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City & Hackney Integrated Commissioning & Care System – Vision

  •  More support for patients and their families to get healthy, stay well and be as independent as possible
  • Neighbourhoods where people and communities are actively supported to help themselves and each other
  • Joined up support that meets the physical, mental and other needs of patients and their families
  • High quality GP practices, pharmacies and community service that offer patients more support closer to home.
  • Thriving local hospitals for patients when they need them


Integrated Commissioning & Care System - Values

  • Listen and involve the public in everything we do
  • Recognise and value diversity within  our communities and staff
  • Build on local community assets and individuals strengths
  • Be honest about the challenges and opportunities ahead
  • Encourage staff and patients to take responsibility for their actions and choices
  • Treat staff patients and partners across the health system with respect compassion and dignity at all times.
  • Act for the system and the patient rather than for individual organisations


Integrated Commissioning & Care System - Strategic Objectives

  • Deliver a shift in resources and focus to prevention to improve the long term health and wellbeing of local people and address health inequalities.
  • Deliver proactive community based care closer to home and outside of residential institutions settings where appropriate.
  • Ensure we maintain financial balance as a system and achieve our financial plans
  • Deliver an integrated system which meets the physical, mental health and emotional needs of our diverse communities
  • Empower patients and residents

October 2019 papers from the  Integrated Commissioning Board with system intentions for 20/21 click here


How the local system is structured

The picture in Health and Social Care remains very complex and the below is an attempt to put across the main changes .  We aim to update you regularly on changes as they will have an impact on the Voluntary & Community Sector in Hackney

CCG’s (Clinical Commissioning Groups) may be merging across 7 Boroughs

North East London Health & Care Partnership  Formerly North East London STP)  covers 7 boroughs and will commission North East London wide  health care interventions and campaigns and work on workforce development issues across East London.  There are discussions exploring the potential to merge all the CCG’s into this partnership over the next year or two.

Under this partnership sits   health and social care delivery systems known as Accountable Care System or Integrated  Commissioning Systems –

  • WEL – covering Waltham Forest, Tower Hamlets and Newham  Barts Health, East London NHS Foundation Trust
  • BHR – covering Barking , Havering and Redbridge
  • City and Hackney.

City & Hackney Accountable Care /  Integrated Commissioning System

Is made of a partnership of City & Hackney CCG (for now) London Borough of Hackney, East London Foundation Trust (ELFT), City of London Corporation; Homerton University Hospital Trust and the Voluntary & Community Sector are named as a partner.

Workstreams and Workstream Directors

  • Prevention – Workstream Director – Jayne Taylor – Public Health
  • Planned Care – Workstream Director Siobhan Harper – CCG
  • Unplanned Care – Workstream director Nina Griffiths – Homerton University Hospital
  • Children Young People and Maternity – director Amy Wilkinson- London Borough of Hackney / Public Health

And there is a neighbourhood programme where we expect the ‘transformation’ of services to happen

Mark Golledge Programme Director

 Neighbourhoods – Primary Care networks

In Hackney the Neighbourhoods programme has been underway for 18 months. This year the Government required all GP practices to take part in and establish Primary Care Networks. They are getting budgets directly from Central Government. In Hackney the Primary Care networks agreed to align geographically with the neighbourhoods.

There are a number of pilots going on across the neighbourhoods and the VCSE is leading one in Well Street Common neighbourhood that aims to better connect residents to services and activities thye need, connect  local VCSE and statutory organisations to each other, and to test and learn re how the VCSE can best organise itself to work in neighbourhoods.

Well Street Common Neighbourhood pilot

Summary of all neighbourhood pilots to follow

What can Voluntary & Community Sector Organisations do to prepare?

Services will be provided in neighbourhoods,  some contracts and provision will still be borough wide, but configured into neighbourhood teams.

Some contracts and provision will be moved to East London Health and Care Partnership level but may require a borough level response.

We believe some funding will be issued on a neighbourhood basis.


If you are a small geographical focussed organisation then the neighbourhoods programme should improve your links with local services and your ability to support local residents.


If you are a small culturally / ethnically /age or condition specific boroughwide organisation, then please get involved with the relevant networks, the VCSE led digital referral project, and soon the revitalised City and Hackney Together consortia vehicle,  so we can ensure social prescribers / navigators are aware of your work.


If you are a larger borough wide organisation Join the relevant networks start thinking now how you can reconfigure your services to meet the neighbourhoods configuration. And if relevant to you, start making links with organisations in the North East London Health and Care Partnership. The inner north east london area is Tower Hamlets, Waltham Forest and Newham. Hackney CVS has good links with Tower Hamlets CVS  and is working to create links with Waltham Forest organisations.


If you want more information Contact f



If you are struggling please book some 1-1 advice at Hackney CVS. Book into advice line here and check out the training here.





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