1. Jane Baxter Head of Commissioning Harrogate and Rural District Clinical Commissioning Group

2. The Ripon Project CCG as the Ripon Project Sponsor Commissioner of health Driving integration, new models of care, shared vision and outcomes Strong Leadership – to start and push forward projects

3. Harrogate Vanguard Site

4. Healthcare provision has been dominated by primary care (GP practices) and hospital based care… …when care should be designed around the needs and preferences of the individual…

5. We know that many people could remain safe and well at home with the right support Approx. one in five admissions to the hospital are clinically avoidable

6. ….and many people remain in hospital longer than they need to Nearly 60% of people in hospital beds could have their needs met in a non-acute environment

7. …people in Harrogate, Knaresborough, Ripon, Boroughbridge, Pateley Bridge and the surrounding rural areas: enjoy good health, have access to good services if and when they need them and that they play an active role in making decisions about their own health and their own lives, as well as in influencing how health and social care services are delivered in the area. Our Vision

8. Priorities Prevention self care and independence Care as close to home as possible High quality sustainable services Value for money and financially sustainable Successful health and social care organisations Local and personal Putting people in control

9. Community Hub Single point of access for health, social care and voluntary sector Community Hub Single point of access for health, social care and voluntary sector Health Hub Integrated health and social care teams Health Hub Integrated health and social care teams Step up/step down beds Emergency hospital beds Putting People at the Centre

10. Results People and outcomes A good service user/person experience Staff feel confident and supported Focus on prevention and early intervention More self care and uptake of personal health budgets – people in control More people dying in the place of choice

11. It’s the right thing to do… for our population Patients better able to self manage and understand condition Better access to care Less repetition Easier to navigate the system Supports and sustains local health services

12. Harrogate Vanguard Site Jane Baxter Harrogate and Rural District CCG Jane.baxter1@nhs.net 01423 799300