Local Government Association

We are the national voice of local government, working with councils to support, promote and improve

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HICM: Case studies

These case studies show how local systems are putting the High Impact Change Model into practice to improve intermediate care, strengthen partnership working and support people to recover, regain independence and return home safely.

Transforming public procurement

A new era begins for public procurement as the Procurement Act 2023 and the Procurement Regulations came into force on 24 February 2025.

Reading and West Berkshire: I became DPH for two councils – LGA helped me deliver large-scale change

  • Dr Matt Pearce took up the Director of Public Health reins at two councils – Reading and West Berkshire
  • The LGA support with several different exercises has helped establish him in his role and support the wider health and care system to focus on prevention
  • Challenges and opportunities have been identified - and strong foundations been put in place

HICM: Intermediate Care: Croydon

Overview

In 2017, Croydon Council, the local NHS Commissioning body, local health providers and voluntary organisations formed the One Croydon Alliance. They signed a legally binding 10 year agreement to work as one system, with shared goals and shared responsibility for local people’s wellbeing. The Alliance began by focusing on residents aged 65+, aiming to reduce avoidable hospital admissions, and help older people remain independent for as long as possible.

To guide the work, the partners committed to principles such as:

Case Study