Barking and Dagenham, Havering and Redbridge A&E Delivery Board

The vanguard and the people it serves

The Barking and Dagenham, Havering and Redbridge System Resilience Group is aiming to create a simplified, streamlined system of integrated urgent care, using the latest technology and advice to support people to get the right care in the right place, first time.

The vanguard partners include:

  • Barking and Dagenham and Havering and Redbridge clinical commissioning groups
  • Barking, Havering and Redbridge University Hospitals NHS Trust
  • North East London NHS Foundation Trust
  • London Boroughs of Barking and Dagenham, and Havering and Redbridge
  • Together First (Barking and Dagenham GP partnership)
  • Havering Health (Havering GP partnership)
  • Healthbridge Direct (Redbridge GP partnership)
  • Partnership of East London Cooperatives
  • London Ambulance Service
  • NHS England area team
  • Healthwatch
  • local pharmaceutical committee

This vanguard has a population of 750,000, living in one of the most challenged health economies in the country.

What is changing?

Barking and Dagenham and Havering and Redbridge System Resilience Group’s ambition is to radically transform local urgent and emergency care services, removing barriers between health and social care and between organisations.

The vanguard partners know that they need to do things differently and that patients are confused by the various urgent and emergency care services available to them – such as A&Es, walk-in centres, urgent care centres, GPs, pharmacists and out of hours services.

The variation and challenge across Barking and Dagenham, Havering and Redbridge makes it an ideal test bed for transforming urgent and emergency care services – if the programme can make it work here, it believes it could be replicated elsewhere in the country.

Its ultimate vision is for patients to access urgent care through modern digital technology – a ‘click, call, come in’ model that will recognise individuals and personalise the help they receive as soon as they get in contact.

Health and social care professionals will also be able to share and update patient care records, regardless of which setting patients are seen in.

Being a vanguard is allowing the partners to take significant steps towards achieving this vision, by testing innovations and building strong foundations for an effective and sustainable system of integrated urgent care.

This ambitious plan is being developed with patients and staff, and will build on existing successful partnership working between NHS and social care organisations locally.

Key benefits

  • Better signposting to advice or support in the community will help reduce unnecessary hospital admissions
  • Clicking or calling before they go to hospital will mean patients receive the right advice, first time in the right place.

Contact Barking and Dagenham, Havering and Redbridge System Resilience Group


Twitter: @bhrpartnership