The Impact of Community Health Workers on the Uptake of Preventative Care Services in London, UK

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In 2021, Westminster Council, London, piloted a new Community Health and Wellbeing Worker (CHWW) role in the Churchill Gardens council estate. Four CHWWs were assigned to specific buildings on the estate, to proactively visit the same 120 households that they were responsible for, each month, whether there was a clinical need or not. This approach led to many positive outcomes. In households that were visited by the CHWWs, residents eligible for immunizations, screening or health checks were much more likely to receive them, than households that had not yet been visited. Based on this positive impact, the four Primary Care Networks of Westminster (called Healthcare Central London) have recruited a further twenty CHWWs for deployment in January 2024. In order to give households equal chance of receiving the CHWW services, they have been allocated at random to neighbourhoods of 120 households in two wards, Lisson Grove and Paddington Green. Our study will draw on routinely collected data using the Whole Systems Integrated Care (WSIC) data warehouse, to look back at whether households…