Common use of Headstart Clause in Contracts

Headstart. In 2015, Lewisham restated its commitment to delivering a whole system model of care covering the whole population including children and young people. We are exploring options for expanding joint commissioning across the whole system (financial modelling, contracting and reimbursement models and governance and accountability models). We are working together with staff and users to design our Neighbourhood Care Network, based on the footprints of the four current general practice neighbourhood federations, health and social care neighbourhood community teams, community mental health teams and Lewisham’s children’s centres. This is in line with our work collectively across south east London through Our Healthier South East London (OHSEL). We are exploring how best to integrate our highly effective employ- ment support services for people with complex needs (including mental and physical ill health) with our health and social care systems. We want to accelerate our work on integration over the next 2 years prioritising integration activity initially for adults over the age of sixty, those with severe mental health issues, those children with complex needs and on children’s health and early intervention services, whilst ensuring activity across the system also supports the priorities set out in the OHSEL strategy. We will continue to develop the local governance and leadership arrangements for the whole sys- tem model of care in Lewisham (building on the existing governance Boards for Adults integration and Children and Young People). Our experience since 2010 tells us that a number of key enablers are needed in order to deliver successful integration. Locally we have made inroads into these areas, however we have a number of specific asks in order to remove barriers to delivery.