City and Hackney CCG intends to award an alliance contract for an integrated out-of-hospital health and care service to an alliance of 3 providers (the Homerton University Hospital NHS Foundation Trust (HUHNFT), East London NHS Foundation Trust (ELFT) and the C&H GP Confederation).

The service will be a fully integrated Neighbourhood Health and Care service delivered by a provider alliance in City and Hackney operating under a set of shared objectives, outcomes, performance targets and budget.

The CCG intends for social care services, provided and commissioned by the City of London and the London Borough of Hackney, and voluntary service to become part of the alliance in future; and for Primary Care Networks to develop integrated working relationships with the Alliance in each Neighbourhood.

The CCG believes that HUHNFT, ELFT and the GP Confederation are the only providers capable of delivering this physical and mental health service as a fully integrated group of local providers.

C&H has established integrated commissioning and is developing an ICS sub-system that will ensure better patient outcomes and locally integrated services.

The CCG is now transforming health and care by integrating out-of-hospital health and care services, including list-based enhanced primary care services and by configuring services around 8 GP clusters called 'Neighbourhoods'.

The design of the service is overseen by the CCG's integrated commissioning partners: London Borough of Hackney(LBH) and City of London(CoL) operating under an Integrated Commissioning Board.

The Neighbourhood Health and Care Alliance service includes physical health, mental health and enhanced primary care services; and will work with social care, local PCNs and the voluntary sector.

The services will be delivered by 3 existing providers working under an alliance agreement and a contract that includes common service specifications; to deliver shared outcomes and a joint service transformation plan.