Buildings are just things, right?
Bricks, mortar, steel – they’re the physical boxes in which we live, work, eat and play. For our health service, they’re the places where we go for our care: no more, no less. Fundamental to delivery, yes, but so often the unseen piece of the puzzle.
Yet at a time of year when the backlog of maintenance (the leaky roof, the windows letting in cold draughts, a lift being unreliable, the flooring which is worn), unfit buildings and the pure lack of physical space in some GP surgery and hospital premises rub salt into the wounds of working through winter pressures, perhaps it’s time to think of buildings differently. They are the silent partner of the NHS, but can say so much to patients, and so much about the services they accommodate.
This year, we’re trying to dig deeper into the role of primary care buildings as places to connect us with things which can help us live more healthily. The services which don’t need a GP appointment, but which are increasingly being looked to as a way to ease pressure on doctors and their teams. Whether you call them local community projects or social prescribing schemes, they are services which some practices in our buildings have been working with for years. Where they have the space to do so, practices work with these projects under the same roof.
How are those relationships strengthened by the ability to share space? Can we measure the benefit for patients when debt advice, the chance for a cuppa with a friendly listener, a group session with a diabetes charity or the meeting point for a community walking group are all just up the corridor from the GP?
As the government’s pilots of social prescribing move forward and the ten year plan puts primary and community health firmly front and centre, we want to build a better understanding of how primary care premises can support growth in this approach, and of the connections which GPs are building with local projects to support health. For us, the starting point is talking to practices in our buildings about the schemes which are making a difference for their patients. As we learn about those schemes, we’ll be exploring how our buildings can help forge and deepen those connections. Technology will play a huge part in linking up patients with these services, but when it comes to health, place will never be completely replaced. It’s another reason why for the NHS, buildings are much more than their bricks, mortar and steel.
Claire Rick, Head of Public Affairs