NHS and social services have worked more closely in recent years due to the introduction of Integration of Health and Social Care. Not all health care issues can be addressed just by services based in your GP surgery. Some health care is delivered in the person’s home by NHS staff but some is delivered by social care staff from your local authority or private agencies. The link between health and social care is important but support for people living with stroke and their carers can also be delivered by the voluntary sector for example the CHSS community support service. As a result joint services are now provided in communities at health centres, clinics, schools, community centres or at home. This has allowed communities to look at local health issues relevant to their area. This can be done in groups, on courses or simply by giving local information. The following are some of the additional services which may be available.

Healthy Eating	Health Education	Activity/ Exercise
This may include subsidised and locally produced fresh food which can be purchased in smaller quantities, reducing cost and waste. Cooking classes and nutritional advice. Cafes run by volunteers	This can be disease specific such as support groups for diabetics or help for substance abuse. Support for smoking cessation, diet and healthy lifestyle.	This may be for the over 60’s, a dance class, keep fit, tai chi for cardiac patients or a walking group.
Mental health/ Emotional Wellbeing	Sexual health	Alternative therapies
This may include counselling, help following a bereavement, cognitive behaviour therapy or stress management. Contact groups. Anger management.	Screening advice, sexual health, domestic abuse,  sexually transmitted diseases	Relaxation, life coaching, massage, reflexology.

Information about what is available in your local area is often posted on the notice board at your GP surgery or ask next time you visit. Some libraries can be a good source of local health classes or information