Case studies

In the last year, there has been a major transformation in how partners Ipswich and East Suffolk work together to tackle delayed transfers of care (DTOCs). For example, on 1 February 2018, 10 DTOCs were reported; in the same period in 2017 it was 49. This example of how local areas are working to implement overall system change forms part of our managing transfers of care resource.

Bradford District and Craven has a population of around 590,000 people. It is divided into two health and care partnership areas with distinct geographies and demographics. This example of how local areas are working to implement overall system change forms part of our managing transfers of care resource.

To date, SkillsHouse has supported more than 1,000 unemployed people to find work, while the wider Get Bradford Working programme has helped over 3,000 people into employment.

Key among this has been the adoption of a Health in All Policies (HiAP) approach by the public health directorate, which aims to maximise how health and wellbeing interventions and outcomes are integrated across the council. 

Oldham has invested in capacity to implement a wide-range of in-depth health and wellbeing initiatives which operate across the council, with Oldham clinical commissioning group (CCG) and with other local partners.

Leicestershire County Council has been moving towards a social model of public health and away from a more traditional lifestyle behaviour change model. This has led to the involvement of public health in a number of services with a strong emphasis on community capacity building as the basis of prevention.

A high priority for public health on transferring to local government in Dorset and even more so since the advent of STPs has been to make health improvement provision more consistent and equitable across the county and to join up support for different lifestyle risks. It was also a priority to draw on proven theories of behaviour change and to monitor outcomes. LiveWell Dorset is an integrated single service delivered by one contractor to support change across a range of risks and behaviours. 

Newcastle operates a Health in All Policies (HiAP) approach in which health and wellbeing is embedded across the council.

As part of the whole system health and care transformation programmes East Sussex Better Together and Connecting For You, East Sussex County Council has developed a system wide asset-based approach to prevention and early intervention with a view to making sustainable change at scale and pace.

Leeds City Council and partners are working on a ‘breakthrough project’ on early intervention and reducing health inequalities through linking integrated healthy living services, community development, GP social prescribing, NHS Health Check, and a range of other community activity with clear referral pathways.