Agenda item

Stephen Wells, Head of Enfield Borough Partnership Programme, Enfield Borough Directorate, NHS North Central London ICB.

Enfield’s selection as 1 of 7 accelerator sites in England.

(Background Paper Attached)

RECEIVED the slide presentation in the agenda pack, and introduction by Riyad Karim, Assistant Director of Primary Care (Enfield), Development and Population Health Directorate, North Central London ICB.

NOTED

1.    It was good news that North Central London ICS had been selected as one of seven accelerator sites in the country, and the only one in London.

2.    Core20PLUS5 was the approach of NHS England to drive targeted action to tackle healthcare inequalities. Focus was on the most deprived 20% of the population and five clinical areas of maternity, severe mental illness, chronic respiratory disease, early cancer diagnosis, and hypertension. Smoking cessation positively impacted all five key clinical areas. This was an overarching framework.

3.   The programme would be delivered in partnership with the Institute for Healthcare Improvement (IHI). The seven accelerator sites would help to develop and share good healthcare inequalities improvement practice across integrated care systems (ICSs). The seven ICSs have received funding to support their participation in this programme. The sites will be given additional support from the IHI to apply these skills to tackle local healthcare inequalities.

4.   Further updates would be brought to the Board as the project went on.

IN RESPONSE

5.   The Chair welcomed Enfield being recognised as having long term challenges, and the opportunity this programme might provide to drive down inequalities, though it must be a sustainable model. There should also be alignment with the Start Well Programme.

6.   Dr Nnenna Osuji agreed that being selected for this project was hugely important. Core20PLUS5 plus 2 was used at NMUH, to also include red cell disorders and HIV. Smoking cessation was also key. As NMUH was the largest healthcare provider she would like to see its strategies and funding linked to the project. In response, it was advised that the bid was made on a clear consensus, that there was a narrow time line on the project and the proposed area of focus was smoking, pregnant women, and the household. This would permit a discernible impact, testing, scaling and spread. However, comments were noted and would be fed back.

6.   In response to Cllr Abdullahi’s queries, information would be circulated to Board members with data on annual health checks / early diagnosis.

ACTION:  Riyad Karim

7.   Cllr Cazimoglu welcomed this programme for long term change, but highlighted pressing immediate challenges, particularly in respect of accessing primary care. It was acknowledged there was a need to tackle long and short-term issues. An in-depth discussion of primary care access to services was scheduled at the next meeting of the Health & Adult Social Care Scrutiny Panel on 8 March 2023 ( Health & Adult Social Care Scrutiny Panel, 8th March, 2023 | Enfield Council ). It was important to work collectively as a system. The project would be shaped meaningfully and sustainably.

8.   In response to queries about the funding, it was confirmed that the project came with a discrete amount of money around £20,000. IHI was a respected institution and would deliver something transformational and sustainable.