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What the NHS can learn from community centred care in the Bronx: the Montefiore health system

BMJ 2018; 362 doi: (Published 30 July 2018) Cite this as: BMJ 2018;362:k3301
  1. Jennifer Richardson, features editor
  1. The BMJ
  1. jrichardson{at}

A report from The King’s Fund showcases the power of “doing whatever it takes” for patients in a deprived area, finds Jennifer Richardson

Every day the number 5 tram from central Manchester to Oldham makes a journey that is not just geographical but also social. Over the 11 km from Manchester Victoria to Oldham Central, the proportion of residents with a degree level qualification drops from 29.4% to 18.6%. The proportion of people with a limiting long term illness rises from 14.4% to 19.7%, and the proportion whose health is reported as “bad” or “very bad” rises from 5.8% to 6.9%.12

A report by the King’s Fund, published on July 27,3 opens with a similar tale—only it is set on New York’s number 4 train, running from Brooklyn to the Bronx. It is the start of the story of the latter’s Montefiore health system, how …

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