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

Executive Summary

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The and Clinical commissioning groups (CCGs) Harrogate Health and Care NHS Airedale, Wharfedale and Craven CCG Partnership is made up of NHS Bradford City CCG Foreword organisations working closely NHS Bradford Districts CCG together to plan health and We have developed governance and NHS CCG care services across the area. partnership working arrangements that NHS Greater Huddersfield CCG facilitate closer working at local place level and This includes: NHS Harrogate and Rural District CCG across the West Yorkshire and Harrogate area. NHS Leeds North CCG* We have attracted over £45m of national NHS Leeds South and East CCG* funding to support changes in areas like Care providers NHS Leeds West CCG* cancer, mental health and diabetes so we can NHS North CCG Airedale NHS  move quickly on our priorities; and Foundation Trust NHS CCG This executive summary We continue to have meaningful Bradford District Care NHS Other organisations involved describes the progress made and conversations and effective engagement with communities – both at West Yorkshire and Foundation Trust Voluntary and community partners our next steps for improving Harrogate level and in each of the places that NHS England health and services across the Bradford Teaching Hospitals make up our partnership (see page 5). NHS Foundation Trust NHS Improvement West Yorkshire and Harrogate Public Health England Health and Care Partnership. Calderdale and Huddersfield Performance and finances are stressed in many NHS Foundation Trust Health Education England In November 2016 we organisations within West Yorkshire & Harrogate. Healthwatch published draft proposals Staff are working incredibly hard to deliver Harrogate and District NHS GP Federations working in our local areas for our Sustainability and care and improve care in the most trying of Foundation Trust Transformation Partnership. circumstances. We described how we will work Leeds Community This summary provides an overview on how Healthcare NHS Trust together on the ‘triple aim’ of we are working to deliver high quality and the Forward View: to improve Leeds and York Partnership sustainable services into the future. This means the health of people; provide NHS Foundation Trust working in all our communities to tackle the root better care; and ensure financial cause of the issues – whether loneliness, poverty, Leeds Teaching Hospitals sustainability. poor housing or disjointed and complicated NHS Trust Since this point we have taken services. We can only do this by working together Locala Community forward a significant amount of and by being clear about the choices we need to Partnerships Local councils work and our partnership has make now and in the future. grown and matured: The Mid Yorkshire Hospitals Bradford District Council As a frontline Chief Executive I see the reality of NHS Trust Calderdale Council We have refined and further the fantastic innovation that exists alongside the South West Yorkshire Craven District Council developed our programmes pressures in services. I have been formally appointed Partnership NHS Foundation Harrogate Borough Council into clear plans for delivery. to the role of Partnership Leader for West Yorkshire Trust We have begun to deliver and Harrogate. It is a privilege to continue to improvement in a number work with leaders across our area to build on the Tees, Esk and Wear Valleys North Yorkshire County Council strong foundations we have put in place. NHS Foundation Trust of important areas. Wakefield Council We have built capacity Yorkshire Ambulance Service into programmes through NHS Trust *In April 2018 the number of clinical commissioning alignment of staff currently Rob Webster groups will reduce to nine when the three Leeds clinical commissioning groups come together. working in our system. Lead Chief Executive, West Yorkshire and Harrogate Health and Care Partnership www.wyhpartnership.co.uk www.wyhpartnership.co.uk 4 5 OurOur vision vision and and what what does does Ourit meanit vision mean for and for you? whatyou? does it mean for you?

Our vision OurOur partnership partnership is is not not a a new new organisation. organisation. ItIt isis aa newnew way of working for the 2.6million people who live in In Inyour your Our waypartnership of working is not for a thenew 2.6million organisation. people It is whoa new live in Bradford District and Craven; Calderdale, Harrogate, HealthHealth and and social social care care will will In yourlocallocal area area way Bradfordof working District for the and 2.6million Craven; peopleCalderdale, who liveHarrogate, in work together to support Kirklees, Leeds and Wakefield. Healthwork andtogether social to care support will local area BradfordKirklees, District Leeds and and Craven; Wakefield. Calderdale, Harrogate, your social, physical and workyour together social, tophysical support and Kirklees,NHSNHS Leedsservices, services, and councils, Wakefield.councils, voluntary voluntary and and community community In your neighbourhood mental health organisations will work together to improve your In your neighbourhood yourmental social, health physical and NHSorganisations services, councils, will workvoluntary together and community to improve your and community health and wellbeing. In your neighbourhoodand community mental health organisationshealth and will wellbeing. work together to improve your and community Care will be delivered health and wellbeing. Care will be delivered locally, managed locally Technology Carelocally, will be managed delivered locally Technology and planned locally We want to use the latest technology to locally,and planned managed locally locally TechnologyWe want to use the latest technology to give you the best health recovery possible. and planned locally We wantgive youto use the the best latest health technology recovery possible. to Your carers will give youWe the also best want health to use recovery equipment possible. to help Your carers will We also want to use equipment to help be supported too You will be seen as you safely manage your health. Yourbe supported carers will too You will be seen as We alsoyou want safely to manage use equipment your health. to help equal partners be supported too You will be seen as you safelyThis includesmanage usingyour health.technology to let you equaland encouragedpartners to This includes using technology to let you equal partners make GP appointments and to help you andsupport encouraged one anotherto This makeincludes GP using appointments technology toand let to you help you and encouraged to stay safe at home. And where safe to support one another makestay GP safeappointments at home. and to help you And dowhere so you safe will to be You are at the centre of everything we do support one another stay safe at home. And where safe to You are at the centre of everything we do do sosupported you will be to You will have the best start in life so Community groups Money do so you will be You are at the centre of everything we do supportedself-care to You will haveyou can the livebest and start age in well. life so and local teams Money supported to You will have the best start in life so CommunityCommunity groups groups MoneyWe aim to spend as much of the local health self-care you can live and age well. including your GP We aim to spend as much of the local health self-care youWe can will live work and with age you well. to deal with and willlocal continue teams to and care pound as possible in local places. will work with you We aimand to care spend pound as much as possible of the localin local health places. Wethe will issues work that with affect you to your deal health with and includingwork your with GP you We will work with you to deal with and careAnd poundthat we as talk possible to you in and local community places. the issueswellbeing that affect in your your communities, health and will work with you And that we talk to you and community the issues that affect your health and representatives on how best to do this. wellbeingwhether in it’s your loneliness communities, or learning And representativesthat we talk to on you how and best community to do this. wellbeing in your communities, representatives on how best to do this. whetherdisability; it’s lonelinesshousing or or mental learning health; whether it’s loneliness or learning disability;childhood housing obesity or mental or air health;quality – Our partnership staff disability; housing or mental health; Our partnership staff childhoodtogether obesity we canor air make quality things – Our workforce is our best asset. We will plan care childhood obesity or air quality – You know better Our partnership staff together webetter can with make you. things You know better Our workforce is our best asset. We willacross plan WY&H. care E.g. together we can make things what you and your Our workforceWe will develop is our best and asset. train them to We will plan care better with you. You know better acrosssharing WY&H. good E.g. practice, better with you. whatcommunity you and needsyour Wegive will you develop the best and care train possible. them to across WY&H. E.g. what you and your We will develop and train them to sharingstaff good skills practice,and buildings community needs give you the best care possible. sharing good practice, community needs give youIf we the don’t, best we care will possible. lose them and they Across West Yorkshire staff skills and buildings If arewe toodont, important we will loseto us them all. and they staff skills and buildings If we don’t, we will lose them and they AcrossAcrossand West Harrogate West Yorkshire Yorkshire (WY&H) are too important to us all. and Harrogate (WY&H) are too important to us all. and Harrogate (WY&H) Our plans Our hospitals will work We will make the best use Our OurplansWe plans will always ask you for your views. together so you have the Weof will all makethe expertise the best and use We will always ask you for your views. OurOur hospitals hospitals will will work work We will make the best use We willYou always are welcome ask you to forget your involved. views. best treatment possible of allstaff the skills expertise available and to us togethertogether so so you you have have the the of all the expertise and You are welcome to get involved. staff skills available to us You are welcomewww.wyhpartnership.co.uk to get involved. bestbest treatment treatment possible possible staff skills available to us We will work across the area www.wyhpartnership.co.ukwww.wyhpartnership.co.uk01924 317659 on issues like mental health, We Wewill will work work across across the thearea area [email protected] 317659 317659 cancer, stroke and urgent care on issueson mental like mentalhealth, health,cancer, [email protected]@nhs.net@WYHpartnership stroke and urgent care. cancer, stroke and urgent care @WYHpartnership@WYHpartnership

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We have brought in over £45million extra funding Summary 6 through partnership working – and aim to attract more. £45m We aim to deliver improvements in the quality and 1 value for money of care we provide, working through nine programmes and six enabling workstreams: We will invest in the development and skills of our West Yorkshire and 7 workforce to enable them to provide the best possible Enablers National priorities Harrogate priorities care. We have produced a plan to achieve this which also covers recruitment and retention. Best practice Cancer services Stroke care and innovation Urgent and Preventing ill Workforce emergency care health The financial challenge we face is the biggest in a generation. Digital ways of Our response is around getting the best value from every Mental health Improving planned working 8 pound. We will also be very open about the choices we have care and reducing Harnessing the power Maternity £ to make to live within our means. variation of communities Primary and Hospitals working Capital and estates community care together Business intelligence Over the past fourteen months our partnership 9 has made major strides towards working together to improve health and care. Change needs to happen as close to people as possible, 2 putting the person at the centre of what we do. This is why local relationships are the basis of our plans. 10 What will this all mean for you:

Places will be healthy. 3 The way we work: • 50 neighbourhoods bringing social, physical • Supported by 1 association If you have long term health conditions you will be and mental health care closer together and of acute hospitals and 1 supported to manage them yourself. seven local health and care partnerships group of mental health coming together to deliver care in six places providers in 1 health and where council and NHS commissioners plan care system. If you have multiple health conditions, there will be a team and pay for services together. supporting your physical, social and mental health needs.

Hospitals will work closely together to give you the best We are committed to meaningful conversations care possible. 4 with staff and communities and we will continue to engage people in the design, development and delivery of our plans. All healthcare will be planned and paid for once.

Housing, employment and access to green spaces You can get involved in the development of plans. 5 can have the biggest impact on health. Local government has a key role to play and health research is helping us to target those people at risk.

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This information is available in alternative formats, for example large print, Braille, EasyRead and community languages. For more information contact:

01924 317659

NHS Wakefield CCG White Rose House West Parade Wakefield WF1 1LT

[email protected] www.wyhpartnership.co.uk @WYHpartnership

A partnership made up of the NHS, local councils, care providers, Healthwatch and community organisations. January 2018