1. Health and Wellbeing VCS Forum
North London Partners in Health and Care (NCL STP)
Our Wellbeing Partnership: Working together with people in Haringey and Islington
Health and Wellbeing VCS Forum
Sanjay Mackintosh
Programme Lead – Wellbeing Partnership and NCL STP

2. North London Partners in Health and Care: Our Sustainability and Transformation Partnership

3. North London partners in health and care
Councils
London Borough of Barnet
London Borough of Camden
London Borough of Enfield
London Borough of Haringey
London Borough of Islington
CCGs
Barnet Clinical Commissioning Group
Camden Clinical Commissioning Group
Enfield Clinical Commissioning Group
Haringey Clinical Commissioning Group
Islington Clinical Commissioning Group
NHS and Foundation Trusts
Barnet Enfield & Haringey Mental Health NHS Trust
Camden & Islington NHS Foundation Trust
Royal Free London NHS Foundation Trust
University College London Hospitals NHS Foundation Trust
Moorfields Eye Hospital NHS Trust
North Middlesex University Hospital NHS Trust
Central & North West London NHS Foundation Trust
Central London Community Healthcare NHS Trust
Whittington Health NHS Trust
The Tavistock & Portman NHS Foundation Trust
Royal National Orthopaedic Hospital NHS Trust

4. What’s happened so far? December 2015 – STP guidance launched
June 2016 – outline of NCL-wide plan produced, workstreams defined
October 2016 – first full draft produced for consultation, governance in place, more focus on public engagement
March 2017 – plan updated, with more detail on ‘what, how and by when’
April 2017 – NHS Five Year Forward View updated, sustained focus on STPs and accountable care systems

5. Governance (high level)

6. Governance (detailed)

7. Our Wellbeing Partnership: working together with people in Haringey and Islington

8. Who do we mean by the Wellbeing Partnership?
A local footprint within North London, with a range of organisations working together:
Haringey Council, Islington Council
Islington Clinical Commissioning Group, Haringey Clinical Commissioning Group, Whittington Health
Haringey GP Federation, Islington GP Federation
Camden & Islington NHS Foundation Trust, Barnet, Enfield & Haringey Mental Health NHS Trust
UCLH Foundation Trust and North Middlesex Hospital Trust

9. So what will be different?g
So what will be different?
We see ourselves as sharing collective responsibility for meeting the health (mental and physical) and care needs of our population in the long term
Focus on preventing illness through a ‘population’ approach
Bring together resources of all the partners to improve health and care
Identify people putting their health at risk and prevent deterioration into statutory services
Extend multi-professional teams (long term conditions, mental health) through CHINs initiative, based around GP practices and plugged into local community networks and voluntary sector
Take cost out by increasing efficiency (reducing admin and duplication) and improving outcomes

10. Workstreams Diabetes Musculoskeletal (MSK) Frailtyg
Workstreams
Diabetes
Musculoskeletal (MSK)
Frailty
Learning Disabilities
Mental Health
Intermediate Care
Children and Young People

11. Developing the Partnership Agreement
Planning: working to a joint Health and Wellbeing Strategy
Designing: bringing together our service redesign work
Scoping services: agreeing which services are included
Finance: taking decisions about spend & savings collectively
Delivering: forming a joint management structure
Monitoring: reporting together rather than separately
Decision making: designing a system of decision-making that enables joint working
Quick recap
Organisations who are involved
Following Vanguard bid and Value Based Commissioning work together on diabetes and mental health, agreed it would be useful to continue work and ‘formalise’ partnership
Adopted an open approach to the partnership – not excluding organisations
Focused on improving health and care for residents of Haringey and Islington
Does not preclude working with other local boroughs where helpful

12. Wellbeing Partnership Board
Sets strategic direction across member organisations and agrees local delivery of STP interventions and joint efficiency plans
Holds accountability for delivery of outcomes
Joint oversight of key financial decisions (funding, spend and savings)
Programme Delivery Board (Clinical, professional & operational)
Holds responsibility for implementation of the joint work programme
Reviews and monitors progress across all areas and reports back to Wellbeing and other organisational Boards
Ensures clinical / professional / operations leadership in place (including housing, voluntary sector etc.)
Community Reference Committee
Oversee community engagement & development, self care and communications throughout partnership and all workstreams
Assure and measure community engagement & development, self care, communications & equality & diversity throughout workstreams, CHINS and partnership.
Prevention & Wider Determinants of Health
Population wide systematic implementation of prevention and maintaining independence initiatives – Support all programme areas to include focus on prevention, independence and wider determinants of health (children and adults)
Care Closer to Home (1 Care)
Wellbeing:
CHINs, LTC management (diabetes & CVD)
Urgent & Emergency Care
Wellbeing: Frailty, intermediate care
Mental Health
Wellbeing: Prevention and Community Resilience; community MH
Learning Disabilities
Wellbeing: Improving health, wellbeing & opportunities and consolidating costs
Children & Young People
Wellbeing: Transition, A&E attendances, LTCs (respiratory)
Elective Care
Wellbeing: MSK incl. community, (gastro. Is an area of need for both H&I?)
Information and Analytics
Needs assessment, population and service information and analytics, outcome monitoring, integrated digital care record and e-communication
Finance and Performance Group
Technical development & monitoring of shared savings & performance plans – Support all programme areas to develop finance, activity and impact models