North London Partners in health and care

STP Newsletter - July 2018


STP news: successes and achievements

We are committed to being open and transparent about the work we are doing across health and social care as a partnership of 21 organisations in North London. We encourage you to forward this newsletter to your teams and more broadly within your organisation. Please complete the feedback survey at the end of the newsletter.  

Leading the way in dementia care

The National Clinical Director for Dementia and Older Peoples’ Mental Health, Professor Sir Alistair Burns, visited North Central London last month to hear how services are leading the way in dementia care. Colleagues from across the five boroughs were able to share their vision for how they can implement best practice across the STP. The National Dementia Policy team confirmed their support for a project with the STP to capture how we are improving diagnosis rates, post-diagnostic support for people with dementia and their families and carers, and working with care homes. 

They heard about current best practice, including the diagnosis rate in Islington; which is amongst the highest in England, the Camden Dementia Alliance which brings together partners from a wide range of sectors, and the Care Home Assessment Team in Enfield which offers support to care homes to help their residents with dementia. 

Digital Health programme update

By Geraldine Wingfield-Hill, Digital Programme Director

Since taking up post in December, I have been delighted to meet and speak with a huge number of dynamic and motivated people in our STP and the wider London community. My focus so far has been working to get the programme of work set up with the right capacity and governance. 

We have begun to get a great team in place, drawn together from diverse backgrounds across all areas of health and care. I have been delighted to spend time figuring out with them about how we can work to support the new ways of working with are emerging throughout the STP.  

When I speak to other STP digital leads, I hear similar stories that related to my first six months at North London Partners - people learning how to work together, people building and rebuilding bridges across old divides, a reminder that digital programmes are very much about people. This recent report from the Kings Fund offers some great insight and learning about large-scale digital change – and North London Partners has a fantastic opportunity to being this to fruition. 

You can read more about some of the new team members below in the ‘People’ section of the newsletter. 

Making Every Contact Count (MECC) eLearning

As part of our Prevention workstream, North Central London (NCL) MECC Leads have formulated a plan to offer a more integrated and sustainable solution for MECC training across the whole of NCL. 

Whilst there is freely available eLearning training for MECC throughout the NHS and Public Health England, these are not localised to our area. Locally, Camden, Islington and Haringey have eLearning training available, but Barnet and Enfield do not. The MECC Leads group have agreed to customise the current local e-Learnings to offer a single solution for all of NCL. This will be cost-effective and a successful example of partnership working.

We will bring you further information about how to access this training as soon as it is available. 

Adult elective orthopaedics services review update

Click here to read the fourth bulletin on the adult elective orthopaedics services review in North Central London. Should you have any questions or want to find out more about the review, please email the Review Team at nclstp.orthopaedics@nhs.net 

Speaking the Truth

We were privileged to have been given permission to republish an inspiring and thought-provoking piece on mental health by one of our colleagues. You can read it in the latest edition of our blog: 'Speaking the truth' – mental health in the workplace

People news

  • MehmetErhan, OdeOmohwo and Julian Young joined theNCL Digital programme at the beginning of June. Having previously delivered the Clinical Integrated Digital Record clinical portal solution for CamdenCCG, they will be supporting the Health Information Exchange (HIE) and Population Health Management (PHM) projects forNCL.
    • Julian has 20 years’ experience in programme and project management for a range of NHS and private sector organisations.
    • Ode is a qualified Orthopaedic surgeon with a passion for technology, who also has exceptional system development, test management and clinical safety experience.
    • Mehmet has an extensive background in infrastructure and technology architecture, and worked for NEL CSU for a number of years before joining the CIDR programme and then the STP team.
    • Lolu Adeniji further bolsters the team as our Information Governance specialist.  With a background in Information Governance law, Lolu is supporting both the corporate work across the five CCGs as well as the HIE and PHM projects.
  • Sarah Young started with us at the end of June. Sarah is going to be supporting Siobhan Harrington, the SRO for workforce, through to the end of September on the following key areas:
  • Refreshing the workforce delivery plan and understanding the capacity in the system to deliver priority areas.
  • Mobilising and embedding workstream governance to support delivery and track progress and impact of priority areas.
  • Supporting Siobhan in taking forward workforce areas for discussion and support at provider chief executive forums. 

Related news

Integrated Care Report

The Government’s Health and Social Care Committee has published a report into integrated care organisations, partnerships and systems. Its conclusions call for more long-term investment with a focus on workforce and joined up care. You can read the full report here or for those of you who want the headlines, we’ve found a helpful summary of key points from @NHS_RobW below:

  • More value and better experience. “As health spending across the world looks set to consume an increasing share of GDP, integrated care provides a way of getting more value out of the resources put in and better experience for those who use services”
  • More collaboration, less competition. “We support the move away from a competitive landscape of autonomous providers towards more integrated, collaborative and place based care”
  • Better communication needed nationally. “Understanding has been hampered by poor communication and a confusing acronym spaghetti of changing titles and terminology... this has fuelled a climate of suspicion and missed opportunities to build goodwill”
  • Progress differential, funding and workforce issues universal. “The emphasis is now firmly on performance of partnerships, rather than delivery of their plans. They are at different stages of their journey. Systemic funding and workforce pressures affect almost every area”
  • Integrated care partnerships need to be nurtured. “A cohort of 10 ICSs is currently paving the way for other systems. While these areas have made good progress in difficult circumstances, they are still nascent and fragile”
  • ACOs do not mean privatisation. “The main concern is the possibility that these new contracts might extend the scope of private sector involvement. Based on our assessment of the evidence this looks unlikely in practice but steps should be taken to reassure the public”
  • ACOs do not threaten the NHS free at the point of delivery. “There is no evidence that ACOs will lead to a dismantling of the fundamental principle that the NHS is free at the point of delivery”
  • Make ACOs NHS bodies to minimise risk and reassure the public. “We recommend ACOs should be NHS Bodies and established in primary legislation”
  • The case for ACO contracts still needs to be proven. “Particularly whether using an ACO contract to merge services into a single organisation accelerates integration and improved outcomes....ACOs should be subject to careful evaluation”
  • Ambition for service change needs long term financial commitment and upfront investment. “Countries that have made the move to more collaborative, integrated care have done so over 10 to 15 years and with dedicated upfront investment”
  • The NHS need to move out of survival mode - back the workforce and the service. “A long term funding settlement and effective workforce strategy are essential to alleviate immediate service pressures and facilitate transition to more integrated care”
  • Focus on the endpoint - joined up care for people not structures. “It must be kept central to all plans to create and develop new structures, partnerships and contracts that these are a means to achieving more coordinated, person-centred and holistic care for patients” 

The role of cities in improving population health: international insights

The King’s Fund report ‘The role of cities in improving population health: international insights’ explores the role cities are playing in improving population health and the conditions needed for success.  The report draws on international case studies to explore the conditions required for successful health governance in cities and the roles that city governments can play in improving population health. Read the Healthy London Partnership summary of the report. 

ThriveLDN update

The ThriveLDN mental health social movement launches its second public campaign in July and will run until 21 October 2018. You can get involved by sharing their messages with people and organisations that you know are passionate about improving mental health and wellbeing for all Londoners. 

Follow @ThriveLDN on Twitter and Instagram or visit the website https://thriveldn.co.uk/ 

Praise for Barnet Community Education Provider Network’s (CEPN) innovative GP scheme

NHS England recently released guidance on the Local GP Retention Fund. The fund, of at least £7 million of new funding in 2018/19, aims to support the delivery of the General Practice Forward View to ensure 5,000 extra doctors working in general practice by 2020. 

Barnet CEPN’s Innovative GP scheme was highlighted within the guidance as an example of a local initiative that will enable local GPs to stay in the workforce via promoting new ways or working an offering additional support. 

The scheme, supported by Barnet CCG and delivered by the CEPN, helps newly qualified GPs into the workforce by offering a portfolio career and additional mentoring and support with indemnity. GPs on the scheme undertake between 4-6 sessions a week, which involves undertaking work for either the local CCG or other healthcare organisation to work on improvement projects. 

For more information, please contact Sharon Ralph: barnet.cepncomms@nhs.net 

Better health and care for all

In a report published by the Institute for Public Policy Research, Professor the Lord Darzi of Denham sets out a number of key reforms needed to maintain the health service. Read a summary of the report’s recommendations and speakers’ remarks given at the launch event on 19 June 2018 – including the keynote speech by Simon Stevens, Chief Executive of NHS England here.

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