SaHF DMBC Volume 1 Edition 1.1.pdf - Shaping a healthier future

Whilst remaining true to the overall stepped approach, the INWL ICP has begun to introduce
flexibility and localisation at borough levels, the most notable example being the operational
model currently being introduced in Central London CCG through the Wellwatch case
management service. This localisation to borough level has included strengthening local
governance and oversight. Innovation funding requests now go to each CCG prior to
approval.
Early performance monitoring suggests that integrated care may be having an impact on
non-elective admissions, though robust analysis of the impact on hospital activity will need to
wait until the pilot has been in place for longer.
In its second year, the ICP has focused on the education and learning agenda, which has
been supported and developed in partnership with organisations such as the NHS London
Deanery. This is recognised as a vitally important component of integrated care, seeking to
leave a legacy which will influence behaviours and culture into the future.
Inner North West London ICP: independent evaluation
The Inner NW London ICP has been independently evaluated by research teams from
Imperial and the Nuffield Trust to assess its effectiveness, focusing on the first year of the
pilot. The executive summary of the evaluation report is attached in Appendix M.
Evaluation of the first year of
the North West London
Integrated Care Pilot
“The North West London Integrated Care Pilot is an ambitious programme of transformational change,
being implemented at a time of major reform of the NHS in England. The findings from the evaluation
of its first year offer important lessons, not just for the pilot itself, but also for other integrated care
programmes elsewhere in the NHS and overseas.
This evaluation reveals that the pilot has made substantial progress in designing and implementing a
highly complex intervention, and in underpinning this progress with sophisticated governance
arrangements, and new financial incentives.
The pilot has successfully brought together diverse health and social care providers, focused on
planning and delivering better co-ordinated care for older people, and those living with diabetes. This
improved collaboration between professionals has resulted in better communication across teams and
organisations, more extensive use of care planning, and there are early signs of benefit for patients in
respect of improved diagnosis and care planning for people with dementia, and increasing levels of
testing for control of diabetes.”
Though conducted at an early stage of the pilot, nonetheless it identified several areas of
significant success in relation to improvements in the quality of clinical care and
improvements in inter-professional relationships:
Earlier diagnosis of dementia
Connecting clinicians - the report recognises the practical value of case
conferences in connecting clinicians across different organisations
Increased provider collaboration across care levels - the report found that 68% of
providers surveyed believe that the ICP has resulted in improved collaboration
across settings of care, with equal representation among GPs and non-GPs on the
IMB
Improved patient experience - the report notes that “patients with a care plan
demonstrated a great enthusiasm towards the new way of care planning”
8e. Delivering out of hospital care 262