Question to the Department of Health and Social Care:

To ask His Majesty's Government, further to the remarks of the Secretary of State for Health and Social Care that the Government would build “250 to 300 new neighbourhood health centres” (HC Deb col 449), and further to the statement on page 32 of the NHS's 10 Year Plan for England: fit for the future that a neighbourhood would consist of 50,000 people, how they will ensure that all 57 million people in England will be covered by a neighbourhood health centre.

The geography of neighbourhoods should be determined locally by integrated care boards in partnership with their strategic partners, particularly local authorities. The Government aims to establish a Neighbourhood Health Centre in every community as we shift from hospital to community. Nationwide coverage will take time, but we will start in areas with the greatest need, for instance where healthy life expectancy is lowest, including coastal towns and communities with higher deprivation levels. Wherever possible, we will maximise value for money by repurposing poorly used, existing National Health Service and public sector estates. The Department is also currently writing a business case on Public Private Partnerships for Neighbourhood Health Centres for review as part of the Autumn Budget.

The Neighbourhood Health Service will embody our new preventative principle that care should happen as locally as it can, digitally by default, in a patient’s home if possible, in a Neighbourhood Health Centre when needed, and only in a hospital if necessary. The Neighbourhood Health Service will mean millions of patients are treated and cared for closer to home by new teams of professionals. We have launched the National Neighbourhood Health Implementation Programme to support systems across the country to test new ways of working, share learning, and scale what works. This programme will inform future strategy and policy development, and outcome metrics will be rigorously monitored.

To support neighbourhood health, we will introduce two new contracts, with roll-out beginning next year, one of which will create neighbourhood providers that deliver enhanced services for groups with similar needs over a footprint of approximately 50,000 people. In many areas, existing groups of general practices will be well placed to take on these contracts.