Wealth can be built from the ground up by restructuring the way that institutions and the people relate to one another.
The anchor institution strategy, developed by the US-based Democracy Collaborative, creatively expands the potential of procurement through working with anchor institutions, such as hospitals and universities, to maximise their social contribution through spending, employing and investing locally. This strategy captures, circulates and builds community wealth. In the US City of Cleveland, it has resulted in the successful Evergreen Cooperative network and the strategy was also picked up by Preston in the UK.