Our programmes of work respond to key challenges across the system. They are agreed by our Executive Group, which consists of all the Chief Executives of our member organisations, and with representation from the ICB.
Our activities include the following workstreams:
Complex Long Term Conditions Service
This programme aims to improve the health outcomes and efficiency of healthcare utilisation for adult patients living with highly complex and complicated multiple long-term conditions in North Central London.
1 in 4 adults in England have at least two health conditions, with over 26 million living with a diagnosed long-term condition and 10 million adults having two or more. Life expectancy is 10-15 years earlier for those in deprived populations. The intersectionality between deprivation, multi-morbidity and complexity drives further health inequalities where services are disjointed and ineffective.
Managing patients with long term conditions equates to 70% of the total healthcare spend, accounting for 50% of all GP appointments, 64% of all hospital appointments and 70% of hospital bed days.
Despite this high spend and utilisation of healthcare, much of the management of patients with long-term conditions is inefficiently delivered with poor patient experience and inadequate outcomes. People with several long-term conditions have multiple appointments across different specialist teams often in multiple hospitals, as well as those with community services and their GPs. This can be confusing and time-consuming to navigate and it’s too easy to lose sight of the issues that matter to the patient.
Through the development of a new clinical model, patients can have fewer overall clinical appointments, more co-ordinated decision making around their care, and more timely and easier access to appropriate clinical services.
Find out more about the Complex Long Term Conditions Service.
Clinical networks and clinical collaboratives
We are working on the following areas:
- Planned care networks – Programme support to specific development areas
- Child and Adolescent Mental Health Services (CAMHS) – Supporting delivery of priorities to address variation in service offer across North Central London
- Red Cell – Delivery of an improvement programme with specific focus on urgent and emergency care and community service provision