In this compelling episode of Voices of Care, host Suhail Mirza speaks with Andrew Bland, Chief Executive of NHS South East London Integrated Care Board. As NHS satisfaction hits its lowest level since records began in 1983, Bland presents his vision for a Neighbourhood Health Service to transform London's healthcare landscape. Addressing the "perfect storm" of economic inactivity and health inequalities facing Londoners, he outlines a bold community-based approach that could rebuild trust and deliver better outcomes. With 20% of adult Londoners economically inactive and primary care in crisis, Bland shares insights from his 25 years in healthcare and explains how locally relevant, responsive services could address the capital's unique challenges while supporting Wes Streeting's "left shift" in NHS priorities.