Transforming London’s Community Services
Objective: to create a shared vision for the future of London's community based health and care services
The TransformLDN initiative was established in July 2014 by London's Chief Nurse, Caroline Alexander, with the support of a network leaders from health and social care providers and commissioners form all 32 boroughs of London. Their aim was to create a shared vision that binds us all to a community-led revolution in health and social care.
The objectives of the programme were:
- to engage a large, diverse group of stakeholders to create a shared vision of what excellent community based services look like.
- to use this vision to identify and describe features of a specific model of community based care – the Multispecialty Community Provider (MCP).
The ultimate aspiration was that the outputs of this project would act as tools to inspire and support both providers and commissioners of community based health and care services to realise their own local transformation programmes, ultimately resulting in a healthier and happier London.
Design and Deliver
We undertook the research in two broad steps:
- Understanding the foundations of excellent community based health and care services
- Building upon the insights generated in step 1, by taking these foundations and applying them to a specific model of care – the Multispecialty Community Provider (MCP)
To achieve this we deployed the Clever Together crowdsourcing method. Through a series of online crowdsourcing workshops delivered alongside more traditional approaches, including interviews, focus groups and face-to-face workshops, we engaged a network of 1,200+ stakeholders, representing 150+ organisations from all 32 London boroughs. The network included a broad cross-section of clinical and non-clinical health and care staff, service users and carers. From their contributions and 2 sessions of desk research we created and analysed six qualitative datasets. Collectively over the six datasets, 12,649 data points were captured.
Having built the six datasets we probed the data using inductive analytical approaches to reveal common meta-themes. Then through a process of triangulation we interrogated the datasets clustered by these meta-themes to reveal common sub-themes across the datasets.
This revealed two outputs:
- Our Declaration
A framework for excellent community services, which contains four foundations:
- Care is about me
- Make London healthier and happier
- Working as one team
- Happy staff with the right skills
- What makes a good Multispecialty Community Provider?
25 guiding features for the development and commissioning of a specific community based care model – the Multispecialty Community Provider
So far the initiative has brought together a network of 1,200+ stakeholders to co-create a vision for the future of London's community based health and care services. 12,649 data points were analysed to reveal: a framework for excellent community based health and care services and 25 guiding features for the development of a specific community based care model. The two outputs are now being used by organisations across London, both commissioners and providers, as tools to benchmark services, engage employees and service users and plan improvement programmes in community services. The outputs are also being used by NHS England as an evidence base to feed into the 13 transformation programmes that make up the Healthy London Partnership, which was created as a result of the report delivered by the London Health Commission.
- Diane Chalmers, Transformation Manager, Your Healthcare CIC
TransformLDN… made us realise that there are other people out there who get it, get our way of working. The declaration reflects the ideas and objectives that we put together in our own Your Healthcare Manifesto – outlining the values that underpin our work as a mutual in the community.
- Eirlys Evans, Deputy Director of Nursing, East London NHS Foundation Trust
We are using the platform of the declaration as a tool to assess where we are now and to identify gaps in our services to focus on in the future.