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A radical healthcare program centred on human interaction emerges in Somerset
Frome stained glass artist Jo Eddleston
Here in Albion a new psychedelic model of healthcare is saving the National Health Service millions.
“What we should be doing is spreading wellbeing with an integrative approach, not just treating diseases,” says Dr Zelner, "Wellbeing is an inherently holistic concept. You can only create it with an integrative approach.”
Glorious Somerset is the supposed site of King Arthur’s Camelot and the 4,500 year-old stone circles in Stanton Drew where Currunos and The Wild Hunt roam (it is also reasonably close to glastonbury and Stonehenge, yes). It’s also a hotbed of middle-class flight from post-COVID London. Property prices are going through the thatched roof. Born within this liminal fuzzbox is The Frome Model of Enhanced Primary Care. In place for over a decade it’s saved the NHS £6 for every £1 spent on it.
This gently radical approach to public health provision is focussed on community interaction, especially including the most vulnerable. Over its 12 years in progress, the sleepy West Country town of Frome’s accident and emergency admissions have reduced by 16% while the local average has risen 30%.
“It proves community improves wellbeing”
‘Primary care’ is health work intended to prevent disease before it requires any treating. Face-to-face contact has proven to be the most effective way to do this. The model mixes primary care innovations with organic community development programs.
Dr Zelner explains, “Around fifteen years ago the health workers in Frome observed a lot of patients coming in were suffering from loneliness. They decided to treat loneliness as a medical condition: training up health connectors who’d look out for people who seemed lonely, and community connectors who connected them with community organisations.”
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Further innovations followed in what Compassionate Communities director Dr Julian Abel, former vice president of Public Health Palliative Care International, calls ‘Integrated well being networks that enhance naturally occurring ones.’
“They set up ‘talking cafes’ where you could chat to strangers freely,” expands Dr Zelner, “in-person visits for hospital dischargees, and hubs inside the surgeries. It became known as ‘Compassionate Frome’. There’s been enough time for empirical evidence and all admissions have declined by 30-40% relative to neighbouring areas. It proves community improves wellbeing.” Indeed, 81% of patients felt their wellbeing increase and 94% said they found it easier to mange their health.
The programme is being rolled out across the UK.
Echoing Stanislav Grof’s view of the Freudian mental health model, Abel writes, “‘Survival of the fittest’ is not a phrase that accurately reflects our evolution. Instead, ‘survival of the kindest’ describes how animals, especially humans, have evolved to be social creatures. We are dependent on each other, and how we treat the people around us has a profound effect on us all’.”