Abstract
Ealing is a municipal borough situated in West London. Ealing Borough Based Partnership is an informal local collaboration between an acute and community NHS Trust, the Local Council, Primary Care, voluntary sector and health commissioners (NWL ICB).
Approach: We held a population health summit to understand public health information derived from all health and care partners, to inform our priorities. This highlighted that Ealing:
- is experiencing substantial population growth
residents currently access acute care in hospitals in neighbouring boroughs
- life expectancy and health inequalities differ significantly across the our neighbourhoods
- has the highest rate of alcohol admissions in London
- has a high prevalence of diabetes and hypertension
- is a net importer of residents into care homes, boasting the largest care home bed base with increasing acuity and complexity
- is the most ethnically diverse borough in London
has the second highest rates of homelessness in NWL.
The above factors highlighted the complex health and social challenges facing our population, necessitating strategic planning of resource allocation to address the needs of its growing and diverse population.
System partners and local people from heath and care met to review progress against priorities and identify key deliverables for 2025-26. This poster summarises the review of partnership activities delivered under the banner of Ealing’s (integrated) Borough Based Partnership and plans.
Achievements:
Homeless Pathway: £63k in savings have been achieved through step-down and community support.
Bridging Care Service: reduced delays in inpatient settings to improve patient flow.
Care Home Inreach and Liaison Service: deployed to manage challenging patient behaviours.
High Intensity User MDTs have conducted 117 holistic case reviews, addressing unmet needs.
Ealing Care Navigation Network is an active social movement with 75 members from nine partner organisations. An Alcohol Intervention Pilot has been launched.
Ealing has made significant strides in Cervical Cancer Screening, achieving rates that are 64% above the NWL / London average.
Ealing has co-produced and published a Public Data Dashboard empowering stakeholders to make informed decisions and track progress.
Agreed priorities:
Integrated Neighbourhood Teams (INTs) to serve 50-100k residents with a transparent approach that involves all health and social care services.
Primary care access enhanced through partnerships with providers.
Child Health Hubs are being rolled out into all INTs across Ealing, with four out of eight hubs established so far.
Community Frailty Model.
Healthy Ealing Team to support vulnerable groups, including migrants.
System flow is optimised through continuous improvement to manage seasonal demand.
Co-production is being embedded in all projects.
Challenges:
Limited resources to coordinate partnership activities are a significant barrier to delivering further upon our ambitions.
Inadequate health care estates (aging facilities and high costs) impede the provision of high quality care, with limited opportunities for physical co-location.
Ealing’s diverse community presents unique health and social care challenges, requiring investment in a diverse workforce which is culturally competent and able to communicate in multiple languages.
Implications: Data informed collaboration between health and care partners can establish priorities for integration in a local borough.