Posted on: 3 April 2025
Sally Lydamore, Head of Camden Integrated Community Health Services (CICH), recently presented at an NHS Providers webinar alongside Kate Petts, Managing Director, at the North Central London Health Alliance.
They shared learning around changing clinical pathways, using data more effectively and connecting people from across the system, as well as the establishment of a physical integrated neighbourhood team (INT) in Camden.
A case for change
North Central London serves 1.8 million people across five boroughs, making it one of the most deprived Integrated Care Systems in London.
Since the pandemic, the area has seen a 21% rise in the number of people with three or more long-term conditions, a figure that is expected to increase. These patients make up around half of all GP visits, two-thirds of outpatient appointments, and 70% of hospital bed days. Many of them have multiple appointments across different providers, adding to NHS pressures and making care coordination more complex.
Integrated Neighbourhood Teams (INTs)
To tackle these challenges, the first INT was launched in October 2024. This model focuses on delivering joined-up care through stronger collaboration between healthcare providers.
The shift to neighbourhood-based care has already led to improvements, and Sally spoke about the early detection of health issues, streamlined referrals, and enhanced collaboration across organisations.
Clearly defined nursing roles, faster post-hospital support, and better coordination with care homes and unplanned care services have strengthened patient care. Marie Curie’s involvement has also eased pressure on district nursing services.
While the model has shown clear benefits, some challenges remain. The process of rolling out additional INTs depends on estate availability, and upskilling therapy and nursing leadership remains a priority.