From Brazil to Westminster: How health pilot is proving a force for good for patients and the NHS
Jessica Ellis is a Chewie. She’s not from a galaxy far, far away but here, right now, working in one of our most deprived communities. To the people she helps, she is a force for good.
We are standing in front of a large block of council flats in Westminster, central London. The entrycom buzzes.
“Hi Mrs Dikir, how are you?” Jessica asks. And then “thank you” as we’re let in and make our way up five flights of stairs.
Inside the flat, in the living room, Mr Jaber Dikir sits on a soft, plush armchair. It has to be comfortable because Mr Dikir spends most of his days sitting here.
“I have a heart problem, I have open heart surgery and now I have heart failure,” Mr Dikir explains. “I have water in my chest and that gives me big trouble to sleep, to breathe,” he adds as he begins to wheeze.
I ask Mr Jaber how Jessica has been able to help him.
“She hears you, she listens to you,” he replies. “She understands everything. She even called the doctor and he gave me permission to stay at home (for my blood tests). That’s really appreciated. I couldn’t walk properly, I couldn’t go to the clinic.”
Jessica is a community health and wellbeing worker (CHWWs). That’s where the nickname comes from.
CHWWs work in small teams, going door to door in some of the most deprived areas of the country.
It’s part of an NHS pilot inspired by a successful programme in Brazil.
A simple but effective intervention
Jessica says her role is “to make life easier”. Mr Dakir, she tells me, is struggling with his mobility. So is organising a designated disabled bay.
“Mr Dakir is struggling to get out to his appointments, and the GP needs a blood test from him. So I was able to speak to the GP and he’s been labelled as temporarily housebound so the district nursing team can come in now and take the bloods for him at home.”
Jessica Ellis works as a community health and wellbeing worker in Westminster
A simple but effective intervention that has a huge impact on Mr Dakir and the NHS.
The project is currently being used in 15 neighbourhoods around the country. In Westminster, there has been a 7% drop in A&E admissions and an 11% reduction in hospital admissions year on year.
There has also been a 47% increase in the likelihood of households having vaccinations, an 82% increase in cancer screenings and a 7.3% drop in unscheduled GP consultations.
Taking community care right to the patient’s door
Dr Melinda Creme is a local GP. Jessica acts as a conduit between Dr Creme and her patients.
Dr Melinda Creme, a GP in Westminster
“We need to look at the costs of what might happen downstream if disease is not picked up earlier, if health inequalities are not addressed sooner, and so there should be potential huge savings down the line.
“It might take five years, 10 years to make a difference and that’s the issue, because obviously governments change within that time.
“But if there’s a long-term lens on this, then we stand a chance of being able to afford a health service free at the point of delivery.”
This is exactly what the government wants, what the NHS wants, to bring care into the community. With this project, they are taking community care right to the patient’s door.
Community health and wellbeing worker Jessica Ellis visits Jaber Dikir, who has a heart condition, at his home
Dr Creme says the days when people would go to their GP and expect their family doctor to look after anybody and everybody about everything are gone.
“We can’t possibly do that. We’re not equipped to do that because the population is expanding and we cannot address all needs.”
Labour’s 10-year health plan set for launch
The government is expected to focus on personalised and community care in its 10-year health plan when it is published on Thursday.
It will look to ease pressure on buckling emergency departments and models like this have shown early signs of good results, but they require time and investment.
Projects like this can help ease the strain on services facing record pressures and tight budgets. They could be a significant part of a wider NHS plan.
The BBC has said it regrets not pulling the live stream of Bob Vylan’s “unacceptable” Glastonbury set – as Ofcom said the broadcaster has “questions to answer”.
The corporation has faced mounting criticism over airing the performance on Glastonbury‘s West Holts Stage, during which the rap-punk duo’s frontman Bobby Vylan led chants of: “Free, free Palestine” and: “Death, death to the IDF (Israel Defence Forces)”.
Sir Keir Starmer condemned the remarks as “appalling hate speech”, while festival organiser Emily Eavis said they “crossed a line” – and media watchdog Ofcom has now also released a statement raising concerns.
This morning, a spokesperson for the prime minister did not directly answer when asked if he still had confidence in BBC director-general Tim Davie.
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What is the Glastonbury controversy?
Footage from Bob Vylan’s set on Saturday showed some of the crowd joining in, as the group performed in front of a screen that said Israel’s actions in Gaza amount to “genocide”.
Afterwards, the BBC said there had been a warning on screen about potential “strong and discriminatory language”, but described the comments as “deeply offensive”.
On Monday, a spokesperson released an updated statement, saying the comments were antisemitic and the performance should have been taken off air.
“The BBC respects freedom of expression but stands firmly against incitement to violence,” the statement said. “The antisemitic sentiments expressed by Bob Vylan were utterly unacceptable and have no place on our airwaves. We welcome Glastonbury’s condemnation of the performance.”
Pic: PA
A judgement to issue a warning on screen while streaming online was in line with editorial guidelines, the spokesperson added, and the performance has not been made available to view on demand.
“The team were dealing with a live situation but with hindsight we should have pulled the stream during the performance. We regret this did not happen.
“In light of this weekend, we will look at our guidance around live events so we can be sure teams are clear on when it is acceptable to keep output on air.”
Read more:
Who are Bob Vylan?
British-Israeli soldier killed while fighting in Gaza
Trump calls for ceasefire deal
An Ofcom spokesperson said: “We are very concerned about the live stream of this performance, and the BBC clearly has questions to answer.
“We have been speaking to the BBC over the weekend and we are obtaining further information as a matter of urgency, including what procedures were in place to ensure compliance with its own editorial guidelines.”
In a statement shared on Instagram on Sunday, Bobby Vylan said: “Teaching our children to speak up for the change they want and need is the only way that we make this world a better place.
“As we grow older and our fire starts to possibly dim under the suffocation of adult life and all its responsibilities, it is incredibly important that we encourage and inspire future generations to pick up the torch that was passed to us.”
The latest developments follows severe condemnation from the prime minister, who said there was “no excuse for this kind of appalling hate speech”.
Mo Chara of Kneecap at Glastonbury. Pic: Reuters
Sir Keir also referenced a previous statement that Belfast rap group Kneecap, who were on stage after Bob Vylan, should have been removed from the line-up after one member was charged with a terrorism offence.
“I said that Kneecap should not be given a platform and that goes for any other performers making threats or inciting violence,” he said.
Ms Eavis, whose father Michael co-founded the festival, said in a statement that Bob Vylan had “very much crossed a line”.
She added: “Their chants very much crossed a line and we are urgently reminding everyone involved in the production of the festival that there is no place at Glastonbury for antisemitism, hate speech or incitement to violence.”
The Israeli embassy posted on X in the hours after the set, saying it was “deeply disturbed by the inflammatory and hateful rhetoric”.
It said the slogan used “advocates for the dismantling of the State of Israel”.
In a separate post on X on Sunday, Israel’s foreign ministry published graphic footage following the attack by Hamas on the Nova festival in Israel on 7 October 2023, and the Campaign Against Antisemitism (CAA) said it would be formally complaining to the BBC over its “outrageous decision” to broadcast the performance.
Speaking to Sky News’ Sunday Morning With Trevor Phillips on behalf of the government, Health Secretary Wes Streeting described the chant as “appalling”, especially at a music festival – “when there were Israelis at a similar music festival who were kidnapped, murdered, raped, and in some cases still held captive”.
He added that while “there’s no justification for inciting violence against Israelis… the way in which Israel’s conducting this war has made it extremely difficult for Israel’s allies around the world to stand by and justify”.
Lucy McMullin, who was in the crowd for Bob Vylan, told Sky News: “When there’s children and civilians being murdered and starved, then I think it’s important that people are speaking out on these issues.
“However, inciting more death and violence is not the way to do it.”
Police have said they are reviewing footage of both the Bob Vylan and Kneecap sets to assess whether any criminal offences were committed.
Speaking to Sky News earlier today, women and equalities minister Baroness Jacqui Smith said the comments “clearly” over-stepped the mark.
“I’m surprised that the BBC carried on broadcasting them live when it was obvious what was happening.”
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