Tier 1 · Wave 1 deep pioneerAcute-led

Sunderland

NHS North East and North Cumbria · North East · 277,000 residents

Programme

Phase · Phase 2 implementation · Tyneside neighbourhood approach showcased

Programme lead · NNHIP local programme lead · NHS NENC ICB · Sunderland Place

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/

Five Elements

purpose80

All Together Better alliance is a mature operating model; neighbourhood approach showcased nationally.

place75

Wear corridor + coalfields hinterland; mixed urban + post-industrial.

habitat65

River Wear and coastal habitat; significant green/blue infrastructure.

environment70

Industrial-legacy mixed signal; Nissan + offshore wind transition adds complexity.

organisation85

NENC ICB + SCC + STSFT + ATB alliance: strongest organisational signal in NNHIP wave 1.

The two seats

Every NNHIP site has, by NHS design, two dominant commissioner seats. Sunderland names both.

Acute seat

South Tyneside and Sunderland NHS Foundation Trust + Nissan plant occupational-health interface. Holds A&E and chronic-disease patterns of a single-employer economy in industrial transition.

GP federation seat

Sunderland GP Alliance + NENC ICB Place Director (Sunderland). Holds the registered list through the EV-transition reshape of the demographic baseline, the deprivation gradient, and the cross-pioneer parallel to Aberdeen.

NNHIP scorecard

Footprint ATB alliance live across all four neighbourhoods
Multi-disciplinary team Multi-partner team active (showcased)
Pooled BCF Pooling intent stated
Evidence published Showcased: public outcome figures pending
Accountable officer ICB + ATB alliance pair
4/5 Total (scored 2026-04-27)

TIP chain

Tasks

  • Extend ATB approach to Coalfields footprint
  • Baseline EQ-5D-5L + PAM cohort capture in Hendon
  • Map BCF and Section 75 flows for Sunderland Place

Initiatives

  • Joint working agreement (NENC ICB + SCC + STSFT + ATB)
  • Outcome-driven contracting variant on long-term-condition pathway
  • Patient-held data trial (Apple HealthKit / Android Health Connect)

Proof

  • First quarterly bound A5 outcome report to Sunderland Place board
  • Measurable PAM uplift in pilot cohort (12 weeks)
  • ATB alliance comparable record published in Sov Meridian

Field reading specification

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

Chapters

  1. Site context · Sunderland through Five Elements
  2. All Together Better alliance 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 #019 · Sunderland: what All Together Better has actually moved

2026-09-02 · status scheduled
Round 2

Issue #031 · Sunderland: twelve weeks on

2026-11-25 · status scheduled

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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.