The Octopus

The Octopus starts our Westminster Integrated Neighbourhood Team (INT) journey. It brings together in partnership the Local Authority (LA), the Voluntary and Community Sector (VCSE) and health colleagues for the service of our population. The Octopus aims to allow us to work together, pooling learning, knowledge and resources.

We are tackling imbalances and inequality in the system by focusing specific resources in deprived areas and improving communication. 

 We recognise that four adjacent neighbours may have four different GPs whose practices are in four different central Primary Care Networks (PCNs), and it’s important that the offer is equitable to all our residents. 

 We also recognise the unique challenges of our local area. Westminster has a very dense and diverse population, including London’s largest rough sleeping population. The life expectancy of a substance using homeless person is mid-40s. The life expectancy of a male resident living in a deprived part of the Borough is 18 years less than of those living in the most affluent areas. 

 Finally, it is commonly stated that our statutory health and local authority services are under tremendous strain; one way to alleviate this pressure is to recognise that we can do something about it by pooling our collective resources and investing in our communities and VCSE “upstream”. 

Its name was inspired by the Community Health and Wellbeing Worker (CHWW) role. CHWWs live and work in our communities and make regular visits to residents. Over time, they build relationships and trust and help to drive impressive health and social outcomes. Like an octopus’ tentacles, the CHWWs act independently but also for the greater good and, like an octopus, this model has three hearts (healthcare, LA and VCSE).

There are multiple connector roles in the Octopus, some of which include: Care Navigators, Community Health and Wellbeing Workers, Community Champions, Community Matrons, Family Navigators, Health Visitors, Health and Wellbeing Coaches and Social Prescribers.

As the Octopus grows, it could include as many as 300 connector roles across the statutory and non-statutory sectors, including Dentists, District Nurses, Faith Leaders, Paramedics and Social Workers.

• Encouraging and seeking regular feedback from the people on the ground to help shape what we do so that form follows function
• Having quarterly summits where we get together for nourishment and cross-fertilisation of ideas and thinking
• Investing a great deal of time and effort in embedding the Octopus ethos through, for example, “inter-vision”, supervision, mentoring, workforce development, organisational development, communications, and liaising with new, or potential colleagues
• Using population health analytics to inform our approach