City and Hackney Neighbourhoods update December 2023
Over the past few months Neighbourhoods working has been embedding in City and Hackney. We have seen that innovation projects that grew from Neighbourhoods Programme funding have become business as usual such as Women’s Health Hubs and the new Proactive Care (Anticipatory Care) Service where care coordinators are working with people with moderate frailty. Women’s Health Hubs are now recognised as best practice (more detail in this newsletter) and we are awaiting a Cost Benefit Analysis for Proactive Care and are looking forward to seeing the results next summer. We hope that this can show us the longer-term financial benefits of supporting people with moderate frailty and long term conditions earlier.
Residents should always be at the centre of a Neighbourhoods way of working and we have been making sure there are different ways for residents to be involved in Neighbourhoods design/improvement of services and setting priorities including: specific co-design groups for short projects, the Neighbourhood Forums, and longer-term commitment to projects with training in Quality Improvement and coaching to ensure engagement is meaningful. We have been working with the Forum leads to try to improve Neighbourhoods and PCN working to encourage clinician attendance at the Forums as this is hugely appreciated by residents. Drop in ‘surgeries’ for project managers and clinical leads to learn about resident engagement are available at Healthwatch Hackney. You can find out more information here
In terms of supporting staff who make up the growing integrated Neighbourhood teams, there is a programme of work for staff working on Health Inequalities projects that includes anti racist service design workshops facilitated by experts at University of East London. We are also working on establishing a shared Integrated Care Core Competencies Framework to support teams to build key skills to work better together. A new Staff Handbook and the first staff survey of all Neighbourhoods staff teams will be available in the spring. The Handbook will be Neighbourhood specific and help induction in your Neighbourhood along with key information to help you help your residents.
Leadership is a key area to support when moving to a new way of working. We are currently refreshing our thinking on the vision and exploring where next in terms of working together around the 8 Neighbourhoods. Leadership groups are also being established in each Neighbourhood to bring the people who know the neighbourhood best together to set priorities and work on improving outcomes with residents at the heart.