Haringey CCG MeetingDr Will Zermansky

GP Highgate Group Practice

Glossary of Acronyms

STP Sustainability and

transformation plan

CHIN Closer to home

integrated network

QIST Quality Improvement

Support Team

NCL North Central London

From the STP to CHINs

NHS 5 year plan

Sustainability & transformation plans across

44 area (footprints) in England 2016-2021

NCL has developed North Central

London Plan – Haringey, Camden

Islington Barnet & Enfield

Key to plan

Localised Health, quality of care , leadership

and efficiency

Sustainability & Transformation Plan

continued….

4

NCL Sustainability and Transformation Plan

Plans to build health and social care around the needs of the local

population. Opportunity to transform the way services are provided.

Aspirations

• Better health outcomes for the population

• Equity in both the offer and outcomes

• Financial balance

One Priority

• Health and Care Closer to Home

• Improving access to Primary Care

• Care Closer to Home Integrated Networks (CHINs)

• Quality Improvement Supported Teams (QISTs)

What is a CHIN?

5

Quality improvement focus

Multi-Disciplinary Team – GPs, community, social care, voluntary

Self-Management

Health community – prevention focus

Virtual & Physical

Strong local network

Min 50,000 population coverageBased on local needs

Healthy community – prevention focus

Driving made good…

8

Secondary

care

serv ices

GP

Socia

l care

LTC Mater

nity

AcuteMental

Health

Patient presentations

Mental

Health

Serv ice

s

Communit

y Nursing

DiagnosticsSocial CareAllied

Health

Profession

als

Secondary

care

serv ices

Referral

Current state Future state

Socia

l care

LTC Mater

nity

AcuteMental

Health

Patient presentations

Mental

Health

Serv ices

Communit

y Nursing Diagnostics

Social Care

Allied

Health

Profession

als

Referral

Specialist

OP in the

community

CHIN

High tech

diagnostics

Voluntary

sector

1. Primary Care Home: A unique model of care (napc) 2016

QIST

Extend

ed

Access

How might the future look following the implementation of

CHINs?

CHINs in Haringey

West

CHIN

HARINGEY

Central

CHIN

N East

CHIN

S East

CHIN

Blood

Pressure

Frailty

& GymsDiabetes

Care

Home

Variation across Haringey

Ethnicity

Diseases

Provision of Care

Hospitals

Social services

Community services

Language

Diet

Socioeconomic diversity

Based on local need

11

Diabetes

Based on local need

12

Older people

Based on Local Need

13

13

Serious mental illness

Quality Improvement Support

Teams

14

Clinical and non-clinical QIST team working across the CHIN

(GPs, nurses, pharmacist, practice manager, analyst coordinator)

Practices supported to adopt best practice

Analysts assess variation

Team work together to identify priorities and set plans

Clinical sessions in practices improve access and meet quality goals

Summary

CHINs are networks of services reacting

and aligning care at a local level

QIST is a team that is working to identify

variations in health care and respond

positively

The objective is to be able to respond to

local needs providing better care,

reducing disease and extending life