NEL Fuller system response
Organisation: North East London Integrated Care Partnership

North East London’s Integrated Care Partnership (NEL ICP), with its richly diverse communities, serves one of the most deprived populations in the country. Health and care systems face numerous challenges including rising demand, stretched capacity, fragmented structures and widening inequalities, further impacted by varying (often poorer) health and care outcomes within and between boroughs, neighbourhoods and places.
In delivering NHS England’s Fuller recommendations, NEL ICP aims to create a new vision and strategy for integrating primary care, that will provide greater equity and improved access, experience and outcomes for residents, while securing sustainability for the future. The programme is centred around three essential offers:
- Streamlining access to care and advice
- Providing more proactive, personalised care with support from a multidisciplinary team of professionals, and
- Helping people to stay well for longer.
Our work
Following publication, we led the development of a Data and Metrics Framework to monitor the progress of actions taken, review the success of identified interventions, measure performance against net zero trajectories and identify priority areas for investment. The framework provided the basis for accountability at NHS Public Board.
TPHC is supporting NEL ICP in:
- Creating a new vision and case for change for integrating primary care and implementing the three essential offers
- Developing core workstreams that sit within the Fuller programme with SROs for each workstream, a distributed leadership model of delivery in alignment with work across the NEL system, collaboratives and place.
The client feedback
“It’s been great to work with the TPHC team to begin to mobilise the Fuller programme over the past four months. The team has worked collaboratively with our senior teams to enable us to take this ambitious and transformative work forward. We have strong foundations in place now and a robust programme approach. TPHC works autonomously, checks-in when needed, makes sense in ambiguity with a very collegiate approach to their work. They felt part of our team and left us with a strong set of products to continue the work. I recommend them and I’d be very happy to work with them again in the future.”
Anna Carratt- Deputy Director of strategy, planning and performance at NEL ICB
Shared vision and strategy
Co-designed and articulated system-wide programme requirements and priorities including early engagement with key stakeholders.
Mobilised workshops for a high-profile NEL Fuller launch event at West Ham Stadium setting out the vision and highlighting NEL best practices to foster and gain a shared commitment to action, attended by 200+ leaders across health and social care.
Established four Fuller workstreams with SROs from across NEL aligned with existing workstreams to lead and drive programme delivery.
Governance and accountability structures
Developed programme management assets as part of workstreams set-up.
Developed programme governance structures for oversight and accountability including a bi monthly SROs Steering Group.
System/place input and alignment for delivery
Undertook ongoing engagement with key stakeholders including workstreams and place based partnerships to seek input to a NEL approach, deliverables and priorities at a system, place and neighbourhood level.
Designed and facilitated workstream workshops starting with same day access to collaborate on ways of working and agree early initiatives for the programme.
Developed the case for change for the system and an integrated neighbourhood framework to support Places work in collaboration with PCNs to evolve their neighbourhood teams.
Developed comprehensive baseline mapping to assess existing work against the Fuller recommendations and workstreams to highlight areas of good practice, prioritisation areas, as well as identifying gaps against the Fuller Framework for shared action.
More case studies
Long-Term Conditions Outcomes Framework review
We developed a business case, a financial model and an activity model in support of a Long Term Conditions (LTCs) Outcomes Framework for implementation across primary care in north east London. This was designed to reduce health inequalities among patients with long-term conditions by addressing historic imbalances in investment.

PCN demand management, capacity and forecasting
In 2021, we developed tailored infrastructure toolkits for each of the 47 Primary Care Networks (PCNs) in North East London (NEL) to inform strategic planning decisions for future investments, ahead of the expected 13% population growth in NEL by 2031.

Place-based integration in City and Hackney
We provided strategy and programme support to City and Hackney CCG in North East London (NEL) over three years to strengthen collaborative working and accelerate out-of-hospital partnership programmes around local strategic priorities.

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