Hillingdon Health and Care Partners

Care Homes Support Team

Provides holistic care and advanced care planning to residents in Hillingdon CQC registered  care homes including for older people and Extra Care Housing. This has led to:

• Year on year reduction of ambulance conveyances, attendances at A&E and admissions to hospital
• Timely and comprehensive medication reviews
• 90% of care home residents died in place of choice during 21/22 (79% nationally)
• Feedback from residents, care home staff and family highly positive

Care Connection Team

Provides case management and care co-ordination to the top 2% of individuals aged over 18 years at high risk of hospital admission or hospital attendance. This has led to:

• Reductions in A&E attendances and admissions to hospital for those supported by the CCTs
• Emergency home visits undertaken by the guided care matrons release approx. 2,800 GP appointments per year
• Medication reviews undertaken by the matrons reduce medicine wastage and improve quality of care
• Hillingdon has a lower hospital admission rate for +65s than the NW London average

High Intensity User Service

Works proactively with up to 50 of the most intensive users of Hillingdon Hospital A&E, supporting people to understand and address the underlying health and social causes of their frequent use of unscheduled care. This has led to:

• Significant reductions in A&E attendances and admissions to hospital
• Shortlisted for and won a Health Service Journal Award
• Future focus on people accessing mental health services and also extending age range to 14+

The London Borough of Hillingdon and HHCP refreshed the Hillingdon Joint Health and Wellbeing Strategy and identified six priorities:

• Support for children, young people and their families to have the best start and to live healthier lives
• Tackling unfair and unavoidable inequalities in health and in access to and experiences of services
• Helping people to prevent the onset of long-term health conditions such as dementia and heart disease
• Supporting people to live well, independently and for longer in old age and through their end of life
• Improving mental health services through prevention and self-management
• Improving the ways we work within and across organisations to offer better health and social care

Our partnership governance reports into the Health and Wellbeing Board which is jointly chaired by LBH and HHCP.

Partners including public health are looking at data together to identify priorities at Borough and Neighbourhood levels including the national “Core 20 + 5” framework.

We have trialled this approach with a focus on preventing falls and, in one of our neighbourhoods, care for those with diabetes and obesity.  The learning from these projects will be taken forward as we develop a consistent way of working.

Hillingdon Primary Care Executive Group (PCEG) is established as a group of the NHS North West London Integrated Care Board (NWLICB).

In keeping with the commitment to maintain and enhance primary care locally, as much business as possible will be transacted at NHS NWL Borough level.

PCEG’s role is to oversee the development of primary care at a place based level, ensuring that NW London and national requirements are delivered and assurance provided through both the place based governance arrangements (where a decision impacts only the local geography) and the NW London Local Care governance arrangements (where more than one geography is impacted). 

Find out more about the Hillingdon Primary Care Executive Group (PCEG) and how to join our meetings in public.