Tier 1 · Wave 1 deep pioneerAcute-led

Stockton-on-Tees

NHS North East and North Cumbria · North East · 200,000 residents

Programme

Phase · Phase 2 implementation · INT model showcased by NHS England

Programme lead · NNHIP local programme lead · NENC ICB

Funding · Wave 1 backed by £10M nationally (~£230K avg/site)

Official source · https://www.england.nhs.uk/north-east-yorkshire/our-work/north-east-and-yorkshire-primary-care/examples-of-integrated-care-in-the-community/new-neighbourhood-approach-makes-waves-in-stockton-and-tyneside/

Achieved · how it landed

2026-04-15 Landed

INT model named in NHS England's case-study cycle

Stockton's Integrated Neighbourhood Team approach was published by NHS England as a worked case study, alongside Tyneside, in the neighbourhood-approach examples cycle.

How it landed. It put the INT footprint into the public record, in language the other forty-two pioneer ICBs can cite without asking permission. The local conversation now has a national reference point.

Read the source →

2026-05-13 Scheduled

Issue #003 publishes: How Stockton-on-Tees stopped waiting for permission

Sovereign Meridian's Round 1 reading of Stockton ships Wednesday 13 May. Reads the INT showcase against the wider Wave 1 picture and asks why nobody is yet capturing the outcome data the Wave 1 evaluation will turn on.

How it landed. Frames a specific operational suggestion: cohort capture (EQ-5D-5L plus PAM, on Apple HealthKit and Android Health Connect, no PII to RiDraw) piloted at one Stockton INT footprint as a four-week Snapshot, bound A5 outcome book to the ICB board.

Read the source →

Five Elements

purpose80

INT model is the strategic anchor. Combined Authority alignment with health is genuine.

place75

River Tees corridor; freeport reconfiguring industrial geography; town centres in regeneration.

habitat60

Estuary and brownfield ecological context. Ribbon of green infrastructure.

environment85

Industrial air quality legacy + hydrogen / decom transitions = mixed signal. New monitoring needed.

organisation90

Tees Valley Combined Authority + ICB + LA: strong governance triangle, mature relationships.

The two seats

Every NNHIP site has, by NHS design, two dominant commissioner seats. Stockton-on-Tees names both.

Acute seat

North Tees and Hartlepool NHS Foundation Trust. Holds A&E presentation patterns, occupational respiratory load from the chemical-industries belt, and the social-work duty across Tees Valley industrial transition.

GP federation seat

Stockton Health (GP federation) + NENC ICB Place Director (Stockton). Holds the registered list, the 2032 trajectory against industrial-transition demographics, and the BCF + ICB + LA pooled-budget conversation.

NNHIP scorecard

Footprint INTs designed; multiple live
Multi-disciplinary team Multi-partner team active
Pooled BCF Pooling intent stated
Evidence published Showcased: public outcome figures pending
Accountable officer ICB + Combined Authority pair
4/5 Total (scored 2026-04-27)

TIP chain

Tasks

  • Establish multidisciplinary neighbourhood teams across Stockton's INT footprints
  • Baseline EQ-5D-5L + PAM cohort capture at one INT site
  • Map current pooled-budget flows (BCF + ICB + LA)
  • Document industrial-transition stakeholder set

Initiatives

  • Joint working agreement (LA + ICB + community provider)
  • Outcome-driven contracting variant on one pathway (e.g. respiratory)
  • Patient-held data trial (Apple HealthKit / Android Health Connect)
  • Tees–Aberdeen industrial-transition cross-pioneer learning

Proof

  • First quarterly bound A5 outcome report to ICB board
  • Measurable PAM uplift in pilot cohort (12 weeks)
  • Avoided non-elective admissions evidenced and audited
  • Cross-pioneer comparable record published in Sov Meridian

Field reading specification

Format · Bound A5 landscape outcome book (Aberdeen Sketchbook format)

Chapters

  1. Site context · Stockton through Five Elements
  2. Tees Valley industrial-transition stakeholder map
  3. Capture cohort · 8–12 patients on HealthKit / Health Connect
  4. EQ-5D-5L baseline → 4-week closing delta
  5. PAM baseline → 4-week closing delta
  6. TIP outcome chain · what was achieved this cycle
  7. Audit register · every claim sourced and dated
  8. Editorial Validators · two doctors signed
  9. Recommended next reading · Round 2 framing

Deliverables

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 #003 · How Stockton-on-Tees stopped waiting for permission

2026-05-13 · status scheduled
Round 2

Issue #015 · Stockton: twelve weeks on

2026-08-05 · 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.