North Lewisham

Integrated Neighbourhood Teams

A system-wide rollout of lifestyle medicine services across Primary Care Networks in Lewisham, using an Integrated Neighbourhood Team (INT) model to support localised, population-based delivery.

Context

Integrated Neighbourhood Teams (INTs) bring together multidisciplinary professionals across primary care, community services, mental health, social care and the voluntary sector to deliver more coordinated, proactive care at a local level.

In Lewisham, this model has been used as a foundation to expand lifestyle medicine delivery across multiple Primary Care Networks.

The Challenge

While the North Lewisham Lifestyle Medicine Service demonstrated strong outcomes, scaling this model across a wider system required a structured approach that could be adapted to different populations, teams and local contexts.

The Approach

  • Commissioning lifestyle medicine services across multiple PCNs

  • Using the INT model to support neighbourhood-level delivery

  • Adapting the core service model to reflect local population needs

  • Supporting PCNs to design and implement their own tailored services

  • Building on learning from the original North Lewisham programme

Progress to date

  • Multiple PCNs commissioned to develop lifestyle medicine services

  • Services currently being designed and implemented across Lewisham

  • Local teams supported to adapt delivery to their population and workforce

What this shows

  • Lifestyle medicine services can be scaled across systems, not just individual PCNs

  • Neighbourhood-based models support more tailored, population-focused delivery

  • A structured but flexible approach is key to successful rollout

Next Steps

Services are currently being established across participating PCNs. We will be sharing further results and impact data as delivery progresses.

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Combining Lifestyle Medicine with GLP1 treatment to deliver strong metabolic outcomes