Katherine relays the successes of this system, and the reasons for this success, including developing a shared vision, working in partnership with their patients and measuring the outcomes effectively. She also explains what's changed for the population as a result, and what inspiration community health providers in England could take from this system.
I hear that a system modelled on the Nuka was tried in Fife, but given up after not very long. This is perhaps not surprising given the above. I wonder whether King's Fund would undertake more local analysis of things working well in the UK, which have more chance of spreading? The danger the exotic is that it stays "out there" and while we may learn something, it does not really challenge us to introspection and therefore change.