Agenda item

Rachel Lissauer, Director of the Wellbeing Partnership for Haringey and Islington CCGs, introduced this report and presentation which provided an update on the progress made in developing place-based care in both boroughs.

With regard to the progress made in Haringey, the following was highlighted:

• In September 2018, there had been a launch event where the Council discussed with frontline staff and residents the concept of what was trying to be achieved.
• The Bridge Renewal Trust had carried out surveys with residents that provided the Council with a detailed understanding of how residents viewed services.
• In January 2019, the Council carried out a ‘deep dive’ set of interviews with a broad group of people who worked in North Tottenham. The responses provided valuable information on what frontline staff considered to be working. It also provided insight into the staffs ambitions for the services.
• There was a framework group, made up of senior managers, which received and responded to the priorities developed by frontline staff through groundwork meetings.
• Community First had received a positive response from residents and had been utilised by local area co-ordinators.
• An aim of the locality-based care was to develop on what had already had a positive impact and, where possible, expanding on that to increase its reach and scope.
• A more integrated offer needed to be developed around early years, families of young children, and older people. 
• The Council had engaged with the voluntary and community sector to explore what it could do to assist them. The Council had been asked to help remove barriers that existed which prevented the voluntary and community sectors from being able to do all they could in assisting the residents of the borough.
• It had been clear that not all residents were fully aware of the services and help which was available. A key aim of the locality-based care was to improve residents understanding of what was available to them by building on the inter-connectedness of the Council services, voluntary and community services.
• Community Cook Up was praised as an event which saw health and wellbeing staff come together with residents to cook and eat healthy food.
• The shared approach to prevention and early intervention was a core theme of this work. A shared strategic approach was being developed between Haringey Council, Islington Council, Haringey CCG, Islington CCG, and other key health services, for them to sign up to. 
• In North Tottenham, a prototype of the primary care network was being created, with the grouping of primary care practices having already taken place. The next stage would be how GPs integrated within that care network. 
• Regarding forming integrated locality teams, operational leads from services providing both health and care had been consulted on how their services were organised and what the implications for them would be to move towards a locality-based approach in delivery of services. This work was ongoing and those operational leads would be further consulted on what working together more effectively meant to them, such as sharing office space or information systems. 
• Beverly Tarka, Director of Adults and Health for Haringey Council, noted the people theme was the overarching strategy within locality-based care. Working together with partners to deliver shared outcomes was the key approach to the delivery of the locality-based care. The next step would be to meet with those partners to discuss what programme resources were required to implement the locality-based support.

RESOLVED

To note the emerging themes and to comment on priorities, opportunities and challenges. The JHWBSC is asked to note areas of common focus and areas of different emphasis between boroughs.