Making Care Closer to Home work for Enfield

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Summary of report content

Throughout 2017 Healthwatch Enfield took an active role in informing the blueprint for Care Closer to Home Integrated Networks (CHINs) and advocating for the need to involve local people; embedding co-production as a preferred method of designing, delivering and evaluating this future delivery model. Because the discussions around the CHIN development had not significantly involved local people, in December 2017, Healthwatch Enfield hosted an engagement event where nearly 90 residents and health and care professionals working in the borough participated in workshops to start a discussion on how to make CHINs work for Enfield. Through bringing together local residents and professionals, representing a wide cross section of the community, to co-design solutions, Healthwatch Enfield facilitated discussions around the potential scope of the CHIN model for Enfield. The report's conclusion, based on the workshop, is that local people are seeking a CHIN that supports and furthers the Self-Care agenda and sees the patient as the expert, enabled to take a proactive approach, within a flexible service delivery model reinforced by a new commissioning framework. The report recommends that Enfield Council and NHS Enfield Clinical Commissioning Group work with local people to co-produce Care Closer to Home Integrated Networks that support the population’s needs. Healthwatch Enfield recommend the co-production model uses ideas and suggestions contained within this report as the basis of conversations with local residents; engages in an ongoing dialogue with the local communities to test and further develop the CHINs model for Enfield through organising targeted outreach, going to where people already ‘meet’; and that it works across professional and organisational boundaries, involving local people in decisions around commissioning, delivering and evaluating CHINs.

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General details

Report title 
Making Care Closer to Home work for Enfield
Local Healthwatch 
Healthwatch Enfield
Date of publication 
Thursday, 22 March, 2018
Date evidence capture began 
Friday, 1 December, 2017
Date evidence capture finished 
Friday, 1 December, 2017
Type of report 
Key themes 
Booking appointments
Building and facilities
Communication between staff and patients
Consent to care and treatment
Continuity of care
Cost of services
Digitalisation of services
Health promotion
Health protection
Holistic support
Information providing
Integration of services
Lifestyle and wellbeing
Public involvement
Quality of treatment
Service delivery organisation and staffing
Other information of note about this report 
Solution Based
Healthwatch reference number 

Methodology and approach

Was the work undertaken at the request of another organisation? 
Primary research method used 
Engagement event
How was the information collected? 
Engagement Event
If an Enter and View methodology was applied, was the visit announced or unannounced? 

Details of health and care services included in the report

Primary care services 
Community pharmacy
Dentist (non-hospital)
Diagnostic and/or screening service - single handed sessional providers
GP practice
Health visitor
Mobile doctors service
Secondary care services 
Social care services 
Adult social care
After care
Community services 
Continuing care

Details about conditions and diseases

What type of pregnancy or maternity themes are included in the report 

Details of people who shared their views

Number of people who shared their views 
Age group 
Does the information include public's views? 
Does the information include carer's, friend's or relative's views? 
Not applicable
Does the information include staff's views? 
Types of health and care professionals engaged 
All care professionals
Does the information include other people's views? 
Not applicable
What was the main sentiment of the people who shared their views? 

Outcomes and impact

Were recommendations made by local Healthwatch in the report? 
Does the information contain a response from a provider? 
Is there evidence of impact in the report? 
Is there evidence of impact external to the report? 
What type of impact was determined? 
Implied Impact

Network Impact
Relationships that exist locally, regionally, nationally have benefited from the work undertaken in the report
Implied Impact
Where it is implied that change may occur in the future as a result of Healthwatch work. This can be implied in a provider  response, press release or other source. Implied impact can become tangible impact once change has occurred.
Tangible Impact
There is evidence of change that can be directly attributed to Healthwatch work undertaken in the report.