Mick Ward on upstream support
Mick Ward, a health official in Leeds, recognised that institutional placements for isolated older adults were expensive, often unsuitable, and always downstream: addressing the consequences of isolation after the informal infrastructure of care had already dissolved. His response was to invest upstream, funding self-organising citizen initiatives like the Friday fish and chips club. This reflection explores the upstream-downstream distinction, the cost and logic of late-stage intervention, and what genuine upstream investment looks like in both community and organisational life.