Who is involved?

The local health and care organisations, including local authorities, are working together in a new partnership, the North West Surrey Integrated Care Partnership. This is helping us to think more creatively about how we can improve and join up services across health and social care.

Our partnership includes:

  • Ashford and St Peter’s Hospitals NHS Foundation Trust
  • CSH Surrey – community healthcare providers
  • Surrey and Borders Partnership NHS Foundation Trust – mental health providers
  • South East Coast Ambulance NHS Foundation Trust – ambulance services
  • Local GPs and our GP federation (North West Surrey Integrated Care Services Ltd)
  • North West Surrey Clinical Commissioning Group – responsible for planning and buying your local healthcare
  • Surrey County Council – responsible for public health and adult social care
  • Local councils – Elmbridge, Runnymede, Spelthorne and Woking

How are decisions made?

There are several key groups that make up the governance of the programme:

  • North West Surrey CCG Governing Body - final decision making body
  • North West Surrey CCG Clinical Executive - decision making body, making recommendations to the Governing Body
  • The Big Picture Core Team - executive oversight of the programme
  • North West Surrey Integrated Care Partnership Programme Board - also considers all key recommendations
  • The Big Picture Stakeholder Reference Group - patients, public and stakeholder scrutiny/critical friend
  • The Big Picture Clinical Working Group - developing clinical proposals
  • NHS England - a staged assurance process, makes recommendations and decision making
  • NHS England Clinical Senate - undertakes reviews and makes recommendations on the safety and sustainability of the clinical proposals

We also regularly engage with Surrey County Council’s Health Integration and Commissioning Select Committee and the Surrey Health and Wellbeing Board.

Meeting our equalities duty

Championing equality and reducing health inequalities runs throughout everything we do. Like other NHS and public bodies, the Big Picture programme has several statutory equality duties. These are contained in:

  • the Human Rights Act 1998
  • the Equality Act 2010 and the related Public Sector Equality Duty
  • the Health and Social Care Act 2012

We are commissioning an independent organisation called Mott MacDonald to carry out an equality impact assessment for this programme of work. Essentially, this methodology examines the varying impacts of proposals on people with protected characteristics (as defined under the Equality Act 2010) and specific vulnerable groups e.g. carers, looked-after-children.