One NNHIP, end to end. Stockton-on-Tees.

Two levels of output. What you get at each level. What it looks like, today and if commissioned, for Stockton-on-Tees: the first pioneer site to reach Disclosable stage in 2026.

Level 1 Public brief + Encounter Free, always-public brief + a commissioned Encounter

Read the site, in the field.

Always-public site brief, plus optional two-week field reading on one INT footprint. Use this to understand a site, decide whether to engage further, or hand a colleague a sourced read on their patch.

What you get

Public brief
One page per site. Programme phase, Five Elements scoring, NNHIP scorecard, achievements, evidence sources, publication plan. Always free, always sourced.
Encounter (optional, commissioned)
Two-week Five Elements field read on one INT footprint. Stakeholder map, infrastructure pressures, evidence-readiness score, three-step pathway.
Deliverable
10–15 page PDF + a thirty-minute walkthrough call. Citeable. Pasteable into a board paper.
Refresh
The public brief is updated when site data moves. The Encounter is one-off; commission another whenever the picture has changed.

What it looks like for Stockton

Live now
/healthcare/sites/stockton/ · Tier 1 deep pioneer · NHS NENC ICB · scorecard 4/5 (footprint, MDT, accountable officer, evidence in flight)
Already landed (April 2026)
INT model named in NHS England's case-study cycle. Issue #003 publishes 13 May: How Stockton-on-Tees stopped waiting for permission.
If commissioned (Encounter)
Tees Valley INT field read. Five Elements applied to one INT-model neighbourhood: freeport, life-expectancy gap, combined-authority complexity in one frame. Two weeks, commissioned.
Lead time
From sign-off to PDF: ten working days. Walkthrough call within fifteen.

Level 2 Snapshot + Engagement A bound outcome book or a full architecture, commissioned per cycle

Bind the read. Architect the next move.

Bound A5 outcome book to the ICB board, optionally extended into a full architecture across LA, ICB, and Combined Authority. Use this to put a defensible read in front of a board, or to anchor a twelve-month change cycle.

What you get

Snapshot
Four-week bound A5 outcome book. Five copies (ICB, CA, PCN, archive, RiDraw). Audit register, cohort baseline, editorial validators signed.
Engagement
Twelve-week full architecture. Industrial-policy × neighbourhood-health × ICS read as one system. Cumulative cross-pioneer learning loop.
Recurring rhythm
After delivery, a quarterly cadence (one bound A5 each cycle). The capture cohort (EQ-5D-5L + PAM, on-device) keeps moving between cycles.
Quarterly refresh
Each cycle is a Snapshot or Engagement at a fresh question. Sites typically begin at Snapshot and renew quarterly; some step up to Engagement when the cross-pioneer learning loop is needed. Terms agreed per cycle, off-publication.

What it looks like for Stockton

Snapshot (recommended starting tier)
Freeport + neighbourhood-health outcome book. Bound A5, four weeks. Capture cohort: 8–12 patients on Apple HealthKit / Android Health Connect. EQ-5D-5L + PAM baseline → four-week closing delta. Audit register: every claim sourced and dated.
Engagement
Combined Authority cumulative architecture. Twelve weeks. The evidence layer the Tees Valley CA needs but cannot produce internally.
Cross-pioneer parallel
Tees–Aberdeen industrial-transition learning loop. PSP and AviAlliance horizons in Aberdeen against ScotWind and the freeport in Tees Valley: same neighbourhood-absorbing-the-change question, different geography.
Validators
Two doctors signed per cycle, named in the bound book.

Where to look closer

Public brief

Read the Stockton brief →

Back to the Observatory map →

Ready to read deeper?

The Live Map is public, always. To receive the weekly issue, the monthly Canvas thread pack, and personal access to the Observatory, subscribe at /subscribe/. Commercial terms for site engagements are agreed off-publication; reach the team directly via /engage/.

Subscribe to read deeper → Or make contact first →