North London Partners in health and care

STP Newsletter - May 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. By sharing this newsletter we are demonstrating this commitment in a real and meaningful way. We encourage you to forward this newsletter to your teams and more broadly within your organisation. 

Children and Young People Update

The Children & Young People's (CYP) workstream of North London Partners in Health and Care has four priorities: 

  1. Children's Surgery – Children and young people across NCL are able to access surgery in a safe, consistent, timely and effective way, as close to home as possible
  2. Paediatric Admissions Avoidance - With clear links to the UEC programme, children, young people and their families are able to access the appropriate services, as early as possible, reducing the need to attend ED or be admitted through ED.
  3. Asthma - Children, young people and families with Long Term Conditions (asthma) receive the appropriate treatment at the right time and manage their condition appropriately, to remain as well as possible.
  4. SEND/Complex Needs – this is currently being scoped as a potential fourth priority area 

This update will focus on progress around Asthma, which is such an important area of focus for children, young people and families and offers significant opportunities for working across the system. As part of the asthma work, a comprehensive asthma pathway has been developed and has now been formally agreed at the CYP Programme Board for implementation across NCL. This will mean that there will be greater consistency and clarity about the pathways for children and young people with asthma across each of the five boroughs to ensure they receive the right treatment, in the right place and at the right time. 

The difference this will mean for patients and their family is that care will be provided sooner, with a more preventative focus, rather than having to access acute services at the point of crisis. Care will be of the same quality and consistency, no matter where they live in NCL. This meets our aim of ensuring equality of services for our entire population. 

There is also some important work via the Clinical Practice Group to share best practice and reduce variation for asthma across different sites. This will be of significant benefit in terms of increasing consistency and equitability for our residents. The Asthma Peer Review has been completed, enriched by substantial engagement from all parts of the system. The recommendations will inform the development of a detailed asthma action plan across NCL to respond to the review findings. 

Finally, there has been a successful bid for a Darzi Fellow within NCL, which is fantastic news! A Darzi Fellowship is a prestigious, high profile programme to develop leaders from multi-professional background, enhancing their ability to undertake and lead on complex change initiatives that have a profound impact on them and the organisations they work for. The fellow will provide continued expertise and support to further develop the asthma workstream, with a specific focus on embedding the London Asthma Standards across NCL. 

For further information about the CYP Workstream or if you'd like to get involved, please contact Sam Rostom (Programme Director) via sam.rostom@nhs.net.

Maternity Services Update – Community Midwifery Hubs

In line with the National Maternity Review and the principles of the Better Births report (which sets out the NHS England vision for the planning, design and safe delivery of maternity services), the NCL Local Maternity System has been designated by NHSE as a Better Births Early Adopter site, and is transforming maternity services for local women and their families. 

Following an extensive process of stakeholder engagement, Clinical Lead for Community Services Logan Van Lessen (Consultant Midwife, The Whittington Hospital) has developed plans for two community midwifery hubs in NCL. Both hubs are to be situated in existing Children’s Centres, one at the Harmood Children’s Centre in Haringey and one at the Park Lane Children’s Centre in Camden. 

The hubs will each provide locally based care to cohorts of around 100 women, and will ensure maximum alignment with existing services, such as health visiting and Early Years provision. The Haringey Hub launched on the 11th of April and is now open to recruitment for midwives and the allocation of service users. The Camden hub will launch in May 2018 and further hubs are likely to follow in due course. 

As part of our NCL Better Births Patient and Public Involvement strategy, a small group of local, recent maternity service users will be recruited and trained as Patient and Public Voice Partners to engage with recent and current maternity service users in the NCL geography to co-produce the service transformation. In addition, several local Better Births PPI events have been held in NCL and this programme of events will continue throughout 2018; Details of forthcoming events can be found on our NCL Better Births Facebook page

Prevention Update

North London Partners in Health and Care and Capital Nurse held a workshop on February 19th with nurses and allied health professionals (AHPs) on Working with Prevention. 

Nurses and AHPs have a crucial role in improving the public’s health. They are fundamental in addressing the underlying causes of ill health, minimising the impact of illness, and promoting self care, good health and wellbeing. The workshop was well attended by nursing and AHP colleagues from a broad range of services and provider organisations across North London.   

As well as presentations on the STP prevention work stream, delegates heard some excellent local case studies of how nursing colleagues and AHPs are building a strong focus on prevention into their everyday work, including mental health promotion in Camden schools by Tavistock and Portman NHS Trust and Making Every Contact Count at the Royal Free NHS Trust. There was also a whistle-stop introduction to Quality Improvement (QI) methodology by UCL Partners and a mini-workshop with delegates, to consider how some of these tools and approaches could be used to help develop and take forward prevention-focused service improvements and change. 

As a result, the prevention workstream has prioritised work with Nursing and AHPs to develop and embed a focus on prevention.

For more information on the event, please contact the Prevention Programme Manager Mubasshir Ajaz at mubasshir.ajaz@islington.gov.uk

Adult elective orthopaedics services review

Keep up to date with the third bulletin on the adult elective orthopaedics services review in North Central London on our dedicated webpage. Please share this with anyone you think might be interested. Regular updates will continue to be sent over the next year as the review progresses. 

Should you have any questions or want to find out more about the review, please email the Review Team at nclstp.orthopaedics@nhs.net

Cancer Update

The latest e-bulletin from the Cancer Collaborative it out now. The collaborative is the Cancer Alliance for north and east London and brings together hospital trusts, GPs, health service commissioners and local authorities to improve early cancer diagnosis, outcomes and care for patients in our area. The update, which contains the latest news on their work to improve early diagnosis, develop new ways of working, promote prevention and raise awareness to improve patient outcomes whilst reducing variation. can be found here

People working in cancer within the sector are invited to join a free one-day conference on 26 June to reflect on the last year of the UCLH Cancer Collaborative, and to share good practice and lessons learnt in cancer diagnosis, care and patient engagement. The event will be held in east London at The People’s Palace, Queen Mary University, Mile End. Find out more and register for your free place here.

Workforce Update - International GP Recruitment

The International GP Recruitment (IGPR) programme is national programme that aims to recruit 2,000 international GPs to work in areas which are currently under-doctored, or where vacancies are hard to fill. 

Last year work was carried out to establish the level of unfilled GP vacancies across NCL and try to gauge practices’ interest in participating in IGPR. Following expressions of interest from 31 NCL practices, an application was submitted to take part in the programme.  NHS England (London) recently issued a tender to identify a partner recruitment agency for STPs to undertake the international search and processing of suitable candidates, with a view to bringing prospective GPs to our area for interview and assessment over the summer. 

We are currently developing our local plans and will be in contact with practices in the coming weeks with more detail of what the programme involves, to gain an update on vacancies and establish whether more practices would like to take part in the programme. For the latest information on the IGPR programme, click here. If you have any questions then please contact: r.halksworth@nhs.net

People news

  • We’d like to welcome Anna Stewart to the team. Anna joined us at the end of April as the Programme Director for Elective Orthopaedics. Anna can be contacted via anna.stewart3@nhs.net
  • Richard Elphick joined us on 14th May as the new STP Programme Lead for the five local authorities. 
  • Chloe Watson joined the team on 21st May as Head of Communications and Engagement. Chloe will lead on developing our engagement plan and will be in touch regarding how she can work with you to get the most out of patient and public participation in the STP. 
  • Lisa Burgess also joined us on 21st May as Project Manager for the Urgent and Emergency Care workstream. 
  • Naser Turabi has been appointed as the new cancer programme director for UCLH Cancer Collaborative and will start in May. Naser will work with the chief medical officer to lead the work for north and east London, to improve early diagnosis, outcomes and care for patients in our region. 
  • We will be saying goodbye to Daniel Morgan, Programme Manager in the Health and Care Closer to Home Workstream. Daniel has made a huge contribution in this workstream and has helped us to achieve real progress, particularly within the CHINs. We will be sorry to lose him from the STP and would like to take this opportunity to thank him for all of his expertise and dedication over the past 18 months. We wish Daniel the very best of luck in his new role as Associate Director of Complex Programmes at Barnet CCG, which he takes up full-time from early June.
  •  Keziah Bowers will be joining the team in early June, to take on the programme manager role from Daniel. Keziah brings a wealth of primary care and project management experience, and has worked in NCL and NEL STPs, recently supporting the Barnet GP Federation in its development. 

Related news

Self-Care Workshops and Information Packs for Patients

Camden CEPN recently provided self-care workshops to patients as well as providing self-care information packs to Camden General Practices.  

Individuals take a wide range of actions to protect, maintain and improve their health and wellbeing. There are a number of different services and advice available to people when they are not feeling well; including pharmacists, voluntary organisations, friends and family, as well as General Practitioners and other health professionals. These workshops aimed to improve patients' understanding of how they can better look after themselves, and have greater control of their own health by adopting health behaviours to prevent ill health, as well as when to visit healthcare professionals such as GPs and Pharmacists when they need to.  

Workshops were delivered by a Camden GP and Pharmacist. Patients who attended the workshops found it to be very beneficial and all commented in the evaluation forms that they were likely or very likely to ‘self-care’ when coping with minor illness in the future rather than make an appointment with the GP.   ‘Self-care’ information packs were provided to all General Practice surgeries in Camden for patients. They cover minor illness from the common cold, coughs, sprains, stings and bites to teething as well as contacts for Social and local Urgent & Emergency Care Services. There is also information in the pack about Pharmacy Services as well as the roles of a Pharmacist.