Our ten-year integrated care strategy explains our plans for improving health and care for residents in mid and south Essex. It sets out what will be different and how we will work together to achieve our shared objectives.
We know we won’t make things better just by providing more and more services. We need to work together on all the things that affect people’s lives, like tackling loneliness and isolation, unsuitable housing, the environment, the impacts of unemployment or being in debt.
These are known as the “wider determinants of health” and are affecting our most vulnerable communities more than ever.
If we can improve the wider determinants of health, we can improve everyone’s health and wellbeing and reduce unfair inequality that exists. That is the central theme of our strategy – to tackle inequalities, together.
The health and care system
The Mid and South Integrated Care System serves a population of 1.2 million people, living across Braintree, Maldon, Chelmsford, Castle Point, Rochford, Southend, Thurrock, Basildon and Brentwood.
The infographic presents a color-coded map of mid and south Essex. Four localities are shown, each shaded in a different color and labeled with the name of the locality, population size, and the number of primary care networks. The localities are as follows:
Mid Essex: Colored green, with a population of 405,000. It has 9 primary care networks, further broken down into sub-regions: three in Chelmsford, two in Braintree, two in Maldon/Chelmsford, two in Maldon/Braintree, and one in Braintree/Chelmsford.
South East Essex: Colored purple, with a population of 377,000. It comprises eight primary care networks, distributed as two in Castle Point, two in Rochford, and four in Southend.
Basildon & Brentwood: Shown in blue, with a population of 285,000. This region has six primary care networks, with five in Basildon and one in Brentwood.
Thurrock: Displayed in red, with a population of 176,000. There are four primary care networks in this region, located in Tilbury and Chadwell, Grays, Purfleet, and Corringham.
The Integrated Care System is made up of two statutory committees:
Integrated Care Board (ICB):
A statutory NHS organisation responsible for developing a plan for meeting the health needs of the population, managing the NHS budget and arranging for the provision of health services in the integrated care system area.
Integrated Care Partnership (ICP):
A statutory committee jointly formed between the NHS ICB and all upper tier local authorities that fall within the ICS area (councils with responsibility for children’s and adult social care and public health). The ICP brings together a broad alliance of partners concerned with improving the health and wellbeing of the population.Find out more about our boards and committees
About our Integrated Care Strategy
The Integrated Care Partnership has the responsibility for producing an integrated care strategy setting out the ambitions of the partnership to help meet the health and wellbeing needs of the population.
In preparing the strategy, we looked at the regulatory and statutory requirements, particularly the four key aims established for integrated care system:
We also reviewed the ‘triple aim’ set out for NHS bodies which requires them to consider the effects of decisions on:
- The health and wellbeing of the people of England (including inequalities in health and wellbeing).
- The quality of services provided or arranged by both themselves and other relevant bodies (including inequalities in benefits from those services).
- The sustainable and efficient use of resources by themselves and other relevant bodies.
Persistent inequalities – particularly impacting Basildon, Thurrock and Southend.
Growing and ageing population – impacting on health conditions such as dementia, cardiovascular disease, cancer, diabetes, chronic obstructive pulmonary disease, leading to challenges for frailty, social isolation and the need to bring care closer to home.
Mental health conditions – Focusing on, suicide rates, support to talk about mental health, reducing stigmas and bringing communities together.
Why change is needed
Levels of deprivation in mid and south Essex
On average deprivation in mid and south Essex is lower than the national average. In mid and south Essex an estimated 133,000 people live in the 20% most deprived areas nationally. This is 10.5% of the whole mid and south Essex population.
There is a large and growing gap between the most and least deprived districts in mid and south Essex. That is why we need to work with wider partners across our local area to make the greatest impact on health and wellbeing.
Determinants of health
It is recognised that good health and wellbeing has many contributing factors that go beyond clinical care and there are wider determinants of health that directly impact on health outcomes.
Health behaviours 30%
10% Diet / Exercise
5% Poor sexual health
5% Alcohol use
Socio-economic factors 40%
5% Community safety
5% Family / Social support
Clinical Care 20%
10% Access to Care
10% Quality of Care
5% Environmental Quality
5% Built Environment