Criteria for becoming a Health Integration Team (HIT)

Health Integration Teams (HITs) are selected on the basis of existing breadth and depth of excellence in research, health service delivery, education and training.

A HIT must address at least one Bristol Health Partners partner priority.

A HIT must seek to integrate primary and secondary / tertiary care with community service provision and public health. A HIT must aim to address the entire health promotion / prevention or disease / treatment pathway but it is recognised that it will not always be appropriate or possible for HITs to attempt to do all of this from the outset. Some HITs may start by addressing sections of a pathway or one interface and then expand over time.

A HIT is expected to have at least three Bristol Health Partners organisations involved initially: two must be from the NHS or public health and one must be a university. The intention should be to involve all partners or to explain why this is not appropriate or possible.

Each HIT will need to identify an NHS trust or local authority to act as its sponsor. The role of the sponsor is to fully embed and integrate the HIT so that it becomes an equal partner in all managerial functions and is seen to be integral to the delivery of targets or metrics that are important to the trust or local authority. The sponsor will support the development of the HIT's business cases for change. This does not mean that the focus of the HIT is solely within the sponsoring organisation.

Process for becoming a Health Integration Team (HIT)

The process of becoming a Health Integration Team (HIT) begins with a team coming together and submitting a short HIT Expression of Interest (EOI) application. HIT guidelines and FAQs are available.

The EOI will be reviewed by a panel and, if the EOI is deemed appropriate, the team will be invited to submit a HIT full proposal. This is a more detailed application form. As part of the HIT full proposal application the applicants will be expected to attend an interview and make a presentation to the panel.

Bristol Health Partners runs a drop-in surgery at its annual conference where prospective and developing HITs can get advice from a broad range of experts, many of whom are HIT review panel members. Teams thinking about developing a HIT and those in the process of preparing applications are strongly encouraged to attend this.

HITs that are approved will be expected to address the feedback they receive from the panel and develop a detailed implementation plan within an agreed timescale. Approval of this plan will lead to accreditation. The performance of the HIT will be reviewed and renewed annually.

Once approved a HIT is assigned a linked executive, a member of the executive group, who will act as their champion and work with them to develop their implementation plan and business cases for change. They are also assigned a member of the innovation working group to advise them on a broad spectrum of innovation and partnering opportunities.

A diagram of the process of becoming a HIT is available.

For more information about HITs contact Lisa Wheatley (

Documentation for setting up a Health Integration Team

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