On this page
- Autism Spectrum Disorder (ASD) and Attention Deficit Disorder (ADHD)
- Cancer
- Cardiovascular Disease
- Dental
- Diabetes
- Digital
- Frailty and end of life
- HMHLDA HCP
- Integrated Neighbourhood Teams (INT)
- Maternity
- Mental health
- Obesity
- Pharmacy integration
- Planned care
- Primary Care Access Recovery Plan/Implementation of modern General Practice
- Sustainability
- Therapies
- Tobacco dependency
- Urgent and emergency care
- Vaccinations
- Veterans
- Workforce
Autism Spectrum Disorder (ASD) and Attention Deficit Disorder (ADHD)
Activity
- Launch of digital interface to support referrals into community paediatrics in West Essex (including ASD/ADHD).
- Date for completion: September 2024
- Publish the Hertfordshire All Age Autism Strategy 2024-2029.
- Date for completion: September 2024
- Hertfordshire Support hub for children and young people pilot expansion to March 2025 – (HCC/ICB).
- Date for completion: March 2025
- A pilot for support interventions for CYP diagnosed or awaiting diagnosis, providing post diagnostic support and ‘waiting well’ interventions. The interventions will provide direct support to children and young people to help them to understand their condition.
- Date for completion: March 2025
- Develop a new model for children and young people autism and ADHD assessment, including redeveloping the clinical pathways to form a single-entry pathway across Hertfordshire with alignment and oversight across the ICS.
- Date for completion: Clinical pathway implementation by 31 January 2025
Cancer
Activity
- Achievement of the Faster Diagnosis Standard (FDS) and 62-day standard.
- Date for completion: March 2025
- Targeted Lung Health Checks:
- ENH partial coverage achieved.
- Date for completion: March 2025
- SWH and WE mobilisation commenced.
- Date for completion: March 2025
- ENH partial coverage achieved.
- Faecal Immunochemical Testing (FIT) –delivery of 80% of all LGI Urgent Suspected Cancer referrals being made informed by a FiT result.
- Date for completion: March 2025
- Move to sustainable models of funding for current Cytosponge pilots.
- Date for completion: March 2025
- Delivery of 75% of improved stage 1 and 2 cancer diagnosis.
- Date for completion: March 2028
Cardiovascular Disease
Activity
Hypertension
- Delivery of hypertension insights packs to general practices/PCNs.
- Date for completion: July 2024
- Completion of local communications campaign.
- Date for completion: September 2024
- Implementation of dental and optometry hypertension case finding pilot.
- Date for completion: October 2024
- Delivery of Trust hypertension plans, including implementation of blood pressure machines in outpatient waiting rooms, adopting Making Every Contact Count and awareness raising across staffing groups.
- Date for completion: March 2025
Heart failure
- Development of an ICS model for heart failure care.
- Date for completion: November 2024
- Delivery of enhanced annual reviews in general practice.
- Date for completion: March 2025
- Implementation of ICS model of heart failure care and adoption of clinical pathways.
- Date for completion: June 2025
Lipid management
- Delivery of training to general practice on national pathways for lipid management.
- Date for completion: January 2025
- Development of a business case for a lipid management service.
- Date for completion: March 2025
- Implementation of lipid management service.
- Date for completion: March 2026
Dental
Activity
The following areas of dental transformation will be undertaken to address health inequalities and gaps in provision:
- Improved domiciliary care – housebound and residential nursing homes services – pilot expanded across further care homes and evaluation to be done.
- Date for completion: March 2025
- Level 1 Endodontic and Periodontal services and the East of England Trauma Pathway.
- Date for completion: March 2025
- Level 2 minor oral surgery – planned review of services to ensure current provision is meeting the needs of the population.
- Date for completion: March 2025
- Improved dental access for asylum seekers/ migrants.
- Date for completion: April 2025
- Completion of 12-month alternative therapies pilot with Guys and St Thomas’ NHS Hospital Trust to reduce the need for sedation or referrals into secondary care.
- Date for completion: August 2025
- Completion of a dental training needs analysis.
- Date for completion: December 2025
- Review of the current special care dental contracts (SCDC) across Herts and west Essex for new contract start date 1 April 2026.
- Date for completion: April 2026
Further key dental priorities include:
- Review enhanced access pilot and commission substantive service to address health inequalities in deprived areas.
- Date for completion: December 2024
- Development of a recruitment and retention plan aligned to the Dental Recovery “Golden Hello” to attract and retain dental workforce in the local area.
- Date for completion: March 2025
- Scope and commission integrated out of hours dental service within the wider out of hours pathway.
- Date for completion: April 2026
Diabetes
Activity
- Implementation of national path to remission programme.
- Date for completion: August 2024
- Review of community diabetes services and development of an ICS wide integrated model of care for diabetes.
- Date for completion: November 2024
- Delivery of health checks and enhanced support to young people with type 2 diabetes (‘Type 2 in the Young’).
- Date for completion: March 2025
- Completion of home testing pilot of urine ACR testing across general practice for people.
- Date for completion: April 2025
- Restoration and improvement in eight care process completion.
- Date for completion: April 2025
Digital
Activity
- PAH electronic patient record (EPR) deployment.
- Date for completion: October 2024
- Advanced care plans added to some pathways.
- Date for completion: March 2025
- Complete and increase utilisation of Resident Access platforms.
- Date for completion: March 2025
- Advanced care plans added to additional pathways.
- Date for completion: March 2026
- Shared Care Records for all pathways.
- Date for completion: March 2026
- Single Cancer Patient Tracking List (PTL).
- Date for completion: March 2026
- Shared Care Records across all our health and care providers.
- Date for completion: March 2027
- Data and analytical maturity.
- Date for completion: March 2029
Frailty and end of life
Activity
- To have consistent and up to date falls pathways across HWE, including identification and management of osteoporosis.
- Date for completion: March 2025
- To increase our identification of those at risk of falls.
- Date for completion: March 2025
- To increase utilisation of falls services.
- Date for completion: March 2025
- To have a digital advanced care plan in place across HWE to increase utilisation and completion of advanced care plans for our end-of-life patients.
- Date for completion: March 2026
- To have osteoporosis services across HWE.
- Date for completion: March 2029
HMHLDA HCP
Activity
- Integrated older adults and frailty workplan in development for 2024/25
- Date for completion: End Q1 2024/25
- Implement Milestones as per Hertfordshire Dementia Strategy 2023-2028 Hertfordshire Dementia Strategy 2023-2028
- Date for completion: December 2028
Integrated Neighbourhood Teams (INT)
Activity
- Hertfordshire and west Essex will have INT coverage at PCN level through:
- Establishment of locality leadership board
- Recruitment of overall lead
- Documents to support establishment of INTs
- Date for completion: July 2024
- All INTs to have identified a population cohort that would benefit from a joined-up approach and through collaboration and utilisation of population health management data, will identify the interventions and deliver with their HCP.
- Date for completion: July 2024
- Review of primary care continuous professional development programme to ensure availability of relevant and appropriate leadership training.
- Date for completion: July 2024
Maternity
Activity
- Finalise our transition from MVP (Maternity Voices Partnership) to include the Neonatal Voice and become a MNVP (Maternity and Neonatal Voices Partnership).
- Date for completion: July 2024
- Continue implementation of our digital strategy with implementation of electronic health records.
- Date for completion: October 2024
- Improve our governance structures to enable clarity on reporting of progress with the single delivery plan. Agree key deliverables with clear progress measures and timescales.
- Date for completion: March 2026
- Ensuring the availability of bereavement services seven days a week.
- Date for completion: December 2024
- Better alignment of neonatal cot availability.
- Date for completion: December 2024
Mental health
Activity
- Mental Health Urgent Care Centre (UCC) full facility launched.
- Date for completion: September 2024
- Implementation of year 1 priorities of the Southend, Essex and Thurrock mental health strategy for 2023-2028.
- Date for completion: March 2025
Obesity
Activity
- New integrated Herts-wide tier 2 and tier 3 weight management service for adults contract in place and mobilisation complete.
- Date for completion: September 2024
- Early prevention support embedded into relevant clinical pathways including:
- Non-alcoholic fatty liver disease
- Sleep apnoea
- Diabetes
- Elective surgery
- Cardiology
- Fertility
- Date for completion: March 2026
Pharmacy integration
Activity
- Implementation of local independent prescribing community pharmacy pathfinder programme.
- Date for completion: March 2025
- Ensure actions to reduce inappropriate polypharmacy and reduce medicines wastage are included in integrated neighbourhood teams and place-based teams plans.
- Date for completion: March 2025
- Increase referrals from GP practices to community pharmacies for the NHS Pharmacy First service to Approximately 14,983 referrals from April 2024 to March 2025.
- Date for completion: April 2025
- Ensure that all foundation pharmacist trainees allocated within HWE for 2025/26 have access to a Designated Prescribing Practitioner (DPP).
- Date for completion: July 2025
Planned care
Activity
- Elective Hub building in St Albans to be completed and treating patients.
- Date for completion: September 2024
- To build and mobilise remaining CDC sites:
- St Albans Hospital CDC
- Date for completion: November 2024
- St Albans Hospital Endoscopy
- Date for completion: April 2025
- Epping CDC
- Date for completion: September 2025
- St Albans Hospital CDC
Primary Care Access Recovery Plan/Implementation of modern General Practice
Activity
- Implement Modern General Practice Access, including implementation of better digital telephony; highly usable and accessible online journeys for patients; faster care navigation, assessment, and response – Percentage of PCN practices meeting Capacity and Access Improvement Payment (CAIP) criteria (>90%).
- Date for completion: March 2025
- Further progress (from April 24 baseline) on implementation of four Primary Care Secondary Care Interface Academy of Medical Royal Colleges (AoMRC) recommendations – improve implementation at six- and 12-month points.
- Date for completion: September 2024 and March 2025
- Make online registration available in all practices – more than 90% of practices using the on-line registration system.
- Date for completion: December 2024
Sustainability
Activity
- Creation and ratification of refreshed ICS green plan.
- Date for completion: March 2025
Therapies
Activity
West Essex
- Launch of shared and centralised set of online information, guidance and education resources for schools and settings, followed by resources for parents and carers.
- Date for completion: July 2024
- Implement workforce integration (in shadow form, remodelled workforce allocation based on need and greater school-based delivery.
- Date for completion: September 2025
- Commissioning integrated workforce for CYP therapies.
- Date for completion: April 2027
Hertfordshire
- Improved waiting times for speech and language therapy in line with the statutory requirements for education, health and care needs assessments.
- Date for completion: July 2024
- Recruitment of education leads who support schools to develop ‘Communication Champions’ to enhance the universal and targeted offer available in settings.
- Date for completion: 31 July 2024
- Workforce strategy to be implemented in full. To include apprenticeships, rotational posts, progressive posts, training leads and international recruitments.
- Date for completion: Recruitment ongoing, first wave to be completed by 2026
- Full implementation of prioritisation framework across Hertfordshire for all referrals into the speech and language service.
- Date for completion: All children to be risk assessed by December 2024
- Families to be kept updated and support materials to be made available, whilst waiting. ‘Waiting Well’ strategy to be developed and implemented.
- Date for completion: 30 April 2025
Tobacco dependency
Activity
- Expansion of national tobacco dependency programme acute inpatient pathways to cover all specialities.
- Date for completion: April 2025
- Implementation of national tobacco dependency programme outpatient pathway.
- Date for completion: April 2027
Urgent and emergency care
Activity
Care Closer to Home:
- Finalise system-wide vision and high-level model of care for ‘Care Closer to Home’ services for our adult population.
- Date for completion: July 2024
- Complete ‘Care Closer to Home’ financial modelling.
- Date for completion: September 2024
- Revised Community Services Contracts in place.
- Date for completion: April 2025
Unscheduled care coordination development:
- pass low acuity health care professional heralded calls via access to the stack (A2S).
- Date for completion: June 2024
- to clinically validate certain NHS 111 calls that would normally receive a Category 2 level response from the ambulance service where clinically appropriate and provide an alternative pathway of care.
- Date for completion: September 2024
- expand 999 calls that can be proactively managed by the unscheduled care hub and community providers.
- Date for completion: March 2025
- simplifying opportunities for ambulance crews to call before convey/handover at home.
- Date for completion: March 2025
- innovative demand management model to manage NHS 111 and 999 calls.
- Date for completion: March 2026
- development of a single point of access with access to multidisciplinary teams (including acute consultants, mental health, drug and alcohol specialists), and trusted assessor approach.
- Date for completion: March 2026
System Coordination Centre (SCC)
- implementation of enhanced National OPEL Framework (including consistent primary care, community, NHS 111 parameters).
- Date for completion: October 2024
- development of a single ICS wide system resilience framework.
- Date for completion: March 2025
- development of an ICS capacity dashboard to ensure all available system capacity is correctly utilised.
- Date for completion: March 2025
- procurement of SCC dashboards and reporting mechanisms to evolve wider system pathway overview and linked to patient outcomes.
- Date for completion: March 2025
- Finalise UTC and MIU review and recommendations.
- Date for completion: September 2024
- Maximise use of Same Day Emergency Care (SDEC) with direct referral pathways from ambulance service, primary care and NHS 111. Develop SDEC for frailty and pathways between acute frailty services and links with frailty care in the community.
- Date for completion: March 2026
Vaccinations
Activity
- Complete Spring covid booster programme by end of June 2024 including all care home residents and eligible housebound patients.
- Date for completion: July 2024
- Support roll out of annual flu programme across primary care in late 2024 and implement Autumn booster programme for Covid as defined by Joint Committee on Vaccination and Immunisation (JCVI).
- Date for completion: Autumn 2024
Veterans
Activity
- Herts Suicide Prevention Board to update suicide data to include Armed Forces Community.
- Date for completion: March 2025
- To increase focus on prevention and training for the armed forces community with training to be rolled out to GP practices and NHS Trusts in 2024/25.
- Date for completion: March 2025
Workforce
Activity
- Launch and further development of system workforce planning tool, including Equality, Diversity and Inclusivity dashboard through QlikSense.
- Date for completion: July 2024
- Revised governance and programme management approach to meet ICB priorities in a consistent manner, with more effective support for place-based development.
- Date for completion: June 2024
- Establishment of talent pool processes within the system.
- Date for completion: September 2024
- Completion and implementation of associated actions of the ‘overhauling recruitment’ toolkit.
- Date for completion: April 2025
- Completion of ‘people promise’ exemplar site at Hertfordshire Partnership Foundation Trust.
- Date for completion: March 2025
- System participation in digital staff passport.
- Date for completion: April 2025
- Establish system ‘Medical Academy’.
- Date for completion: March 2025
- University of Hertfordshire medical school accepting up to 70 students in its first year of operation.
- Date for completion: September 2026
- Completion of 90 Day Challenge with nursing profession looking at inclusive recruitment.
- Date for completion: August 2024
- Concerted system approach to volunteering and integration to wider VCFSE.
- Date for completion: June 2025