new home for health visitors, district nurses and school nurses allowing them to become embedded in the communities they serve. Through the range of services that the centre provides under one roof, local people can access services on their doorstep that previously required inconvenient journeys to hospital sites.
The services on offer include:
- GP services
- State of the art dental facilities
- A new community podiatry service
- Speech and language therapy
- District nurses covering the local population
- School nurses covering local schools
- Health visitors
- A minor injuries unit offering an alternative to A&E
- Marie Stopes services including pregnancy advice, HIV and chlamydia screening
- Healthy lifestyle advice and support.
Park Central – on the western fringes of Birmingham city centre – is one of the biggest urban regeneration programmes in Britain.
Just a few years ago, the locality was home to Lee Bank council estate which gained regional and national notoriety for the poor state of its housing and the ferocity of protest demonstrations staged by its residents who branded it “the worst slum in Europe”.
Lee Bank was a classic example of a concrete jungle. As its housing continued to deteriorate, so the health of its residents declined. Around half of all children living locally had asthma. Local residents were five times more likely to commit suicide than the Birmingham average. Life expectancy was amongst the worst in the city.
Over the last decade, more than £260 million has been invested in the area. Decaying 20 storey tower blocks have been demolished. New housing has been created for rent and purchase. Attwood Green now boasts new shopping, a hotel and seven acres of parkland all within a ten minute walk of Birmingham City Centre. Even the name Lee Bank has been consigned to history.
It’s been a dramatic physical, economic and social transformation of the area which has become a neighbourhood where people want to live.
The challenge facing health and care providers was to make their own contribution to Attwood Green’s transformation through improved and expanded services accessible to this new urban village community.
Our Right Care Right Here response
Attwood Green Health Centre was built to replace Colston Health Centre which had served the area since the 1960s.
Jointly commissioned by Heart of Birmingham Teaching Primary Care Trust and South Birmingham Primary Care Trust, the new, six-storey health centre represents an investment of £13 million to serve a patient population of around 16,000 and rising.
The striking building occupies a prominent position on busy Bath Row and was designed to match the locality’s tall urban skyline.
The centre accommodates two GP practices – the Hyman Practice and Bath Row Medical Practice – which relocated from the former Colston Health Centre just 200 yards away.
Attwood Green Health Centre has introduced new health services to the local community – including NHS dentistry.
Health services available from the centre include:
- Family doctors
- Onsite pharmacy
- Dental facilities
- Physiotherapy services
- Hospital outpatient clinics
- Speech and language therapy
- Stop smoking clinic
- Sexual health services.
- Attwood Green is also home to a range of wider primary care teams including district nursing, school nursing and health visitors.
Prime (UK) Developments Ltd, Development Director Julian Kavanagh explained:
Located in the heart of the West Midlands, the Lyng Centre for Health and Social Care is not only an example of the best in flexible, modern healthcare facilities but it has also acted as a catalyst for regeneration and investment.
When built it was one of the largest primary care centres in Britain, the £12 million, five storey building serves more than 16,000 patients, bringing together four GP practices, 12 NHS departments and space for a host of services, including audiology, dentistry and community nursing.
Prime (UK) Developments Ltd oversaw the development of this innovative building, which stands on a previous brownfield site and was home to a former eight-storey concrete framed apartment block with underground car park and was contaminated with Japanese knotweed. Careful planning of the construction site ensured that the demolition process kept 95% of the material onsite to build up the correct ground levels, and avoided the cost and environmental impact of dumping the rubble in landfill. By not shying away from the challenging site, Prime was able to breathe new life into an area which now forms a key part of the town’s housing regeneration.
Designed following a process of careful consultation with patients and staff, the centre is an amalgamation of the skill, hard work and commitment of a number of public and private sector organisations, including the Right Care Right Here programme. The landmark building not only serves as a gateway to West Bromwich but shows how a financially small project can trigger major changes, attacking the determinants of ill-health and kick-starting a £350 million regeneration scheme for the wider area.