Hertfordshire and West Essex Integrated Care Strategy

Our ten year strategy

Our vision

A healthy Hertfordshire and West Essex, enabling everyone to live their best lives, with the greatest possible independence. We are striving for a healthy Hertfordshire and west Essex where we can increase the years that our residents live in good health and lead their best possible lives with the greatest amount of independence. This includes ensuring our residents have a place they can call home in supportive communities with the people and things that they love and opportunities to succeed.

Our core principles

Four core principles underpin our vision and strategic priorities:

1. Integration of health, care, and wellbeing services

We will prioritise opportunities for integrated planning, commissioning and delivery of health, care, and wellbeing services so that people’s experience of support and services is more joined up. We recognise that it is routine for health and care staff to work together across teams and between organisations. This strategy is about the big strategic swings where a more joined-up approach will bring local authority, NHS, and voluntary sector services much closer together to maximise the chances for health gain at every opportunity.


2. Priority towards prevention and early intervention

We will prioritise prevention and early intervention, reflecting the evidence that it is better to identify and deal with needs earlier rather than to respond when difficulties have become complex, which will then require intensive action by services. Preventative services are particularly effective in improving the longer-term life chances of children, young people, and their families. We will do more than just talk about prevention. We will act and make use of local good practice that supports personalised care such as the Connected Lives model for social care in Hertfordshire. We will look at how we can shift investment across our system so that we can support the priorities we have set ourselves for early intervention and prevention, at the same time still striving to improve services for those who need our help now.


3. Targeted work to reduce health inequalities

We will prioritise targeted work to reduce health inequalities across our population and across all services and settings, reducing avoidable and unfair differences in health between different groups in society. We will utilise local intelligence including population health management systems to enable health and care staff to identify people most at risk of ill health and identify areas where health inequalities are greatest to ensure that resources can be targeted at people with the greatest need. We will also work in an integrated way to reduce the factors that contribute towards health inequalities.


4. Involving our residents and our workforce

We will involve our residents who use our services, their carers, and communities, along with our staff that deliver our services. We will engage with them at the earliest stages of service design, development, and evaluation. We recognise that those with ‘lived experience’ of a particular issue or condition, their families and carers, and the staff that support them are often best placed to advise on what support and services will make a positive difference to their lives. We are committed to working with our residents to improve our services and will listen to what our residents tell us and respond to their needs.


Our strategic priorities

Priority 1: give every child the best start in life

We will ensure that children in Hertfordshire and West Essex have the best opportunity to be safe and well and to reach their potential at school and beyond.


Priority 2: support our communities and places to be healthy and sustainable

We will work with our communities to improve our residents’ health and wellbeing by reducing health inequalities and taking action on the wider determinants of health including housing, employment and the environment.


Priority 3: support our residents to maintain healthy lifestyles

We will support people to be physically active, eat healthily and maintain a healthy weight, and we will provide support and advice to prevent tobacco, alcohol and substance misuse.


Priority 4: enable our residents to age well and support people living with dementia

We will ensure our residents are supported to age healthily, with access to advice and services that enable them to live well and independently for as long as possible.


Priority 5: improve support to people living with life-long conditions, long term health conditions, physical disabilities, and their families

We will support people living with lifelong conditions, long term health conditions, physical disabilities and their families assisting them to take more control of their health and live a good quality of life.


Priority 6: improve our residents’ mental health and outcomes for those with learning disabilities and autism

We will provide early help to our residents to prevent mental illness and support the health and wellbeing of those with a Severe Mental Illness (SMI), learning disabilities or autism.