Paediatric Integrated Care Collaborative (PICC)

Paediatric Integrated Care Collaborative (PICC):

A Pan-London Network putting Integrated Child Health at the core of London, committed to

developing new and different ways of working to deliver “joined-up” care for children by the right person, in the right place, at the right time.

Established in September 2011, PICC was developed as a network to add value to complex adaptive systems by serving as a catalyst to mobilise all the people in the system to co-design solutions. Itbrings together patients, commissioners and health care providers across all boundarieswith a shared vision of championing integrated child health. Hosted by the London Specialty School of Paediatrics PICC has met monthly sharing and show-casing research, data and innovative ideas.

The membership reflects the need to work for service users and carers to work in partnership with all professionals who work in the field of child health both public sector and third sector : commissioners, managers, the Head of London Specialty School of Paediatrics, the President of RCPCH, Public Health doctors, Paediatric doctors, GPs, including GPs who are also on CCGs, nurses and community matrons all participating.Patients and user groups are also represented, both in the group itself, and in the steering committee. There are currently 50+ members from different areas of London and beyond. This wide participation makes it a meaningful collaboration.

Presentations and data sharing so far has included work from Partners in Paediatrics, White City Community Champions, North West London Emergency Care data evaluation and Imperial Sickle Cell Co-production Projects.

The future of PICC

The remit of PICC will be central to London’s Integrated Child Health System with 3 main roles:

1. Developing networks and partnerships

For example:

• Patients and families working with Health to design services around their needs
• Primary and Secondary Care working together to improve continuity of care “around the patient”, collaboration and collaborative working
• Health and Social Care working together eg to ensure safeguarding
• Health and Academia working together through improvement Science London to disseminate and ensure evidence informed practice
• Integrating health economies

1. Project Management, dissemination and upscaling
2. Providing a platform to disseminate projects and research data done within the ICS across London, with a particular emphasis on innovation and quality improvement
3. Enabling, supporting and coordinating project work across the ICS

“Horizon-scanning” for potential project and coordinating bids for grants, development and implementation funds.

1. Workforce development, in close partnership with London School of Paeds, London School of GP and Royal College of Nursing

For example : Development and evaluation of training for doctors within Primary and Secondary Care, such as “Learning Together” initiative

PICC will act as an umbrella organisation “above” the multitude of integrated care projects outlined in the ICS, supporting and bringing together all the projects already in progress, those outlined above and those yet to be being developed. It will be central in pushing out the projects prototyped in local areas to the rest of London. With its meaningful representation, PICC will facilitate peer review, and ensure dissemination coordination and upscaling of all ideas developed within the ICS.

Whilst PICC sits as a Pan-London Collaborative, our work will link in to regional bodies, such as NHS London’s Integrated Care Group and respond to research coming out of newly created Improvement Science London. With our broad representation and influential and senior members, we are also uniquely placed to feed into, inform and react to National prioritities set by RCPCH, National Commissioning Board and the Department of Health.

In order to build upon our strong beginnings, having secured engagement from key stakeholders, and demonstrated successful collaborative working and outputs, we require financial input for administrative support, and for project/clinical coordination. We are also in progress of developing a strong governance structure to oversee, inform and direct the progress and dissemination of our Paediatric Integrated Care strategy for London.