1. Harrogate and Rural District Vanguard New Care Models

2. New models of prevention and care (what we do) Prevention: helping people stay healthy, well and independent Redesigned community and primary care services Healthier places to live Enabling better care (how we do it) Putting people in control of their care New funding methods to help spend the Harrogate £ better Information sharing to improve care and planning Workforce development to help build skills Working together with no gap between health and social care services Our aspiration – The Twin Pillars Harrogate Vanguard

3. Our Commitment Develop local models to expand into the rest of North Yorkshire and England100% commitment to making it happen. FastDriven by local people Develop a clinically and financially sustainable, joined up health and social care system for Harrogate and Rural District Harrogate Vanguard

4. Four fully integrated health and social care local teams

5. Connecting services Local & District Wide Services Harrogate Vanguard

6. Locality MDT Maintain access to existing separate systems from within the same location. No data integration or interfaces at this stage. Side by side case working. Updates applied separately to case records. TPP SystmOne EPRCore (HDFT Acute) Community (HDFT) GP & OOH End of Life (Hospice)

7. Locality MDT An interoperability portal (such as Graphnet or Orion Health) would be implemented to provide an integrated care record solution. User access controlled by role. Data retrieved from core systems in real-time or by regular extracts. Read only access given to other teams. Wider Care Teams and Commissioned Services EPRCore (HDFT Acute) Communit y (HDFT) GP & OOH End of Life (Hospice)

8. Issues Aging infrastructure Digital maturity of staff Inconsistent data sharing agreements Un-agile working! Harrogate Vanguard

9. Priorities Clinical safety Integrate ‘Local Digital Roadmap’ considerations in the Vanguard Concentration on quality, access and interoperability of the ‘Directory of Services’ Harrogate Vanguard

10. The Ask ‘Ground up’ development with a level of maturity Recognition of current investment Developed by one used by many People are part of the script as much as the code Harrogate Vanguard

11. The Vanguard New Care Model Programme Team Cath Doman – Programme Director New Care Models cath.doman@nhs.net 07983 613875cath.doman@nhs.net Jason Westwood – Delivery Manager New Care Models jason.westwood@nhs.net 07754 088283jason.westwood@nhs.net Barbara Lyon – Delivery Manager New Care Models barbara.lyon@nhs.net 07712 417451barbara.lyon@nhs.net John Kerr – Communications and Engagement lead john.kerr8@nhs.net 07855 320975john.kerr8@nhs.net