Working together

Focusing on changes that make the biggest impact

We have many good services locally - sharing resources and information about these means we can learn from each other and work together to improve quickly and efficiently.

We have identified some areas which are likely to have a big impact on quality of care and on outcomes for patients and residents and where we know we already have examples of good services. By working together and sharing what we are doing well, we aim to improve services for everyone.

Some of the areas we have identified as having a big impact are:

  • Identifying and supporting vulnerable people in the community to work with them to keep them healthy and well
  • End of life care – to improve the experience of people nearing the end of their life, and that of their families, and to work so that they can die in the place of their choice (at home, or in a hospice, for instance). Read more
  • More proactive care for people with long-term and complex needs to help them manage their conditions and avoid episodes of crisis
  • Improving detection rates of illnesses and conditions such as diabetes, heart disease and cancer
  • Avoiding admission to hospital and better discharge from hospital (’reablement’)
  • Supporting people to manage their own health
  • Prevention and public health programmes
  • Working with GPs and local people to get the best out of prescribing. Read more

Local care networks and new ways of working

GP and other community services are working more closely together to coordinate care to groups of people with similar needs.

Through these networks, different organisations and professionals are finding ways to work together more closely and effectively. This will mean local people can access services and support more easily, at the right place and the right time.

The networks will have better links to hospitals, diagnostic tests and specialist care so that local people get access to the advice and treatment they need without having to go to hospital, unless absolutely necessary.

These networks may have different names locally, but they will have a consistent set of services which are agreed across south east London. They will have a strong focus on health and well-being, encouraging and supporting people to live healthier lives.

The networks will include local authority, voluntary sector and community services, making it easier for local people to access additional support, such as information and advice, groups and activities specific to their individual needs.