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Delivering better health and care for everyone Summary of our Five Year Plan You can take a look back at some of the improvements West and Harrogate Health and Care Partnership has been making with local people to improve their lives in our short film here

You can also find out more about the positive difference our Partnership is making online here Our Partnership

We also want to say thank you to all the ^ Photo credit: Irish Health and Homes people who’ve shared their stories so far and given their views about health and Clinical Commissioning Groups (CCGs) Harrogate and District NHS care in and Harrogate. NHS Airedale, Wharfedale Foundation Trust and CCG* Leeds Community Healthcare NHS Trust Watch our thank you film here NHS City CCG* Leeds and Partnership NHS NHS Bradford Districts CCG* Foundation Trust NHS CCG Leeds Teaching Hospitals NHS Trust NHS Greater CCG Locala Community Partnerships The Mid-Yorkshire Hospitals NHS Trust We are committed to honesty and NHS Harrogate and Rural District CCG transparency in all our work and NHS Leeds CCG South West Yorkshire Partnership NHS also producing this information in NHS North CCG Foundation Trust Tees Esk and Wear Valleys NHS accessible formats. Our Five Year NHS CCG Plan summary is available in: Foundation Trust Yorkshire Ambulance Service NHS Trust • Audio Local councils • EasyRead Metropolitan District Council Others involved • BSL Calderdale Council Healthwatch • Animated film Health Education Watch here Craven District Council Harrogate Borough Council Enterprise Partnership NHS England NHS Improvement County Council Public Health England For more information: Universities visit www.wyhpartnership.co.uk West Yorkshire Care providers See page 4 for more partners or call 01924 317659 Airedale NHS Foundation Trust The third sector: is made up of voluntary Bradford district Care NHS and community organisations, charities, Foundation Trust social enterprises, co-operatives, faith Bradford Teaching Hospitals NHS based initiatives and other bodies with a Foundation Trust not for profit constitution. Calderdale and Huddersfield NHS *The future plan is to have one NHS Foundation Trust Bradford District and Craven, Clinical Commissioning Group from April 2020

This information was accurate at November 2019. West Yorkshire and Harrogate Health and Care Partnership is made up of six local places: 2 Bradford district and Craven; Calderdale, Harrogate, Kirklees, Leeds and Wakefield 3 Two Our health and community providers care landscape

Four community and mental health trusts Six acute Our councils hospital trusts

Harrogate Harrogate Borough Council North Yorkshire County Council Airedale, Wharfedale and Craven Eight Craven District Council councils North Yorkshire County Council Leeds Nine CCGs Leeds City Council

Bradford Bradford district Council Kirklees Council

Calderdale Calderdale Council 316 GP practices More than 600 care homes Wakefield Wakefield Council 555 community 11 hospices pharmacies, plus 38 online 56 Primary Care Networks Thousands of voluntary Kirklees Council 431 providers of services and community in people’s homes organisations including those who support carers Hundreds of independent care providers Figures accurate at November 2019. The West Yorkshire and Harrogate Health and Care Partnership is made up of organisations working closely together to plan health and care services across the area. West Yorkshire and Harrogate Health and Care Partnership is made up of six local places: 4 Bradford district and Craven; Calderdale, Harrogate, Kirklees, Leeds and Wakefield 5 when people most need it. People’s lives are better when we plan, and invest in You can read the Healthwatch services that support mental and physical Report here. More information on health at the same time. how you get involved is on page 39. We also know that sharing good ways of working makes the money go further, creates the best use of staff expertise and increases the quality of what we Introduction all provide.

By working together, it gives us the chance to create the conditions so that children get the best start in life and Stronger, better, healthier together everyone’s chance of living a long, Since our Partnership began in 2016, healthy life improves. we have worked hard to build the relationships needed to deliver better Our Five Year Plan tells the story of how we Community conversations health and care locally and across West are going to do this together. Yorkshire and Harrogate with people to Effective public involvement, particularly improve lives. with those with lived experience and who are seldom heard, ensures that we make Our ambition is for as the right decisions together about health many people as possible to We are pleased with the progress we You can read the Five Year Plan here. contribute, influence and have made. We are confident we have and care services. This sets out all our five year co-produce the direction of developed the right principles and values ambitions, some of which are the Partnership. to guide us. We are keen to ‘join the dots’ Over the last three years we have included on page 12. so when people experience care, advice, published all the engagement activity in support or treatment it feels joined up, which we have been involved, for example stroke care and cancer. is easier to find your way around and Health and care is far more than results in better outcomes. Proud to be a partnership services Our strength comes from starting We know that most of what keeps people We know that more needs to be done to with people where they live, their healthy and well is a wider set of factors give everyone the very best start and every A full list of this activity and reports communities and their places. The than traditional health and care services. chance to live a long and healthy life. This is available on our website here six local areas (Bradford district and Craven, This includes the house you live in, how includes working with partners to create Calderdale, Harrogate, Kirklees, Leeds warm it is, whether you feel isolated or good jobs and increase everyone’s lives and Wakefield) are the bedrock of better alone, whether you experience poverty, with investment in skills, housing, culture health and care across West Yorkshire and the food you eat every day, how mobile and infrastructure. To have the best These include public assurance groups, Harrogate. Working together these areas and independent you are, whether you chance of achieving this, we need to think patient reference groups, events and can both enhance their unique strengths have a job and have access to parks and and work differently with each other and community champions. We aim to learn but draw upon trusted strong relationships open spaces. with our communities. from feedback from all our networks across a wider area. without duplicating effort and cost. If we want to improve everyone’s health, As a Partnership we embrace community Our Five Year Plan sets out further we will have to target those factors partners in our conversations and are Why work together? engagement activities needed to realise our ambitions, including findings from the that cause some people to experience listening to what staff and local people We know people’s lives are better when Healthwatch Report (2019). significantly worse health. have to say. Now is the time to take this organisations who provide health and care to a whole new level so that everyone in work together, particularly at the times West Yorkshire and Harrogate is part of our shared purpose. West Yorkshire and Harrogate Health and Care Partnership is made up of six local places: 6 Bradford district and Craven; Calderdale, Harrogate, Kirklees, Leeds and Wakefield 7 In your neighbourhood and community Our vision And where safe to do so you will be Health and care Your carers will be supported to self-care organisations will supported too work together to •  Places will be healthy; you will •  All of this will be planned tackle inequalities have the best start in life so you and paid for once between Health and social care will can live and age well, and die in the NHS, local councils and work together to support the place of your choosing. We community organisations your social, physical and will work to make sure you are not working together and mental health In your disadvantaged by where you live, removing artificial local area your background or what you do. barriers to care.

•  If you have a long-term health •  People and staff will condition you will be offered be involved in the Better use of You are at the centre of everything we do personalised support to design, delivery and information and data You will have the best start in life so self-care. This will include peer assurance of services will be used to organise you can live and age well. support, technology and communities so that everyone truly services around you We will focus on the We will work with you to deal with conditions for good of support from people like you. owns their healthcare. the issues that affect your health and health including housing wellbeing in your communities, and employment •  If you have multiple health conditions, whether it’s loneliness or learning you will be in a team with your disability; housing or mental health; GP, community care staff, social childhood obesity or air quality – services and voluntary and together we can make things community organisations working We will hold each other better with you together. This will involve you, your to account for delivery family and carers, the NHS, social care on our shared issues and community organisations. All Across West Yorkshire working on what matters to you. and Harrogate

• If you need hospital care, it will usually Our hospitals will We will make the best use of all mean that your local hospital, which work together so the expertise and staff skills available will work closely with others, will give you have the best to us for workforce planning you the best care possible. treatment possible We will work at scale •  Local hospitals will be supported across the area on wider by centres of excellence for services We will share learning issues like cancer such as cancer, vascular (arteries, and spread good practice veins), stroke and complex mental health. They will deliver world class care and push the boundaries of research and innovation.

West Yorkshire and Harrogate Health and Care Partnership is made up of six local places: 8 Bradford district and Craven; Calderdale, Harrogate, Kirklees, Leeds and Wakefield 9 Our Partnership’s 1500 people identified for progress treatment to prevent stroke

Our clinical commissioning Developed our first plan Agreed to work together groups (CCGs) agreed a Set up an award-winning to improve people’s on our finances shared work plan programme to support 2016/17 health and wellbeing 2018 260,000 carers

In your neighbourhood and community

And where safe to do so you will be Health and care Your carers will be supported to self-care organisations will supported too work together to tackle inequalities Set out our vision £1m for our health and Developed a Health and social care will work together to support your social, physical and mental health In your local area

Better use of You are at the centre of everything we do to work with people social care workforce plans programme Partnership information and data You will have the best start in life so will be used to organise you can live and age well. services around you We will focus on the We will work with you to deal with conditions for good the issues that affect your health and health including housing wellbeing in your communities, and employment whether it’s loneliness or learning disability; housing or mental health; childhood obesity or air quality – so they stay happy and training to formed together we can make things We will hold each other better with you to account for delivery on our shared issues Across West Yorkshire and Harrogate

Our hospitals will We will make the best use of all work together so the expertise and staff skills available healthy and well reduce suicides you have the best to us for workforce planning treatment possible We will work at scale across the area on wider We will share learning issues like cancer and spread good practice Our next Published our steps to better health and care for everyone ‘Next steps to £1m invested in January 2018 Rolled out the ‘red bag better health Published ‘A our communities to A healthy scheme’ to help care and care for place to live, tackle loneliness a great place healthy place to to work. home residents when they everyone’ live, a great place go in and out of hospital www.wyhpartnership.co.uk A workforce strategy to work’ to help April 2018 develop and support staff and carers Hospitals work together Launched the Healthy Hearts project for the first 72 hours of to reduce and prevent heart-related illness Launched Yorkshire critical stroke care and Humber Digital Published our maternity care plan Partnership Board met Care Record to Agreed a Memorandum to give women the right care, in for the first time, which improve people’s care Set up a new of Understanding the right place at the right time brought in elected members, community eating (MoU) to strengthen non-executives and lay members disorder service Partnership working 2019 into the decision making process

Funding agreed for new unit to support children and young people with mental ill health Secured the largest Launched career Established a health and care champions share of national workshops for network for people with learning disabilities capital investment young carers Telling our Partnership story

Proud to be the West Yorkshire and Signed a HealthTech Memorandum Harrogate Health Working totalling £883m for and Care Partnership

Committed to improving the health with West and wellbeing of people living in: Yorkshire Fire To find out more about the positive Harrogate and Rescue ten schemes of Understanding to reduce health Service to Worked with Healthwatch Bradford Telling our District and Craven Partnership storyhelp prevent difference our Partnership is making, Leeds Calderdale suicide Proud to be the inequalities and provide more jobs West YorkshireOur and ambition Kirklees Harrogate Health Wakefield We have a zero suicide approach who talked to over 1,800 and Care Partnership to prevention. > Working to improve people’s Committed to improving the health health with and for them and wellbeing of people livingWhat in: next? from staying well, to cancer, children and > Improving people’s Suicide continues to be the biggest killer experience of healthcare Harrogate of young men in the UK. What is less > Making every penny in the known is that most people who die by pound count suicide are not in touch with specialist people about the NHS > Working to keep people well mental health services. It is really and make life better for 2.6 important that we are all equipped to Bradford deal with people who may be feeling Set up the first suicide million people living in West Yorkshire and Harrogate.District and hopeless or helpless, that is why we’re young people’s mental health, to award Craven delighted to be working in partnership Managed our Launched ‘Looking out with theLeeds West Yorkshire CareerFire and Rescue Service. It is a great example our how we Calderdale are collaborating on issuesworkshops that will make the biggest difference to people. Long Term Plan Kirklees for young Wakefield bereavement service winning support for unpaid carers, to > Working to improve people’s carers money better for our neighbours’ health with and for them > Improving people’s Our ambition experience of healthcare There are around 260,000 carers living > Making every penny in the across West Yorkshire and Harrogate pound count in Bradford District and Craven; for West Yorkshire and Calderdale, Harrogate, Kirklees, Leeds > Working to keep people well and Wakefield. This number includes what we are doing to reduce suicide, and make life better for 2.6 community campaign thousands of young carers taking on a together million people living in West caring role from as early as six years old. Yorkshire and Harrogate. Often they are caring for parents who have long-term health conditions, mental health difficulties or experience alcohol and substance use and misuse. We want to support young carers so that their Harrogate health, wellbeing and education are right through to building new hospitals, not affected by their caring role. visit www.wyhpartnership.co.uk.

West Yorkshire and Harrogate Health and Care Partnership is made up of six local places: 10 Bradford district and Craven; Calderdale, Harrogate, Kirklees, Leeds and Wakefield 11 By 2024 we will have increased our early diagnosis 4 rates for cancer, ensuring at least 1,000 more people will have the chance of curative treatment. Ten of our big ambitions We will reduce suicide by 10% across West 5 Yorkshire and Harrogate by 2020/21 and achieve a 75% reduction in targeted areas by 2022.

We have been bold in setting out our Five ^ Photo credit: WDH Year Plan. It contains a large number of We will achieve at least a 10% reduction in specific ambitions that we are committed As a successful partnership we expect to 6 anti-microbial resistance infections by 2024 to achieving through our programmes of deliver on national targets, on people’s by, for example, reducing antibiotic use by 15%. work. Beyond that we have set ourselves experience of care, such as accident and the target of putting our combined efforts emergency, cancer, mental health and into tackling some of the long-term trends operation wait times. that are causing ill-health and unhappiness We will achieve a 50% reduction in for people across West Yorkshire and 7 stillbirths, neonatal deaths, brain injuries Harrogate. Through working together, we You can read our full Five Year Plan and a reduction in maternal morbidity and believe will be able to make a measurable here. mortality by 2025. difference to people’s lives by 2024.

Our ambitions, include the following: We will have a more diverse leadership that better reflects 8 the broad range of talent in West Yorkshire and Harrogate, 1 We will increase the years of life that people live in good health helping to ensure that the poor experiences in the workplace in West Yorkshire and Harrogate compared to the rest of England. that are particularly high for Black, Asian and Minority Ethnic We will reduce the gap in life expectancy by 5% (six months of life (BAME) staff will become a thing of the past. for men and five months of life for women) between the people living in our most deprived communities compared with the least deprived communities by 2024. We aspire to become a global leader in 9 responding to the climate emergency We will achieve a 10% reduction in the gap in life through increased mitigation, investment expectancy between people with mental health and culture change throughout our system. 2 conditions, learning disabilities and/or autism and the rest of the population by 2024 (approx 220,000 people). In doing this we will focus on early support for children and young people. We will strengthen local economic growth by reducing health inequalities and improving We will address the health inequality gap for children living in households 10 skills, increasing productivity and the earning 3 with the lowest incomes. This will be central for our approach to power of people and our region as a whole. improving outcomes by 2024. This will include halting the trend in childhood obesity, including those children living in poverty.

West Yorkshire and Harrogate Health and Care Partnership is made up of six local places: 12 Bradford district and Craven; Calderdale, Harrogate, Kirklees, Leeds and Wakefield 13 Our aim is to provide adequate Living and support for unpaid carers and to give them every working in opportunity to stay well and in West Yorkshire work, should they wish. and Harrogate Our workforce plan ‘A healthy place to live, a great place to work’ sets out our ambitions to develop, train, recruit and retain staff across all health and care sectors, including the NHS, councils, the independent care sector, community and West Yorkshire and Harrogate is voluntary organisations. It also rightly home to 2.7million people. We recognises the huge contribution of are recognised nationally for having unpaid carers and volunteers and the a strong, successful economy where support they need to keep doing these everyone can build great businesses, important roles. careers and lives - we are immensely proud of the area and our diverse communities.

You can read our workforce plan We will work hard to improve ‘A healthy place to live, a great place ^ Photo credit: Leeds Carers staff experience and ensure Well over 100,000 people work to work’ here. that our whole workforce directly in health and care across West reflects the diversity of Yorkshire and Harrogate. Many more our communities and is Working together across West work in the businesses that make and supported to deliver the The role of the whole third sector (also Yorkshire and Harrogate supply goods and services to our health highest quality of care. known as the voluntary and community and care sector, and at least as many again We know that in some areas it sector) is vital. From the very smallest volunteer their time and skills in hospitals, makes sense to work together across volunteer-led community group, to the care homes, community organisations and West Yorkshire and Harrogate. We largest not-for-profit organisation, they support groups. The numbers of people apply three tests for joint working: In addition we need to change the enable people to take collective action on employed have been increasing year on •  Working at scale to ensure the perception of health and care services and issues that matter to them. year. However, the increasing pressures promote it as a positive and rewarding best possible health outcomes of work have made it difficult to recruit place to work. for people and retain enough staff to meet people’s •  Sharing good practice health and care needs. Our thriving third sector is Over 260,000 people in our area are across the Partnership unpaid carers for their family, friends or a vital part of our health Reports of poor experiences in the NHS •  Working together to tackle neighbours. Their investment in time alone and care system, as they workplace are particularly high for Black complex (or ‘wicked’) issues. is worth the equivalent of £4.5bn each year often have established high levels Asian Minority Ethnic (BAME) staff. to our regional economy. But nationally, of trust with people who may have we know more than 600 people a day have faced multiple barriers when accessing to leave their jobs to care for a loved one, statutory services. because it is incompatible with work.

West Yorkshire and Harrogate Health and Care Partnership is made up of six local places: 14 Bradford district and Craven; Calderdale, Harrogate, Kirklees, Leeds and Wakefield 15 Bradford district and Craven Bradford district and Craven is a There is much to support wellbeing in place of great contrasts. It is served Bradford district and Craven, ranging by a health and care system working from magnificent landscapes, a closely together to support people UNESCO world heritage site marking Our six to be ‘Happy, Healthy at Home’. our rich industrial heritage, and This includes providing nationally a cultural vibrancy borne of this local places recognised innovative paediatric internationally connected city. services in the community and ensuring stays in hospital are 27% of the Bradford district’s amongst the shortest in the country. population are classed as in the 10% most deprived areas in England whilst, The six places that make up West in Craven, one ward (where 2,200 Yorkshire and Harrogate are different people live) is amongst the 20% most Bradford is the fifth and unique. However, they share deprived in England. 22% of children biggest metropolitan challenges and have one common are growing up in poverty. As a result authority in the goal - to improve people’s health and the healthy life expectancy of people country (534,000) and wellbeing through delivering quality living here is below average, and the the UK’s youngest city with one care and support when needed. Each of ^ Stuart, a helpful, kind neighbour from Leeds inequalities between communities are in four residents aged under 16. these places brings unique strengths and significant. For example, a woman in perspectives to the Partnership. Bradford typically spends 22 years of her life in poor health. 36% of people are from BAME backgrounds (Black, Asian and Changing this is what motivates our Minority Ethnic). local health and care partners to work Harrogate and Rural District as one partnership together, putting Craven brings together 55,000 the needs of people first. With much people living in rural communities to do we are confident that we can spread across 450 square miles of achieve better wellbeing for everyone North Yorkshire. Together, Bradford by working with people through our Bradford district district and Craven is served by a community partnerships. and Craven health and care system committed to supporting people to be ‘Happy, Health and wellbeing Healthy at Home’. Leeds priorities include: Photo credit: City of Bradford •  Ensuring children have the best Metropolitan District Council start in life •  People have good mental wellbeing Calderdale •  People in all parts of the area are living and ageing well •  The area is a healthy place to live, learn and work. Wakefield

Kirklees

West Yorkshire and Harrogate Health and Care Partnership is made up of six local places: 16 Bradford district and Craven; Calderdale, Harrogate, Kirklees, Leeds and Wakefield 17 Harrogate and Rural District Harrogate and Rural District Harrogate is a relatively rural district priorities include: of around 160,000 people, centred •  A focus on preventing ill-health, early on the towns of Harrogate and intervention and sustained recovery Knaresborough and the cathedral city •  Keeping people out of hospital of . It is relatively prosperous, where appropriate to do so, with and has a comparatively older a focus on care in the community population. It is located on the whenever possible and admission borders of the Yorkshire Dales and to hospital only when it is the best ^ The , Halifax North Yorkshire Moors national parks. clinical option Calderdale The people of Harrogate and Rural •  Integrated community health and Calderdale is home to market towns Local partners tackle these challenges by District benefit from some of the social care to deliver a joined up and diverse communities, set in working together in a more integrated highest rated healthcare in England. service to local people landscapes ranging from rural settings way. Calderdale Cares is the answer. to green suburbs. When you’re in the It is a community-led approach for •  Best practice services for vulnerable you’re at the delivering health and social care services people including mental health, heart of the southern Pennines and and is forging strong partnerships The clinical commissioning group safeguarding, children’s services at the crossroads between Lancashire across Calderdale where organisations, (CCG) also has a larger older and transition to adulthood, and and Yorkshire. Halifax is home to the including the NHS, Calderdale Council population than the national continuing healthcare for those with world famous Piece Hall. and the voluntary and community average with one in five longer term needs sector, are all working together, sharing residents aged over •  Reducing health inequalities and Most people are fit and healthy, resources to deliver a range of support 60. This percentage is clinical variation across the clinical and generally the quality of to meet each person’s individual needs, projected to grow. commissioning group. life here is good. The health within their community. and wellbeing of people in some communities is not improving at the The increasingly ageing population is same rate as others. Every year, far too For the people of Calderdale this shaping the health and care needs of many people suffer avoidable ill-health means: Harrogate and Rural District and local or die earlier than they should. •  Easier and faster access to a wider partners are working closely together range of joined-up care where to evolve the support needed people tell their story once appropriately, including taking a The ambition is that people •  Better outcomes based on what is system-wide approach to health and of Calderdale can ‘lead important to people care and looking for innovative ways a larger life’ and enjoy to do things differently. •  Fewer trips to hospital as more years of healthy life. more services will be available in the community  Photo credit: •  More advice and guidance to help Harrogate and And that the gaps in healthy life District NHS people make the right choices and expectancy between different Foundation Trust manage their own health communities are reduced; and that everyone, whatever their health or •  Better access to local voluntary and disability, is supported and enabled to community groups lead the fullest life possible. •  More involvement in the design of care services near where people live.

West Yorkshire and Harrogate Health and Care Partnership is made up of six local places: 18 Bradford district and Craven; Calderdale, Harrogate, Kirklees, Leeds and Wakefield 19 Leeds Leeds is home to 887,900 Inclusive growth analysis confirms residents and is a vibrant centre growth of in-work poverty, estimating for innovation and emerging that over 71,000 working age adults industries. It is a world leader across the city are from working in health innovation, with 22% households and in poverty. The of all digital health jobs across Leeds ambition is for everyone to England and . The city has an live healthy and fulfilling lives, both ‘outstanding’ children’s service, is now and for future generations. ^ Marsden, Kirklees the first UK city to lower childhood Local partners want Leeds to be Kirklees obesity, has an ‘outstanding’ rated the best city for all ages; a healthy, clinical commissioning group, ‘good’ compassionate, climate resilient city Kirklees is home to more than Kirklees priorities include: community and secondary hospitals with a strong economy, where people 430,000 people living in the •  Redouble efforts to shift and three leading universities. The who are the poorest improve their major towns of Huddersfield investment and activity into newly established Leeds Health and health the fastest. and as well as many preventing ill health and Care Academy promotes training, other towns and villages with strong early intervention education and social mobility for communities, and even stronger •  Ensure access to healthy existing staff, whilst attracting Leeds priorities include: identities. Kirklees forms part of the housing, decent work talented people to work in the Leeds partners will be giving specific and and strong communities health and care sector, including focus and attention to four areas, National Park and has a thriving Leeds Teaching Hospitals NHS these are: cultural industries sector. In Kirklees •  Create environments that enable Trust, Leeds and York Partnership •  Get more people more partners are turning a proud healthy behaviours NHS Foundation Trust and Leeds physically active, more often industrial heritage into innovation •  Ensure interventions are designed Community Healthcare NHS Trust. •  Build prevention into everything and entrepreneurship. From advanced and targeted to reduce inequalities textiles to turbo technologies, we do supplying the Ministry of Defence, •  Promote independence and •  Deliver person-centred care resilience to start well and age well the aerospace sector and the The financial contribution every time motorsport industry including others. •  Ensure changes are driven by of the 75,000 unpaid •  Develop a community model of community assets and strengths carers in Leeds is health, care and wellbeing called The Kirklees Health and Wellbeing to achieve positive and sustainable estimated to be around £1.4billion ‘Local Care Partnerships’. Plan 2018-2023 sets out the ambition outcomes per year and Leeds has a vibrant that no matter where they live, •  Further joining up social care and third sector with over 1,642 people in Kirklees can live their lives community services with voluntary charitable organisations and Photo credit: Leeds NHS confidently and responsibly, in better and community organisations. over 200,000 volunteers. health, for longer, and experience less inequality.

Not everyone is benefitting from The seven shared outcomes this economic success. More than are the pillars that support 174,000 people in Leeds live in this overall ambition for poverty and population growth is Kirklees to be a place that combines most rapid in the areas experiencing a strong, sustainable economy most disadvantage. Photo credit: Harrogate and with a great quality of life. District NHS Foundation Trust

West Yorkshire and Harrogate Health and Care Partnership is made up of six local places: 20 Bradford district and Craven; Calderdale, Harrogate, Kirklees, Leeds and Wakefield 21 The role of the Partnership

We work together through West Yorkshire and Harrogate Health and Care ^ Photo credit: Wakefield Council Partnership on agreed priorities to improve the health and wellbeing Wakefield of people living in our six local places. Around 325,000 people live in Wakefield’s priorities include: the and the ‘Five •  Ensuring a healthy standard of Towns’ of , , living for all – developing our , and approach to early intervention, Improving Transforming Priority areas for . The district has a rich community regeneration, skills, population health services improving outcomes industrial heritage, rooted in the tackling poverty and the links former mining industry. Wakefield between health and housing • Preventing ill-health • Primary and • Cancer has a strong cultural history and •  Giving every child the best start • Health inequalities community care • Mental health, produced some of the country’s most in life – developing arrangements • Urgent and learning disabilities acclaimed artists including Barbara with the children and young • Conditions for emergency care and/or autism Hepworth and Henry Moore. people’s partnership to strengthen healthy lives health and wellbeing services and • Personalised care • Improving planned • Children and The district has a progressive early intervention for children. care and reducing families and forward-thinking approach This involves working with variation • Carers to integrated working across health partners on programmes of work • Hospitals working • Maternity and care, led by the Wakefield Health around the first 1,000 days of a together and Wellbeing Board and delivered child’s life, particularly focussing through the Wakefield Integrated on school readiness, childhood Care Partnership. obesity and family poverty Supporting work programmes •  Strengthening the role and impact of preventing ill-health including supporting people to self-care, • Harnessing the power of communities • Leadership and organisational The Health and Wellbeing where safe to do so • Workforce development Plan includes a strong • Partnership commissioning focus on tackling •  Creating and developing • Digital sustainable places and the wider determinants of • Capital and estates • Finance communities – in areas of high health and building healthier (buildings) • Innovation and improvement sustainable communities. population growth, revitalising neighbourhoods and working with businesses.

West Yorkshire and Harrogate Health and Care Partnership is made up of six local places: 22 Bradford district and Craven; Calderdale, Harrogate, Kirklees, Leeds and Wakefield 23 Our ambitions The Patient Safety Collaborative As partners we share many common There are links between the economic Our ambition is to improve has prevented over 2000 ambitions – including a commitment to prosperity of our area and the wellbeing the healthy life expectancy for people from having a fall preventing ill-health, removing barriers of the people who live here, just as there is West Yorkshire and Harrogate whilst in hospital, meaning they left to accessing care whilst making sure that between a person’s economic circumstances people versus the rest of England, by hospital earlier and with a better quality everyone has the chance to be healthy. and their lifetime health. reducing the gap between the worst of life. off 10% and the wider population Working together helps us to better by 5% by 2023/24. This Our aim is to continue to deliver world Put simply we want everyone understand the role we play as employers involves improving class care and push the boundaries to have ‘somewhere to in promoting good health and contributing people’s quality of life. of research and to save people’s live, someone to love and towards the local economy. This includes lives. As a region we have a thriving something to do’. looking at the main causes of long-term university sector, over 250 HealthTech businesses, and a strong Academic staff sickness, such as musculoskeletal By working together on healthier Health Science Network. By working problems (for example back and neck pain) work places we can encourage collaboratively with these partners, to and mental ill-health, which are also major healthy behaviours in staff, prevent The work we do at a West Yorkshire and build a thriving health economy that is factors in reducing healthy life expectancy. ill health, support people with health Harrogate level reflects and supports open to innovative new approaches to conditions to stay working and be more these important ambitions. delivering healthcare, we will attract flexible to support people with caring new businesses and jobs to the region. responsibilities. Someone’s skill level These ambitions stretch far beyond health In West Yorkshire and Harrogate in This will help drive improved health at the age of 18 is the single biggest services. We have a strong relationship 2018 nearly two in 10 people reported outcomes and create an environment changeable factor in their lifetime with the West Yorkshire Combined living with a musculoskeletal condition that supports retention of staff in health. Just as we know that our area’s Authority that is working through the and around one in 10 people healthcare across the region. prosperity is linked to having people Leeds City Region Local Enterprise reported living with a with the right skills across all sectors Partnership to develop the Local mental health condition. Over the next five years more people of the economy, so too is having a Industrial Strategy. This is a long-term, living across our area will receive healthy workforce. evidence-based plan to strengthen the benefits of innovation as it drives local economic growth, improve skills, faster, more convenient, higher quality productivity and the earning power of There are also inequalities in employment Working together care, supported by services that are people living across the region. This for people with health conditions and Working together also gives us the digitally connected and striving forward firmly aligns to the Partnership’s learning disabilities. For example there is a opportunity to be more innovative – to to make improvements. Key to this is ambitions and these cannot be seen gap of between 6.2% (Craven) and 14.5% learn, share and spread good practice ensuring staff and citizens have the skills in isolation of each other. (Wakefield) in the employment rates on what works. to use the new systems and information for those living with a long-term health since it is people, not systems, who will However, we have a higher condition and overall employment. transform health and care. rate of people not in work who would like to be, For example rolling out best including people with learning or physical practice on atrial fibrillation disabilities, with mental illness and carers. (detecting abnormal heart For those in work, 25% of the jobs in our rhythm) has prevented an area pay below the national living wage. estimated 123 strokes over the One in three people in our workforce first 18 months of the programme has a chronic health condition that can (accurate at October 2019). sometimes affect their ability to work or reduce their ability to work full time or for as many years as they would like before retirement.  Photo credit: Mid Yorkshire ^ Photo credit: Leeds and York Partnership Hospitals NHS Trust NHS Foundation Trust

West Yorkshire and Harrogate Health and Care Partnership is made up of six local places: 24 Bradford district and Craven; Calderdale, Harrogate, Kirklees, Leeds and Wakefield 25 On average, the healthy life expectancy of women with a learning disability is 18 years shorter than for women in the general population; and the healthy life expectancy of men with a learning Improving health disability is 14 years shorter than for men in the general population (NHS and wellbeing Digital 2017). for everyone

If average healthy life ^ Bradford District and Craven People’s Board. expectancy is 81.5 years for both sexes, it is on average What makes a good life? Tackling unjust differences 15 years worse for people with mental health, learning The factors that keep people healthy are Health inequalities are the avoidable, disabilities and autism (66.5 years). much wider than the impact health and unjust differences between people or care services have alone. Decisions that groups due to social, geographical or affect people’s health are not taken solely other barriers. These differences have a by health and care organisations, but by a ^ Photo credit: Craven District Council huge impact, because they can result in much wider set of partners. For example people who are worst off experiencing decisions about transport, housing, parks poorer lifetime health, shorter lives overall This has shown that when we work and countryside, community facilities, and slower rates of recovery from illness. together and learn from each other, we the economy, educational opportunities, can improve people’s health. public safety, opportunities for culture We know that some people are benefiting and socialising or air quality are all more from the improvements we important to the health of people. are making than others. Healthy life Connecting people and expectancy varies between our six places communities also has a huge and neighbourhoods (page 14). People Homes and communities impact on people’s wellbeing. in West Yorkshire and Harrogate have a People who live in shorter average healthy life expectancy neighbourhoods already than the rest of England. Men’s lives are suffering the most on average one year shorter than the There is strong evidence about the impact economic disadvantage have the fewest England average and for women almost of loneliness on a range of conditions opportunities to benefit from outdoor 10 months shorter. and this is one of the reasons we started play or recreation. Through our councils the ‘Looking out for our neighbours’ Around 480,000 people in West Yorkshire and their relationships with agencies campaign. Evidence shows that people and Harrogate live in areas ranked as and local groups, we can improve access 10% reduction in the with strong social connections are less the 10% most disadvantaged areas in and opportunities for people to improve gap in life expectancy likely to visit their GP, take less medication, the country. They are more likely to have their physical and mental wellbeing by between people with have fewer falls and are less likely to need a long-term illness or disability and to accessing the outdoors. mental health, learning residential care in later life. disabilities and autism. have been diagnosed with stroke or lung cancer than others. They are also more Good housing is affordable, warm, safe likely to be living with risk factors for and stable, meets the diverse needs of People with a learning disability have disease such as higher smoking rates and the people living there, and helps them You can read more about our worse physical and mental health than levels of obesity. connect to community, work and ‘Looking out for our neighbours’ people without. services. We have been identifying campaign here. >> good practice in our local places that have proven outcomes. West Yorkshire and Harrogate Health and Care Partnership is made up of six local places: 26 Bradford district and Craven; Calderdale, Harrogate, Kirklees, Leeds and Wakefield 27 Preventing ill-health We will remain focused on In West Yorkshire and Harrogate Over the last 30 years, the lifestyle risk factors for the leading cause of death is there has been a ill-health, including smoking, cancer. This accounts for just sustained increase in obesity and alcohol and build on the over a quarter of deaths as a whole. the number of older people progress to date by considering additional This is followed by heart disease and living longer. This is coupled with approaches, for example physical activity, stroke, which account for a quarter of an increase in the number of years nutrition, and mental wellbeing. This will deaths. Other leading causes of death people are living in ill-health. include increasing the number and quality are dementia and lung conditions which of annual physical checks for people account for around one in 10 deaths. with learning disabilities or autism, Many of these deaths could be prevented. and a stop smoking offer for people Through changes in the home, work or in specialist mental health or learning environment, through personal choices, disability services. such as stopping smoking or reducing obesity. It can also be importantly through access to screening and earlier diagnosis ^ Photo credit: Born in Bradford The health of children and to constantly improving treatments. and young people is Also, as more people are surviving cancer crucial. England’s levels for longer, the right support for people We want people to be at the centre of of wellbeing currently living beyond cancer treatment, focused their care with all their physical, mental lag behind the rest of on what is important to the individual, and social needs met through: joined Western Europe. can help people live well for longer. up care and support; tackling the wider determinants of poor mental health; seeing fewer people in crisis (including children and young people); less reliance on hospital beds; and fewer people left In addition to all the factors that behind without the support they need to determine the health of adults, children’s It is therefore not only how long people lead a fulfilling life. health is also greatly affected by their live that is important, but how many years parent’s or carer’s physical and mental of their life they spend in good health and Our ambition is to also reduce the wellbeing and the stability of the how many years they live independently number of people getting infections, household and family relations they are free of ill-health or disability. making sure they are diagnosed early growing up within. and treated appropriately. This involves reducing the number of antibiotics prescribed where they are not needed. We need to reduce the factors Just under one in four that contribute towards people who live in our ill-health; increase earlier area are currently under detection and diagnosis of disease the age of 18. A focus and better support people living We will work together to on improving their health and with long-term conditions. This reduce the number of wellbeing is an investment in will involve considering the antimicrobial resistant our future generations. broader factors that protect (AMR) infections by 10% against ill-health and promoting and reduce antibiotic usage factors that keep people well. by 15% by 2023-24. >>

^ Photo credit: Mid Yorkshire Hospitals NHS Trust

West Yorkshire and Harrogate Health and Care Partnership is made up of six local places: 28 Bradford district and Craven; Calderdale, Harrogate, Kirklees, Leeds and Wakefield 29 Exploring overall waste in medicines and We have recruited support workers with medical equipment through investing in lived experience to provide advice, training We will work together the development of alternative, lower and support for up to 600 men in the area, towards a significant carbon options is also important. drawing on the expertise and relationships reduction in the gap for in voluntary organisations like State of children living in the households Together we will increase our Mind and Luke’s Lads to help. with the lowest incomes. preparedness to deal with the direct impact of climate change on health We are also working to improve suicide conditions in the UK, including projected bereavement services across the area and increases in morbidity due to air working with public health colleagues to pollution, higher temperatures and create a high-risk decision support tool for extreme weather events. primary and community services. This will better identify people at risk of suicide and will help us target support.

Together, we aspire to become a global leader in responding to Our ambition is to reduce climate emergency through suicide by 10% across West mitigation: reducing carbon Yorkshire and Harrogate through our buildings, our supply by 2020/21 and 75% reduction in chains, how we travel and how targeted areas by 2022. we use digital technologies; as well as through investment: Many of our children and young people encouraging innovation, rethinking are already achieving positive outcomes and developing climate-friendly and enjoy life to the full. Over recent products and practices throughout years we have seen improvements our health and care system. across West Yorkshire and Harrogate, for example school readiness has Climate emergency increased from 51.2% in 2012/13 to Climate change is a global threat. As 67.5% in 2017/18. a Partnership, we believe that we can Suicide make immediate changes that could be The single largest cause of death in men However, we know that too many of simple, significant and sustained. We under 50 is suicide. Mental health issues, our children and young people still live can improve people’s health at the same relationship breakdown and financial with poor mental health, in poverty, time as making climate-friendly choices – problems are some of the biggest known experience homelessness or insecure/ such as improving walkways, promoting contributing factors to this. unsafe environments. Recent figures active travel to offset reliance on cars, or show deprivation rates vary. Rates of investing in local food growing. The Partnership has a vision to children in local authority care are higher reduce all suicides. It is adopting a in West Yorkshire at 72.1 per 10,000 We aspire to be a global leader collaborative, evidence-based approach compared to 63.6 per 10,000 for England. in responding to the climate to ensuring fewer people die by suicide. Our focus over the coming years will emergency. This can be done by be on tackling these challenges so all reducing unnecessary single-use plastics children have the best start in life. in hospitals or care homes, reducing transport costs and carbon emissions by ^ Photo credit: Allied Health Professions smarter use of technology.

West Yorkshire and Harrogate Health and Care Partnership is made up of six local places: 30 Bradford district and Craven; Calderdale, Harrogate, Kirklees, Leeds and Wakefield 31 These are localised partnerships, They will also operate in networks with serving between 30,000 other providers across the Partnership and 50,000 people in to reduce the difference in care people neighbourhood areas, that provide receive, regardless of where they live. the structure and funding for services to be developed locally, in response to the Importantly we need to give people needs of the people living there. Primary personalised choice and control over Care Networks are built on strong local how their needs are met so they are an partnerships already in place. equal partner in their care and have the Joining up services knowledge, skills and confidence to make Working with councils, community their own decisions and manage their own organisations, charities and local elected health, where safe to do so. members in their development is important Partnerships in our six places make if people locally are to feel the benefits. Our workforce will develop new skills to decisions on how they use their collective ^ Photo credit: Calderdale and work differently with people so we can Huddersfield NHS Foundation Trust resources, including buildings and staff. Planned and unplanned (emergency change the relationships and conversation For example, by using their collective 999) patient transport services are key to we have with our communities. This will expertise and resources to provide higher making sure the needs of people can be be influenced by public involvement – quality services and use financial We want to be less reliant met within various healthcare settings. We a joint approach. savings to invest in care closer on hospital beds and ensure want to create a hybrid service between to where people live. there are more people with emergency and planned patient transport the support they need to lead to safely manage the non-emergency cases We will join up dental Our local places all have, or are developing, a fulfilling independent life. in a timely way. The transport services and oral health care with a ‘connecting care’ approach. This involves programme will improve the national other services to encourage health, social care, housing, voluntary and Ambulance Response Programme targets, partnership working arrangements community organisations working side- Primary and community care services are and accelerate access and joined through public health, and a number by-side, helping those people most at risk the day-to-day healthcare available in every up care between health and care of medical forums, including local to stay well and out of hospital. Multiple local area and the first place people go transportation. Primary Care Networks. agencies work together, often all under when they need health advice or treatment. one roof, to seamlessly support people Traditionally, these have been built around The large majority of hospital services will Building on work in 2018, funding will with health or social care needs who could the role of GPs, but increasingly primary continue to be provided in each of our six be allocated to approximately 20 areas otherwise receive fragmented care, with care is showing better outcomes when local places and these hospital services will in West Yorkshire. This will aim to reduce multiple referrals and handovers. it is planned around all professions and increasingly work seamlessly with primary community organisations who have a and community care services. oral health inequalities and improve child role to play. This includes GPs, community oral health. nurses, social care workers, community For all our local places, this workers, mental health workers, community We will do this through ‘prevention involves putting people at pharmacists, allied health professionals champions’, good oral health promotion the centre of their care. (for example art therapists, chiropodists/ and training for staff in the principles of podiatrists, dietitians, speech and language ‘Delivering Better Oral Health’, ‘Making therapists), advice workers and many other Every Contact Count’ and basic oral This includes their physical, mental and care providers increasingly ‘joining up’ to health messages. The additional funding social needs met through joined up care improve local services. will focus on children (0-5 years), and support; tackling the wider factors particularly fluoride varnish application, that determine poor physical and mental This is why as a Partnership as well as older people living in care homes health and seeing more people before we are supporting the and independently, and homeless people they reach crisis. development of 56 Primary receiving services within health centres Care Networks (PCNs). ^ Photo credit: Yorkshire Ambulance Service or community settings. NHS Trust

West Yorkshire and Harrogate Health and Care Partnership is made up of six local places: 32 Bradford district and Craven; Calderdale, Harrogate, Kirklees, Leeds and Wakefield 33 It will be crucial to pull together as a whole have built trust with, they receive safer system to deliver the national ambition that care overall. In 2018, in West Yorkshire more cancers will be diagnosed at an early and Harrogate less than 1% of women stage when curative treatment is an option. experienced continuity of carer throughout their pregnancy journey. By March 2019 over 10% of women experienced We will work together so continuity of carer. World class that by 2023/24 an extra 1000 people can be offered the services and care chance of curative treatment, By 2021 the majority of rising to an extra 6,000 by 2028. women across our area will experience and benefit from continuity of carer. Working with HealthTech Our aim is to also improve quality ^ Targeted lung health checks in Wakefield outcomes for people requiring stroke Developing a closer and mutually All maternity units will have an accredited, care, ensuring that services are beneficial working relationship with For example, surgeons at Leeds Teaching evidence-based infant feeding programme, resilient and ‘fit for the future’. the HealthTech sector is an important part Hospitals NHS Trust made history in 2018 such as the UNICEF Baby Friendly Initiative, This includes preventing stroke of our ambitions. As well as improving by successfully performing the first double working with women and families happening in the first place, improving health services and outcomes, it also has the hand transplant in the UK. experiencing multiple risk factors and specialist care, making the most of potential to attract inward investment into understanding how the social and clinical technology, the skilled workforce, and our region, drive productivity and promote Through the West Yorkshire Association of needs of women are interlinked. connected high quality support for people inclusive growth. We have been working Acute Trusts, our hospitals will also operate recovering from a stroke. with the Leeds Academic Health Partnership in networks with other providers. End of life care to develop a new way of working with the Wherever possible, we want people at HealthTech sector across the Leeds City Our hospital collaboration Since spring 2018 we have been working the end of their life to die in a place of Region. This defines a new way of working (West Yorkshire Association of with our partners at the Yorkshire and their choosing with the right services and between the HealthTech sector, universities, Acute Trusts) and mental health Humber Academic Health Science Network support to do so with dignity. We know and health and care organisations. We partnerships are increasingly delivering (AHSN) to more proactively detect, that currently across the country, we fall far have a strong relationship with the West local hospital services, both physical and diagnose and treat people who are at short of that ambition. More than half of Yorkshire Combined Authority who are mental health, through networks of care, risk of stroke so that around nine in ten the complaints referred to the Health Service working through the Leeds City Region complemented by centres of excellence people with atrial fibrillation are Ombudsman in the UK concern end of life Local Enterprise Partnership to develop in cancer, vascular, stroke, children’s managed by GPs with the best care, and over half of these are upheld. the Local Industrial Strategy. This is a care and complex mental health. local treatments available. This long-term, evidence-based plan to will save lives. All indicators are that the scale of this strengthen local economic growth, reduce Our Cancer Alliance is in a strong place to challenge will grow over the coming health inequalities and improve skills, deliver improvements, with a clear national Every woman and her family should years, as there is a sustained increase in productivity and the earning power of strategy and a long history of partnership experience a healthy pregnancy wherever the number of deaths at an older age, individuals and the region as a whole. working amongst providers of cancer care possible, starting from supporting women and associated with greater complexity, which is essential to support people across and their families to plan for pregnancy multi-morbidity and dementia. the system. through to being in the best possible health We want to deliver world class before, during and after. One priority for Palliative and end of life care is a priority care and push the boundaries This gives us the opportunity to ramp up us is to better understand the experience for the Partnership. We aim to achieve the of research and innovation. our ambition and sharpen our focus to of women and families with a learning highest quality palliative and end of life tackle variation and inequalities, learn from disability or autism using maternity services. care across all settings and remove barriers and support each other to accelerate what that mean people have unequal access to We are proud to be home to many we know works to improve outcomes and We know that when women experience choice at the end of their life. world-leading new treatments designed offer quality to life through personalised continuity of care from a small team of by people at the forefront of technology. health and wellbeing support. midwives who they know by name and

West Yorkshire and Harrogate Health and Care Partnership is made up of six local places: 34 Bradford district and Craven; Calderdale, Harrogate, Kirklees, Leeds and Wakefield 35 We are planning the future health and social care workforce together rather than looking at individual organisational demands. In return this will enable funding to be targeted and future A great place investment planned on a system-wide level. We know that strengths-based social work to work and high quality social care can have a huge impact on people’s lives: supporting people ^ Photo credit: Harrogate and District to live independently; enabling people to NHS Foundation Trust make their own choices and ensuring that Health and social care is people get the right help at the right time changing to meet the changing to stay well and happy. The care sector We also want West Yorkshire needs of people. Reshaping nationally and in our region however, faces and Harrogate to be a great healthcare requires a reshaping of the a number of significant of challenges, place to volunteer. health and care workforce. There is a including the fragmented nature of provision greater role for people working outside and inadequate funding for all providers. of hospitals, where most health and social care takes place. This is especially important if we are to This means ensuring we provide the right The availability of independent social care attract and retain a diverse workforce support, incentive and opportunities across West Yorkshire and Harrogate varies We want West Yorkshire and Harrogate across all sectors that truly reflects and for people to give their time and skills widely, as does quality and choice. Many to be a great place to work. This means understands the people we serve. to improving people’s health. Every independent providers have withdrawn ensuring that staff represent the people day already thousands of people across from the market. This particularly affects we serve, including more ethnic minority West Yorkshire and Harrogate give their more rural areas and areas where there is employees in leadership roles and staff We will work together to improve time freely, driven by a passion and more competition for staff. with disabilities in employment. The NHS the experience of staff working in determination to help. This includes a Interim People Plan (June 2019) emphasised health and care, and we will ensure range of diverse actions such as reading Beyond these issues for the sector, there the need to promote positive cultures, our workforce is a true reflection of aloud in a hospice, driving a motor bike are more fundamental questions about build a pipeline of compassionate and the diversity of our communities; this with donated blood, being a run guide what people will need in the future to engaging leaders and make the NHS an will involve empowering colleagues, for people with visual impairments or a support them to live a good life, and how agile, inclusive and a modern employer. particularly from Black, Asian and survivor offering peer-support to others. the care sector evolves to enable this. We Minority Ethnic (BAME) groups, are working to re-think the care provision to achieve their full potential. We know the contribution of these of the future. volunteers is invaluable and as a partnership we want to make it even easier for people to give their time, skills If we are to transform our workforce and and dedication wherever they can with make West Yorkshire and Harrogate the whatever they can offer and we want to best place to live and work, then we celebrate their contribution and promote need to be more ambitious and show the work they do. Empowering people system-wide working with all our partners. to contribute to the delivery of improved We have an opportunity to take on a healthcare in the region is essential, we greater leadership role in workforce won’t change the system from the top planning. This will require investment and down and the voices of all our healthcare partnership working in a way which has community need to be heard. never been done before. This will build on ^ Photo credit: Mid Yorkshire Hospitals NHS Trust our workforce plan.  Photo credit: Calderdale Council

West Yorkshire and Harrogate Health and Care Partnership is made up of six local places: 36 Bradford district and Craven; Calderdale, Harrogate, Kirklees, Leeds and Wakefield 37 Spending money wisely Useful information

Working together gives us a better chance ^ Photo credit: Airedale NHS Foundation Trust Get involved of bringing additional money into the area You can get directly involved in to invest in our staff, buildings, community two new hospitals (one for children and improving health and care across our partners or digital technology. It also one for adults) at Leeds General Infirmary area in many ways: gives us greater buying power and the (LGI) which will benefit the wider region. potential to make savings by buying things by being a member of your local together, for example medical equipment. NHS foundation trust applying to We also want to focus investment towards £27m has also been allocated be a lay member preventing ill-health and providing to create a brand new specialist joining a clinical ^ Photo credit: Leeds Community Foundation support in community settings, to enable hub laboratory for the commissioning group public the left shift. The ‘left shift’ is about West Yorkshire and Harrogate patient involvement group removing the need for avoidable clinical Pathology Network. The Partnership Board meets in public every three months, four times a year. You can care to take place in hospitals, because via your local council more appropriate and more timely also access the agenda, papers and watch support is being provided in communities. As well as receiving £29m to support the becoming a member the meeting live here. Our Joint Committee It is about providing better health and delivery of specific programmes over the of Healthwatch of the Clinical Commissioning Groups wellbeing, better quality of care and more last two years, for example cancer and meets in public every other month. sustainable services because we have mental health, we have also received joining our health and care You can also watch the meeting live here. planned in advance, invested in prevention over £17m to invest in the areas we champions group for people and targeted early intervention. decide as a Partnership are with learning disabilities. a priority. This has included To register your interest in attending by volunteering with a health boosting investment in these meetings or to ask a question and care organisation or charity Through working together since voluntary and community organisations before the meeting takes place please 2018 the Partnership has secured targeting loneliness, in accelerating the getting involved in the ‘Looking email [email protected] or the largest share of national pace of our primary and community out for our neighbours’ campaign. call 01924 317659. You can also capital investment totalling care networks, in prevention services contact us with any other questions £883m for ten schemes. and developing localised approaches to Many of our Partnership’s programmes you may have. Our contact details are improved mental health. also include opportunities to join on the back cover. their steering groups and these are These include £197m to support the These Partnership priorities are agreed advertised on our website here. reconfiguration of the hospitals at by our Partnership Board. The Board is an Calderdale and Huddersfield NHS important group for our Partnership, as Foundation Trust and £600m for Leeds it puts elected members, non-executives Teaching Hospitals NHS Trust to build and public lay members at the heart of our strategic decision making process.

West Yorkshire and Harrogate Health and Care Partnership is made up of six local places: 38 Bradford district and Craven; Calderdale, Harrogate, Kirklees, Leeds and Wakefield 39 Helpful publications Films We publish a range of plans, publications A wide range of films have been produced and engagement reports. to support our work. You can access our YouTube account here. You can find these here.

‘Looking after our neighbours’ campaign. Acronym busters Find more information about The NHS Confederation has brought the campaign here. together definitions of more than 1,000 commonly used acronyms and West Yorkshire and Harrogate Health abbreviations in the NHS. You can and Care Partnership communication view it here. and engagement plan.

You can find the plan here. Useful national and regional web links

There is also an easy read Healthwatch UK version here. Local Government Association Our engagement framework is also on our website here. NCVO (national council for supporting the voluntary sector)

NHS England

NHS Improvement

Our next steps to better health and care for everyone NHS Providers January 2018

Better health and NHS Confederation wellbeing for everyone: Our five year plan NHS Clinical Commissioners www.wyhpartnership.co.uk

Nuffield Trust

A healthy place to live, a great place The Kings Fund to work.

A workforce strategy Better health and April 2018 Yorkshire & Humber AHSN wellbeing for everyone: Our five year plan

EasyRead

Next Steps 2018, Our Five Year Plan 2019 and the Workforce Strategy 2018.

40 You can get in touch with the Partnership by:

01924 317659

[email protected]

www.wyhpartnership.co.uk

@wyhpartnership A Partnership made up of the NHS, local 07811766006 (text us!) councils, care providers, Healthwatch, voluntary and community organisations and charities.

*This information was accurate at production in November 2019.