Local Government Association

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

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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

HICM: Intermediate Care: Halton

Overview

Prior to the COVID-19 pandemic, Halton’s intermediate care provision was delivered through several separate services. These included the Rapid Access Rehabilitation Service, a Capacity and Demand Team, falls prevention team, hospital discharge teams and a Frailty team. While each service provided valuable support, they operated largely independently.

Case Study

HICM: Intermediate Care: Stoke and Staffordshire

Overview

Demand pressures and increasing costs were putting strain on the system, making it difficult to maintain service quality and meet the needs of service users efficiently. There was recognition that no single partner could deliver systemic improvement alone; effective collaboration across Stoke-on-Trent City Council, Staffordshire County Council and Midlands Partnership Foundation was essential for meaningful change. 

Action

Case Study

HICM: Intermediate Care: South Tyneside

Overview

The ‘Guiding You Home’ programme was established in 2025 as a collaboration between South Tyneside Council, Sunderland City Council, South Tyneside and Sunderland NHS Foundation Trust; and North East and North Cumbria ICB. 
The programme sees multi-agency teams working collaboratively with ward staff, care homes and home-based care services to find more effective ways of working – with the focus on helping patients get discharged faster, or stay out of hospital altogether, with more help provided at home.  

Action

Case Study

HICM: Intermediate Care: Redcar and Cleveland

Overview

Redcar and Cleveland were experiencing discharge delays across the local system, and intermediate care bedded provision was not leading to return home as frequently as would be expected.

Action

Case Study

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Our dedicated General Election hub sets out the key commitments in the Conservative, Green, Labour and Liberal Democrat national manifestos relevant to local government.

Cumbria and Lancashire: Giving gambling harm the attention it deserves

  • The Cumbria and Lancashire Public Health Collaborative worked with the LGA to review its work on gambling harm
  • With money due from the gambling levy, the collaborative wanted to make sure it was in a strong position to maximise use of the extra resourcing
  • The collaborative say the support they received has given it a platform to build on and are now planning to implement some of the learning

Croydon Council: Winning hearts and minds on health in all policies

  • The LGA has run a series of workshops for both members and officers at Croydon Council to build a health in all polices approach
  • More than 100 people have been involved and now closer links between the public health team and other departments are being developed
  • Croydon praised the LGA support, saying the experts brought real credibility and expertise

Cheshire and Merseyside: Our suicide prevention work has been energised

  • The Cheshire and Merseyside Public Health Collaborative has been working on suicide prevention for more than a decade
  • The LGA has provided support over two phases, helping the collaborative to re-shape its approach to the issue
  • Lead Director of Public Health says help has given the collaborative ‘brain space’ to reflect and adapt

Isle of Wight: Intense three months of support has put us in strong position

  • LGA experts worked with the Isle of Wight Health and Wellbeing Board over a three-month period
  • One-to-one interviews and workshops were held covering how the board worked, neighbourhood health and working with communities
  • Director of public health reports the support helped ‘lift the gaze’ of the board as it entered a crucial new phase

Case Study

Kent: Our board needed re-imagining – the LGA helped us do this

  • Director of Public Health requested LGA to support efforts to re-develop the health and wellbeing board after it had ‘drifted to the margins’
  • A three-week intensive round of one-to-one interviews with board members and a workshop helped to pave the way for an overhaul
  • Plans now being put in place to take board meetings out into community settings, refresh the membership and set up key priority workstreams

Case Study