South east London is first area in London to join NHS England and Improvement’s third wave of Integrated Care Systems
NHS England and NHS Improvement has confirmed that south east London’s Sustainability and Transformation Partnership (STP), Our Healthier South East London (OHSEL) will be the first area of London to be part of the next wave of Integrated Care Systems (ICS) in England.
The south east London ICS brings together local health and care organisations and local councils to re-design care and improve population health, through shared leadership and collective action. The aims of South East London ICS will build on the collaboration of the partners to date through Our Healthier South East London, to integrate local services and help people stay well for longer by supporting them to lead healthier lives, manage their own health conditions and provide good access to care when they need it, often closer to where they live.
Andrew Bland, Senior Responsible Officer for OHSEL, said: “We are delighted with this news. Health and care organisations in south east London have been working closely together for several years, and today’s national announcement and our inclusion in the next ICS wave recognises the strength of that partnership, our shared commitment and the positive impact collaborative working has already had on the communities we serve.
“We also recognise that there are significant financial and performance challenges that we need to address in south east London and that many of them cannot be resolved through a local focus alone but will also require action across a larger population and provider footprint.
“Our residents access services very locally for many aspects of their care, whilst significant patient flows are right across our six boroughs. Our ICS approach reflects this – bringing partners together to work on very local issues in each of our boroughs and neighbourhoods; and together on those initiatives that need collaboration and focus across south east London as a whole.”
Dr Matthew Patrick, Chief Executive of South London and Maudsley NHS Trust and co-chair of OHSEL’s Clinical Programme Board added: “Integration and personalised care are absolutely vital in helping patients to achieve the best possible outcomes and life opportunities. We know that mental well-being is deeply influenced by social factors such as housing and employment and we need to build on the work that is being done in some parts of the system to join up traditional healthcare with these types of service. It is fantastic that south east London has been recognised as a national leader in this area.”
Integrated working locally and across the whole of south east London is already having an impact and we will build on this as an ICS:
• In Bromley, health and social care organisations are working together in the One Bromley alliance. GPs, community matrons, geriatricians, mental health services, social care and the voluntary and community sector have worked together to identify patients who may need extra support and have so far improved the quality of care of 3,400 patients with complex and long-term health conditions. This has reduced A&E admissions by 34% for this cohort in the first six months.
• For Mental Health services, Oxleas NHS Foundation Trust and South London and Maudsley NHS Foundation Trust have been working as the South London Partnership with South West London and St George’s NHS Trust. Together they have delivered care closer to home for children and young people - with a 75% reduction in out of area placements.
• Working together as the South east London Cancer Alliance, our partnership has ensured patients who see their GP with vague but worrying symptoms are now able to see a consultant and have several diagnostic tests on the same day at Rapid Access Diagnostic Clinics at Guy’s and Queen Mary’s Hospitals. The clinics have seen over 1,000 patients.
• As a system, sharing records helps clinicians to make informed decisions faster both improving productivity and outcomes for patients. Our partnership work means there are now over 1.7 million shared electronic patient records that have been viewed over 5.3 million times by clinicians in south east London.
Amanda Pritchard, Chief Executive, Guy’s and St Thomas’ NHS Foundation Trust, said of today’s announcement: “We have already made great strides across south east London in coordinating health and care services and agreeing shared priorities for the future.
“We recognise the importance of a truly integrated approach to service delivery as this will enable us to better meet the needs and expectations of our local population.”
Fiona Connolly, Director of Adult Social Care, Lambeth Council, added: “Becoming an ICS is a really important step in enabling us to continue to improve health outcomes for the communities we serve. Through working together, we can ensure that we support people to stay as healthy as they can, whilst also making sure that when they need care, they receive it at the right time and in the right place.”