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We are a partnership of NHS, councils, and voluntary sector organisations, working together to improve health and care in Barnet, Camden, Enfield, Haringey, and Islington.  

Further information

The documents on this page explain the work that took place before we moved to a public consultation and how decisions were taken.


Documents which supported decision making to move to a public consultation

Other supporting documents

    • Start Well case for change and Start Well case for change summary: This was the first formal stage of the Start Well programme, development of which took place from November 2021 to June 2022.  Based on feedback from clinical staff and extensive data analysis – with a strong population health focus – the Start Well case for change identified what currently works well in maternity, neonatal and children and young people’s services in NCL and the areas where there are opportunities for improvement.  It did not seek to set out potential solutions.  It was approved by NCL CCG Governing Body (the predecessor body to the ICB) on 30 June 2022 with an agreement to start a period of engagement on its findings.
    • Start Well case for change engagement report: Following approval of the case for change in June 2022 a 10-week programme of engagement started on 4 July 2022. The engagement had two aims. Firstly, to identify whether the themes highlighted in the case for change resonated with patients, residents, staff and stakeholders. Secondly, to capture the views of patients, residents, staff, and stakeholders on the opportunities to improve care in NCL. The feedback from the engagement was independently evaluated and a report of the findings was published in September 2022. The feedback was used to inform the proposals.
    • NCL ICB Board of Members: Start Well paper, 22 November 2022 and NCL ICB Board of Members: Start Well paper, 28 March 2023: These papers set out proposed future care models for both maternity and neonatal care and children and young people’s hospital care. At their public meeting in November 2022, the ICB Board agreed to start an options appraisal in relation to the implementation of the proposed maternity and neonatal care models and the proposed emergency and planned surgical children and young people’s care models. A further report in March 2023 report updated the recommendation in respect of proposed emergency and planned surgical children and young people’s care models.
    • Proposed children’s surgical pathways by specialty: This document sets out the proposed future children’s surgical pathways by age and by specialty. It is an appendix to the paediatric surgery pre-consultation business case and reproduced separately here as it is referenced in the consultation document.
    • Raising concerns or accessing support after care: This leaflet explains the support available if you have concerns about NHS care you have received or would like to access support.
    • Letter to NCL NCL Joint Health Overview and Scrutiny Committee 15 March 2024: We have written to NCL Joint Health Overview and Scrutiny Committee in accordance with The Local Authority (Public Health, Health and Wellbeing Boards and Health Scrutiny) Regulations 2013, to notify the NCL JHOSC of the date by which we need the committee to provide comments on our proposals for maternity, neonatal and paediatric surgical services under the 2013 Regulations. Additionally, we informed the committee of the date by which we intend to make a decision about whether to proceed with our proposals.


Start Well programme board

The Start Well programme board oversees the programme and has representation from all NCL acute trusts. Its members are:

  • North Central London (NCL) Integrated Care Board (ICB) Chief Medical Officer (Chair) – Jo Sauvage
  • NCL ICB Chief Nursing Officer – Chris Caldwell
  • NCL ICB Chief Strategy and Population Health Officer and Interim Deputy CEO – Sarah Mansuralli (Senior Responsible Officer, Start Well)
  • UCLH Executive Lead – Tim Hodgson
  • Whittington Health Executive Lead – Clare Dollery
  • North Middlesex Executive Lead – Victoria Jones
  • Royal Free London Executive Lead – Mike Greenberg
  • GOSH Executive Lead – Sanjiv Sharma
  • Specialised Commissioning Lead (NHS England) – Hazel Fisher / Rachel Lundy / Sara Nelson
  • Local Authority CEO representative – Ian Davis
  • Local Authority Director of Children’s Services representative – Ann Graham
  • North East London ICB representative – Diane Jones
  • North West London ICB representative – Toby Lambert / Janet Cree
  • Director of Public Health representative – Kirsten Watters
  • Programme team members in attendance as required.