Harrogate and Rural District Vanguard New Care Models

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

Our Commitment

Develop local models to expand into the rest of North Yorkshire and England

100% commitment to making it happen. Fast

Driven by local people

Develop a clinically and financially sustainable, joined up health and social care system for Harrogate and Rural District

Harrogate Vanguard

Four fully integrated health and social care local teams

Connecting services

Local & District WideServices

Harrogate Vanguard

EMISGP

PARISTEWV MHealth

LLANYCC SCare

PAS & ICE etc.

HDFT Acute

Locality MDT

Initial Interim Option – Day 1

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)

EMIS(GP)

PARIS(MHealth)

LLA(SCare)

PAS & ICE etc

(Acute)

Locality MDT

Initial Hub Operation

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.

Interoperability Portal

Wider Care Teams and Commissioned Services

EPRCore(HDFT Acute)

Community

(HDFT)

GP &OOH

End of Life(Hospice)

Issues

• Aging infrastructure • Digital maturity of staff• Inconsistent data sharing agreements• Un-agile working!

Harrogate Vanguard

Priorities• Clinical safety • Integrate ‘Local Digital Roadmap’

considerations in the Vanguard• Concentration on quality, access and

interoperability of the ‘Directory of Services’

Harrogate Vanguard

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

codeHarrogate Vanguard

The Vanguard New Care Model Programme Team

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