Hertfordshire and West Essex Integrated Care Strategy

Relationship to other plans and strategies

The Integrated Care Strategy is closely linked to a number of other strategies and plans, including the following:

Health and Wellbeing strategies

In Hertfordshire and Essex the Joint Strategic Needs Assessments have informed the recent development of the Essex and Hertfordshire Health and Wellbeing strategies. These strategies were approved by the Health and Wellbeing Boards of Essex and Hertfordshire in May and June 2022, respectively. The two Health and Wellbeing strategies are similar in approach and content, each setting out a basket of priorities for local action and innovation, focused on improving health and wellbeing outcomes and reducing health inequalities.

Essex Joint Health and Wellbeing Strategy 2022 - 2026

Hertfordshire Health and Wellbeing Strategy 2022 – 2026

Hertfordshire Joint Strategic Needs Assessment

Essex Joint Strategic Needs Assessment 

Hertfordshire Corporate Plan 2022 – 2025

The corporate plan sets out Hertfordshire County Council’s vision for a cleaner, greener, and healthier Hertfordshire. The plan includes four priorities to deliver that vision: improving the health and wellbeing of our people, protecting, and improving our environment, supporting the sustainable and responsible growth of our county, and providing excellent services that are accessible for all.

Hertfordshire County Council Corporate Plan 2022-25


Everyone’s Essex 2021-2025

Everyone's Essex sets out Essex County Council’s vision for renewing the economy, seeking equality, and being ambitious for the people of Essex as well as focusing on four key areas - the economy, the environment, children, and families, and promoting health, care, and wellbeing for all ages. Embedded in the plan is a renewed commitment to addressing inequalities and levelling up life chances for residents.

Everyone's Essex: our plan for levelling up the county 2021 to 2025


NHS Long Term Plan and other local NHS Strategies

The NHS Long Term Plan (LTP), published in January 2019, sets the direction for NHS organisations delivering care to patients across the country. The plan identifies five priorities and specifies in detail the action to be taken to meet these:

  • Targeted care built around the patient
  • Preventing illness and tackling health inequalities
  • Boosting recruitment and retention of a highly skilled workforce
  • Making better use of data and digital technology
  • Maximising value for the taxpayer

Commissioners and providers of health services in Hertfordshire and west Essex have plans in place to deliver the targets of the NHS long term plan.

When the NHS long term plan is updated, this Integrated Care Strategy will be updated, as required, to ensure that it reflects any future requirements.


Hertfordshire and West Essex Integrated Care System Digital Strategy 2022-2032

This strategy covering health service provision focuses on enabling our professionals to transform services to meet the needs of our residents. It will do this by providing the right digital capabilities, including technology and infrastructure. It is these capabilities that will enable those that provide care to work together to create the best outcomes for people living in Hertfordshire and west Essex. It will enable improved access for residents, patients, and service users to information about themselves and allow them to interact digitally with their clinical and care professionals when it is appropriate and convenient to do so.


Hertfordshire and West Essex ICS People Strategy 2023-2025

This strategy supports integrated workforce planning, innovation and new ways of working, a sustainable workforce supply, improved staff wellbeing, experience, and education, talent, and leadership development.


Voluntary, Community, Faith and Social Enterprise Alliance Hertfordshire and West Essex and Hertfordshire and West Essex ICS Health Creation Strategy

The Strategy has been co-designed with the Voluntary, Community, Faith and Social Enterprise (VCFSE) Alliance for HWE ICS to value, promote and enhance the unique role of the sector in promoting health and wellbeing and addressing the wider determinants of health. This strategy enables the ICS to achieve NHS England’s expectations that the VCFSE should be treated as an equal strategic partner in plans to tackle the wider determinants. It ensures that VCFSE partnership is embedded as an essential part of how our system operates at all levels and promotes a more joined up and strategic approach to commissioning of the sector based on evidence of need and impact.

The strategy has the following ambitions:

  • To build on community assets.
  • To make every contact count.
  • To find out who is missing out and improve their wellbeing.
  • To ensure there is always someone who can help.

It aims to deliver its ambitions through:

  • Representation and engagement.
  • Maximising efficiencies through collaboration and partnership opportunities.
  • Shifting the lens towards the wider determinants of health.
  • Promoting the voices of people with lived experience to shape and influence strategic decisions.


Sustainability – the 2030 landmark

The effect of climate change is one of the biggest challenges of our time. The 2030 landmark is the target date that many organisations within the partnership have set themselves for becoming carbon neutral or for reaching milestones along this journey. Climate change has serious implications for our health and is already playing out in real time as witnessed through extreme weather events, such as heat waves, droughts, pollution and floods, which are caused by warming temperatures, which have become more severe in the past few years because of carbon emissions. Organisations within the ICP need to respond to these risks.

Adopting sustainable practices within our own organisations and across the integrated care system, developing leadership and staff buy-in for efforts to improve environmental sustainability, influencing sustainable practices in the community including through helping shape community environments, behaviours and influencing local suppliers, will in turn influence and impact on our residents’ health and wellbeing and contribute to a cleaner and healthier environment.

Hertfordshire County Council declared a Climate Emergency in Hertfordshire in 2019 and is committed to being a carbon neutral organisation by 2030 and has set out steps to embed sustainability in everything it does. Essex County Council is committed to becoming a net zero county by 2050 and has set itself a number of key targets to achieve this objective. The NHS launched the Greener NHS campaign in 2020 and a net zero commitment based on two major goals and a series of targets. The two main goals defined against the 1990 emissions baseline are:

  • Achieving net zero by 2040 for emissions that the NHS directly controls (the NHS Carbon Footprint), with an 80 per cent decrease by 2028 to 2032.
  • Emissions that the NHS can influence (NHS Carbon Footprint plus) net zero by 2045, with an 80 per cent decrease by 2036 to 2039.

Acting sustainably will foster a green economy, energy independence, great places and a better quality of life. There is much to be done to meet the Climate Change Act target of net zero carbon emissions by 2050. To achieve this, environmental sustainability needs to be a golden thread that runs through every aspect of how organisations across our system operates, from how we deliver services, to the energy we consume, and the way organisations use their estates to how they embed, champion and influence businesses and local communities to support actions on environmental sustainability.

This will require leaders across the system to put sustainability firmly on the agenda, ensuring there are ambitious environmental targets in their organisations plans and in the ICB five-year joint forward plan. When considering how we will deliver the strategy priorities we will ensure consideration is given to how our actions support our sustainability ambitions.