INEL System Transformation Board

Introducing the new INEL System Transformation Team and Board

Health and care partners across inner north east London (INEL), which comprises City & Hackney, Newham, Tower Hamlets and Waltham Forest, are coming together to transform services and improve outcomes for our 1.17 million population.

Building on a range of successful collaborations, the new INEL System Transformation Board will work proactively to address significant system challenges and put their collective efforts towards addressing the big priorities for the system. In doing so, the Board will seek to support local place-based arrangements rather than replacing them. 

The NHS Long Term Plan explicitly wants to see more collaboration between GPs, their teams and community services to increase the services they can provide jointly; and for NHS organisations to work more with their local partners to plan and deliver services which meet the needs of their communities. The INEL System Transformation Board (INEL STB) will take responsibility for working with our partners to deliver our strategy in response to this.

The INEL STB is currently working up its initial priorities:

  • Outpatients – with the aim to reduce outpatient face to face contacts by a third.
  • Urgent care – taking responsibility for the urgent pathway to reduce unnecessary attendance.
  • Health and well-being of rough sleepers and homeless people – currently being scoped with local authority and health leads.
  • Clinical configuration and provider collaboration – we will continue to work across INEL looking at surgical configuration across sites, mental health provision, and improved utilisation of local capacity and maximised capital opportunities.

This programme of work builds on and replaces the Transforming Services Together programme (TST). TST was responsible for a number of successes and these will form the foundation of our continued joint working.

These included:

  • Outpatients - a big increase in the utilisation (98%) of the paperless e-referral system by Barts Health and the roll out of advice and guidance for GPs to determine if referrals are necessary, via the e-referral system.
  • Workforce – a 200% increase in the number of Physicians Associates employed into primary care settings since 2016.
  • Diagnostics - tQuest Radiology is now live and provides online imaging ordering for GPs and nurses and the programme was a HSJ Award finalist in the value in diagnostics category.

The INEL Presentation outlines the rationale, priorities, structure and governance of the INEL STB and we will keep you updated on the work and progress of the programme via regular emails and other communications.

If you have any questions, queries or would like to get involved in the transformation of health and care across INEL please contact Clare Charlton at