Building on different groups working together, I dislike the work 'profession' and didn't Shaw have some critical language about a 'conspiracy against the laity,' the work of www-bromley-by-bow.healthcentre seems to have been largely ignored for the past thirty years. But in effect it's a question of people, especially from the third sector, working together with others to establish a broader, more preventive approach especially with long-term and chronic conditions. As well as poverty and deprivation. But, more importantly, my guess is that these complementary approaches create a sense of dialogue, aware-ness of shared skills and, that often neglected concept, preventation. Especially with the onset of social care and, as a long retired social worker, one hopes that community development theory and practice will make its long overdue and potentially huge impact on grass-roots neighbour-hoods.