Lead the development and delivery of a newly integrated community health and social care service in the Harrogate area.
Salary: Circa £68k
Location: Harrogate (and bases throughout the district, as well as County Hall, Northallerton)
Thank you for your interest in this exciting and career enhancing role.
As Alliance director you have an opportunity to develop and shape innovative, person-centred and effective integrated health and social care services, making a real difference to people’s lives whilst creating an approach that others will want to follow.
This is a unique opportunity to lead the newly formed Harrogate and Rural Alliance as health and social care services collaborate, transform and unite to prevent delay and respond effectively to our communities current and future health and social care needs.
Harrogate and Rural District CCG, Harrogate District NHSFT, North Yorkshire County Council, Tees Esk and Wear Valleys NHSFT and Yorkshire Health Network are coming together as the Harrogate and Rural Alliance to create an integrated community health and social care service for the Harrogate District.
This programme is about developing an integrated community health and social care service, which responds to the CCG vision for community services in Harrogate and District ‘Your Community, Your Care’ as well as to the other national and local drivers within the NHS and social care.
As Alliance director you are responsible for providing integrated, preventative, safe, caring, high quality, person-centred health and social care at the right time in the right place, and to support people in the Harrogate and Rural District to live independent and healthy lives.
Working better together, the central premise of the programme is that prevention is better than cure.
As we experience significant financial challenges across the health and social care system with increasing pressures on delivery, the programme provides opportunities for a better, more integrated, preventative service - utilising strong, existing local partnership arrangements to deliver improved experiences and outcomes for people who use our services.
We require a post holder who can shape this new role, provide strategic leadership to the integrated services, successfully lead multi-disciplinary teams, influence key stakeholders and drive performance, impact and continuous improvement; building capacity, resilience and efficiency with a real clarity of focus on outcomes. Dealing with complexity you retain clarity of focus and are resolute, yet compassionate, in your leadership.
Operating at director level you will have a strong track record of delivering effective operational health and social care services within large complex organisations and can navigate this landscape successfully and with credibility. You will have proven commercial acumen and be driven to innovate whilst have a clear passion for making a difference. You will have the ability to drive performance, capitalise on opportunities and tackle issues head on. Personal resilience, ingenuity and unquestionable integrity are key to success in this role. Whilst your business acumen and integrity will drive your decisions, your delivery will unite, empower and inspire your teams.
You will be passionate about community and place and the differences that individuals, families and friends can make to their own health and the wellbeing of where they live.
It is crucial that the different elements of the integrated service are engaged, reliable, resilient, responsive and operating at the height of their profession.
Shaping, influencing and directing, you will have a pivotal role in driving forward this integrated service, maximising the efficiency and effectiveness to enable increased resilience and effectiveness of our health and social care services to the benefit of the communities we serve, enabling people live independent and healthy lives.
You will be accountable to the Harrogate and Rural Alliance Board, reporting on a day to day basis to North Yorkshire County Council and Harrogate and District Foundation Trust.
This is no ordinary role: it’s challenging, complex and multi-faceted. The rewards are high; this is a career-defining opportunity for an ambitious health or social care leader.
With a preventative approach, this role will be pivotal in delaying and reducing demand on more acute services in the Harrogate area- making a real difference to people’s lives!
|Dr Peter Banks, Partner Leeds Road Surgery, Chair Yorkshire Health Network and Co-chair Harrogate and Rural Alliance Programme Board|
|Richard Webb, Corporate director of Health and Adult Services, North Yorkshire County Council and Co-chair Harrogate and Rural Alliance Programme Board|
Rob Harrison, Chief operating officer at Harrogate and District NHSFT
Wendy Balmain, Director of transformation and delivery, Harrogate and Rural District CCG
|Tim Cate, Director of operations, Tees Esk and Wear Valleys NHSFT|
About the Alliance
Nationally and locally health and social care systems are facing challenges around quality, sustainability and changing population needs.
Integration between health and social care is a fundamental part of national policy, local strategy and commissioning intentions with the aim of promoting health and wellbeing, delivering better outcomes for the population, promoting ease of access and ensuring a sustainable system for the future.
The purpose of Harrogate and Rural Alliance (HARA) is to provide integrated, preventative, safe, caring, high quality, person-centred health and social care at the right time in the right place, and to support people in the Harrogate and Rural District to live independent and healthy lives.
In light of the challenges faced by the health care system, partnerships such as the Harrogate Alliance are being formed to deliver integrated care to our communities.
There are a range of other national drivers which have led to the formation of the Harrogate and Rural Alliance. The NHS Five Year Forward View and Update is a national policy which has been developed to enhance service levels in both health and social care and aims to integrate health and care nationally.
Equally, the General Practice (GP) Forward View is a plan set to invest more NHS primary care, stabilising funding for general practice on a national level. It emphasises that local systems should encourage and support general practices to work together at scale in a variety of new forms enabling greater opportunities for them to increase their flexibility to shape, buy or build additional services, working from a more effective platform with other local health and care providers, including community health services, social care and voluntary sector organisations.
Along a similar vein, the Care Act 2014 built on previous legislation setting out clear duties for local authorities and partners to support people to be in control of their care and support. The focus on prevention requires local authorities and their partners to prevent, reduce or delay the need for care and support for all local people. The Act has a focus on integration requiring local authorities to collaborate, cooperate and integrate with other public authorities, including health and housing.
In addition to the national drivers, there are also local drivers which have an impact. Like most health and care systems in England, Harrogate and Rural District is struggling to match demand and affordable supply.
There is a combination of an ageing population, an increase in the number of people with long-term conditions and the changing expectations of the local population. An ageing population presents several risks including; isolation, and its mental health challenges, access to public transportation and capacity to meet the demand for health and social care services that increase with age such as dementia and frailty.
In response to these local and national drivers the Harrogate and Rural Alliance aspires to provide an integrated community health and social care service for the communities of the Harrogate District.
We are looking to develop an integrated community health and social care service, which responds to national and local drivers within the NHS and social care. Whilst recognising and addressing the pressures around service delivery, the service will place the person and community at the centre of everything they do, ensuring the service feels owned by the community and by all of our colleagues.
A community coalition, the service will bring together community health and social care in the Harrogate District, establishing multidisciplinary teams from the different agencies to work together on a daily basis. Four hubs will be established in two localities which will comprise of multi-disciplinary teams based around GP practices and supported by a number of health, social care, voluntary and independent sector and wider public services.
With an ethos of prevention is better than cure, the service will promote independence even if someone is at the end of their life. Focusing on population health, the service will aspire to have prevention as the starting point, providing care at home where possible. It is not about being a single blueprint, using a one size fits all approach but being reflective of all our different communities. We aspire to be a genuine alliance where all stakeholders will bring something to the table.
This is a new and very different approach to traditional integration which would typically involve the development of a new organisation. In this case we are building on existing strengths of professionals and their backgrounds.
We will design the future of the service by involving service users, which we will welcome and embrace this. People who work in and use the service will shape and own it, creating an utmost sense of belonging.
The main focus of year one will be to create a core workforce of approximately 270 staff which will be divided into four hubs across two localities. This workforce will be made up of community health and social care teams from the Harrogate and District Trust and North Yorkshire County Council. This core workforce will wrap around primary care, which will be at the heart of the model, and also reach out to wider providers.
Through locality managers the new Alliance Director will help to form newly integrated teams. Whilst their employment will not change, the first priority will be to bring together these Multi-disciplinary teams across organisations, transforming and uniting them. These teams will maintain their own organisational identity but have shared purpose and identity with the wider Harrogate Alliance.
During Year One we will take advantage of any opportunistic workforce initiatives that arise and may enhance the model further.
Beyond year one there will be a shift to fully integrated teams. Further plans will be drawn up and projects initiated which will bring about more fundamental change to services through workforce modelling, use of technology and estates. These projects will be delivered throughout year two and beyond and the detail will be included in project level business cases underneath the wider programme.
The Alliance Director will manage a team which has multi-agency integrated line management responsibilities. Decisions will be made on which services will be managed district-wide and whether there is a need for a District wide service manager or whether Locality/Hub Managers each have some district wide responsibilities.
There will be an opportunity to radically review roles and skill mixes across your 270 strong team. There will also be a more radical review of estates options for co-location and storage and potential new builds. A further review of technical and data requirements will ensure are utilising technology to maximise integration across teams.
About the role
Alliance Director- Harrogate and Rural Alliance
Salary: Circa £68k
At this very exciting time we are looking for an Alliance Director to lead the development and delivery of a newly integrated community health and social care service in the Harrogate area.
Prevention is at the heart of this agenda, delaying and reducing demand on more acute services, building provision on the premise that prevention is better than cure.
The programme will place the person and community at the centre of everything we do, based on a strength-based approach, ensuring we have a service that is owned by the community and by all of our colleagues and delivers the best outcomes possible for those we support.
As the Alliance Director, you will have responsibility for overseeing the delivery of the integrated community health and social care service, organised around primary care practices and local communities, which responds to the CCG vision for community services in Harrogate and District ‘Your Community, Your Care’ as well as to the other national and local drivers within the NHS and social care.
The post holder is responsible for the provision of integrated, preventative, safe, caring, high quality, person-centred health and social care at the right time in the right place, and to support people in the Harrogate and Rural District to live independent and healthy lives.
The key objective will be to implement and embed a service model establishing hubs in defined localities which comprise multi-disciplinary teams based around primary care practices; supported by a number of health, social care, voluntary and independent sector and wider public services.
To achieve your ambitions, you will work closely with Harrogate and District Foundation Trust and North Yorkshire County Council and will collaborate and influence at all levels across the health and social care system and with partners. Partnership working will be fundamental to the success of this role. You will work closely with all primary care practices to ensure that the service is community and population based and puts the person at the heart of the service.
You will provide leadership and a clear strategic direction to ensure the service prospers.
Initially, your role will be very much about bringing people together with different skill sets and unlocking their potential. In achieving this, you will need to ensure that people have the tools, procedures and ways of working to flourish.
As the teams start to unite, we will look to change ways of working. The solutions will need to be locality based and utilise assets to the best effect. As Alliance Director you will enable the teams to recognise those assets. This will allow the teams to work smarter, reducing duplication and using resources to the best effect to achieve the best outcomes for service users. Whilst achieving efficiencies you will embed innovative practice and improve outcomes.
This is an opportunity to create more interesting job roles. Moulding roles to ensure efficiency, innovation and effective service delivery. In doing so, you can design job roles to enable professionals to practice their craft. This job enrichment will then have a positive impact on recruitment and retention, staff engagement and ultimately service delivery, making a real difference to lives of those we support through those we employ.
You will need to strike a balance between making quick, sound business decisions and delivering these with compassion, supporting staff and key stakeholders with support throughout this journey. Clarity of thinking and focus will be a major part of this; as will translating your strategy in practical implementation on the frontline.
We are looking for someone who is innovative and practical, emotionally intelligent, budget-savvy, and a real change agent. We want you to demonstrate strong personal and professional values and, literally, put those into practice.
Our expectation of you is that you will be an accomplished strategic leader who will encourage innovation; be a clear and decisive leader, with a robust grip on financial and performance management and service delivery; and relate well to people so that together we realise our potential.
You will have an extensive background in either health or social care the ability to navigate these professional services with credibility remain objective in your decision making.
Consideration will be given by the decision making panel as to who the successful candidate will be employed by taking into consideration applicants preferences.
Interested in this a pioneering health and social care strategic leadership role? Apply Now!
If you would like to speak someone from the HDFT about this opportunity, please contact Rob Harrison, Chief operating officer at Harrogate and District NHSFT on 01423 554446 or Mike Forster, Operational director (after 5 March) on 01423 553041. To speak to someone from North Yorkshire County Council please contact Rachel Bowes, Assistant director care and support, on 01609 532909.
For questions about the role and recruitment process please contact Sarah France-Gorton, Head of resourcing solutions on 01609 798106.
It is important that your written application fully addresses the criteria as detailed in the person specification which can be found in the information below. We will not accept CV submissions or applications from agency services.
This post is subject to disclosure. This is a politically restricted post as defined by the Local Government and Housing Act 1989.
Please note a DBS check is required for this post.
Closing date: 17 March 2019
Shortlisting: Week commencing 18 March 2019
Interview dates: 10 and 11 April 2019
North Yorkshire really is a stunning, vibrant county with safe communities and excellent education. If you live here, you will have a good quality of life: stunning countryside, arts and culture, good housing and schools, proximity to big cities including good connectivity to London. If you live or work in the County already then you will know what it has to offer. If you are new to the area, then I am sure you will have seen some of the breath-taking images from the Tour de France, the Tour de Yorkshire and countless TV shows and films. Over 87 per cent of our schools are outstanding or good and a number of our towns have been voted amongst the happiest in the country. Genuine neighbourliness and community spirit does still exist here.
The county benefits from excellent road and rail links, with easy access via the East Coast mainline, the A1(M) and A19. Leeds, York, Newcastle, Durham and Teesside are all easily commutable, and London just two hours by train. North Yorkshire borders the Lake District, Lancashire, County Durham, and Yorkshire & Humber regions with all they have to offer.
Harrogate, three times winner of the ‘Happiest Place to Live in the UK’ award, is a vibrant town, with a strong and varied economy. It offers a huge range of eating out and leisure opportunities and a wide range of residential properties from period buildings to modern builds. Harrogate is close to the A1 and A61 with a station providing rail links to York and Leeds for easy commuting.
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