If you live in Leeds and have several long-term health conditions or are living with frailty, you could soon be benefitting from Neighbourhood Proactive Care (NPC). NPC brings together local health, care, and community professionals into connected teams that work closely with you and your carers. Their goal is simple: to help you stay well, independent, and connected to your community for as long as possible.
What Does This Mean for You?
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Early Support, Not Just Crisis Care
Instead of waiting for problems to escalate, NPC focuses on spotting issues early and putting the right help in place.
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Care Built Around What Matters to You
Your goals, preferences, and priorities shape your care plan—giving you choice and control over how support is delivered.
Your Dedicated Care Coordinator
You’ll have a named care coordinator—your single point of contact—who will:
- Identify if you could benefit from proactive care
- Carry out a holistic assessment with you and your carers
- Create a personalised plan with clear goals
- Coordinate services across health, social care, and community support
What Is a Holistic Assessment?
It’s more than just medical care. Your coordinator looks at everything that matters to your wellbeing—clinical needs, home environment, and social connections.
Examples include:
- Arranging home help for someone with advanced respiratory illness
- Linking people at risk of falls to strength and balance classes
- Connecting you to local community groups for social support
Rolling Out Across Leeds
Neighbourhood Proactive Care is being introduced citywide. Throughout 2026 and beyond, local teams will identify people who would benefit most, work with them and their carers to create personalised care plans, and build strong networks of support in every community.
Case study: Neighbourhood Proactive Care for people living with advanced respiratory conditions
Cross Gates and Seacroft Primary Care Networks /Local Care Partnerships have been leading the way in proactive care by supporting people living with severe frailty or in receipt of palliative care, and with one or more respiratory condition.
As part of this pilot, every individual has been supported by a Care Coordinator and Community Matron, who work together to bring the right help at the right time. They have access to a network of providers, ensuring that support is tailored to each person’s needs.
In practice this means:
- Medical solutions: for example additional support from the Community Respiratory Team.
- Non-medical solutions: for example help for carers or even practical support like help arranging a local cleaner.
To make care even more accessible, people supported by this pilot have access to advice through a dedicated support line, delivered by Telecare at Leeds City Council in partnership with the Yorkshire Ambulance Service.
This joined-up approach means people receive holistic, personalised care that helps them stay well and independent for longer- while reducing the risk of crisis.
Debra’s husband John is one of the people benefitting from this pilot, and she said:
“They have been coming quite regularly and when they come they engage with John and actually listen to what John says. So rather than a doctor who would come in and diagnose they actually spend time listening to John’s version of events. Its more holistic.
”They may come to just ask him about his chest but then they ask about other aspects so there is an overall concern and interest in his whole condition rather than just one specific aspect of it. I really like that they can get us in touch with other departments quite quickly. So, for instance if John needs other breathing assistance they are the conduit to get us in touch with the right people there.”