Tier 1 · Wave 1 deep pioneerGP federation-led
Barking and Dagenham
NHS North East London · London · 218,000 residents
Programme
Phase · Phase 1 design · youngest borough in London focus
Programme lead · NNHIP local programme lead · NHS NEL ICB
Funding · Wave 1 backed by £10M nationally (~£230K avg/site)
Official source · https://www.northeastlondon.icb.nhs.uk/
Five Elements
purpose75
Youngest borough in London; growing population means prevention has outsized return.
place70
Becontree estate footprint; Thames riverside regeneration; new homes pipeline.
habitat55
Limited green space per capita; estate green corridors fragmented.
environment55
Air quality affected by A13/A406 traffic; mixed signal across borough.
organisation75
NEL ICB + LBBD + BHRUT triangle; strong council-led VCSE infrastructure.
The two seats
Every NNHIP site has, by NHS design, two dominant commissioner seats. Barking & Dagenham names both.
Acute seat
Barking, Havering and Redbridge University Hospitals NHS Trust + Queen's Hospital. Holds A&E for the fastest-growing population in the London region.
GP federation seat
Together First (BHR GP federation) + Barking & Dagenham Place Director + Barking Riverside Healthy New Town team. Holds the registered list, the S106 contribution pipeline, and the new-build neighbourhood baseline that defines the next decade.
NNHIP scorecard
| ◐ |
Footprint |
INTs in design; first sites identified |
| ◐ |
Multi-disciplinary team |
Multi-agency teams forming |
| ○ |
Pooled BCF |
Pooling intent under discussion |
| ○ |
Evidence published |
Outcome reporting framework not yet public |
| ● |
Accountable officer |
Place Director named |
| 2/5 |
Total (scored 2026-04-27) |
TIP chain
Tasks
- Stand up first INT in Becontree footprint
- Baseline EQ-5D-5L + PAM cohort capture in Dagenham
- Map BCF and Section 75 flows for B&D
Initiatives
- Joint working agreement (NEL ICB + LBBD + BHRUT + VCSE)
- Outcome-driven contracting variant on maternity or child health pathway
- Patient-held data trial (Apple HealthKit / Android Health Connect)
Proof
- First quarterly bound A5 outcome report to ICB board
- Measurable PAM uplift in pilot cohort (12 weeks)
- Cross-pioneer comparable record published in Sov Meridian
Field reading specification
Format · Bound A5 landscape outcome book (Aberdeen Sketchbook format)
Chapters
- Site context · Barking and Dagenham through Five Elements
- Stakeholder map · NEL + LBBD + BHRUT convenor list
- Capture cohort · 8–12 patients on HealthKit / Health Connect
- EQ-5D-5L baseline → 4-week closing delta
- PAM baseline → 4-week closing delta
- TIP outcome chain · what was achieved this cycle
- Audit register · every claim sourced and dated
- Editorial Validators · two doctors signed
- Recommended next reading · Round 2 framing
Deliverables
- Bound A5 book × 5 copies
- Audit register .xlsx
- 90-min briefing call with Place Director + INT lead + DPH
- Cohort export .csv (de-identified)
4 weeks from sign-off
· Subscribers receive the bound book and audit register as part of the entitlement
Evidence sources
Publication plan
Round 1
Issue #009 · Barking and Dagenham: neighbourhood health for London's youngest borough
2026-06-24 · status scheduled
Round 2
Issue #021 · Barking and Dagenham: twelve weeks on
2026-09-16 · status scheduled
Subscribe to Sovereign Meridian
This briefing is public. The publication is weekly. Issue 002 ships Wednesday 20 May 2026 with the Workforce Health Bridge field reading on Hillingdon and Heathrow.