Care closer to home

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Haringey CCG’s proposed model for primary care focuses on more joined-up working amongst health and social care professionals to deliver more person centred care to patients. GP practices across the borough will work together, along with social care and the voluntary sector, in small clusters called Care Closer to Home Integrated Networks (CHINs), to provide a range of services for residents. These services will be focused on the needs of the local population.

Haringey currently has three CHINs based in the East, Central and West parts of the borough:
• East CHIN supports people with diabetes
• Central and West CHINs support people with moderate frailty

The networks were established as pilots in 2017, with the help of professionals and patients who were likely to benefit from the models.

We are engaging with patients and residents at each key development stage of these networks as we want to make sure that they are involved in shaping this new model of care every step of the way.

Here are some of the things that local people have said they would like to see CHINs deliver and what we have done in response.

You saidWe did
How can CHINs better support people in diverse communities, e.g. whose first language is not English? In the East CHIN, which supports people with type 2 diabetes, we have worked with the Bridge Renewal Trust to recruit two bi-lingual staff to deliver the care navigation service. The care navigators speak Turkish and Bengali respectively, which were the two non-English speaking patient groups identified as having high rates of diabetes in the area. We have also commissioned self-management programmes aimed specifically at supporting people with long term conditions whose first language isn’t English.
Social isolation is a problem in Haringey. How can CHINs help? Each CHIN has a care navigator who will focus on helping patients to make full use of community and voluntary sector resources available locally. The care navigator will support residents and family members to engage with those services and make the multi-professional team aware of what is available. The care navigator will be familiar with voluntary and community services, and also with relevant statutory services, so that they can respond holistically to patients’ needs. The care navigator can also support patients in accessing services, where appropriate.
Provide additional support for patients with learning disabilities and for people who are housebound

Some of the patients that already benefit from the CHINs are those individuals who are house-bound or socially isolated, and this is one of the key groups we will continue to target through CHINs in 2019.

The CCG and Council are planning a wider and multi-agency health and care network to support people with frailty at home as part of an Ageing Well Strategy for 2019/20. This will include consideration of how people with learning disabilities who become frail (often at a younger age than the general population) can be supported through this network and how it will join up with existing care pathways for people with disabilities.

CHINs should provide mental health support.

In the initial phase people will be supported to access appropriate mental health services. The CHIN focusing on long term conditions management will link in with the Increasing Access to Psychological Therapies (IAPT) service.
The CHINs supporting frail elderly patients will work closely with the memory service to support patients with dementia.


In 2018, we:
  • got feedback at the CCG’s Engagement Network from a range of patient and community group representatives about how we can further develop the CHINs model of care to ensure it is meeting the health needs of local people.
  • updated around 200 local residents at the CCG’s public meeting about the CHINs’ progress, answered their questions and got their views on what they’d like to see the networks focus on in the future.

Last updated: 26/02/2019