We are consulting on HARA Section 75 which are required for when the service commences by 30th September 2019.

Harrogate Rural Alliance is a partnership involving:

  • Harrogate and District NHS Foundation Trust which provides acute services and a range of community service across the district;
  • NHS Harrogate and Rural District Clinical Commissioning Group, the body which buys most healthcare services delivered in the district;
  • North Yorkshire County Council who commission and provide social care services;
  • Tees, Esk and Wear Valleys NHS Foundation Trust, the local specialist mental health provider; and
  • Yorkshire Health Network, which represents GPs across the district.

The vision for the programme is that it will:

“Deliver an integrated operating model that brings together community health and social care services for adults in Harrogate and Rural District. Services will be aligned to defined primary care networks to create an enhanced local offer that delivers benefit for the population through maximising the local resource and assets”

The partners have a shared vision of a timely transformation towards an integrated approach to commissioning and provision of health care, public health and social care services in Harrogate and Rural District. The partners believe that co-ordinating their planning, commissioning and delivery activities will help facilitate the best use of resources to support the local resident and patient population.  

The ambition for the programme is that the new integrated service will:

  • Have prevention as the starting point.
  • Develop a new model, anchored in primary care, based on prevention, planned care and unplanned care, optimising all available resource.
  • Provide care at home wherever possible.
  • Focus on population health as opposed to organisations.
  • Be a Primary Care Practice Centred Model (hybrid model between practices and geography).
  • Include primary care daily involvement and commitment
  • Have active involvement from people who use services and carers.

Section 75 of the 2006 NHS Act gives powers to local authorities and clinical commissioning groups to establish and maintain pooled funds out of which payment may be made towards expenditure incurred in the exercise of prescribed local authority functions and prescribed NHS functions.

Section 75 of the Act also gives powers to local authorities and clinical commissioning groups to:

  • establish and maintain pooled funds out of which payment may be made towards expenditure incurred in the exercise of prescribed local authority functions and prescribed NHS functions;
  • establish integrated commissioning arrangements and to establish integrated management functions in relation to health and social care services.

The purpose of the draft Section 75s is to put in place the arrangements required to govern and manage shared planning and commissioning and delivery of integrated services, supported by an indicative set of core and aligned budgets in the geography of Harrogate and Rural District.

The Harrogate and Rural Alliance Board (HARAB) will be the vehicle through which all parties will discharge their shared responsibilities in respect of working together within the defined financial schedules. The Agreements apply to the defined health, public health and social care services supplied to the residents of North Yorkshire County Council and to patients registered with the GP Practices within the Harrogate and Rural District.

The draft agreement ‘HaRD_NYCC_Section75_V16.1 240719 Commissioner’ is between North Yorkshire County Council (NYCC) and Harrogate and Rural District Clinical Commissioning Group (HARD CCG) outlining the respective commissioner arrangements.

The draft agreement ‘HDFT_NYCC_Section75_V3.1 240719 Provider’ is between North Yorkshire County Council (NYCC) and Harrogate District Foundation NHS Trust outlining the respective provider arrangements.

The Section 75 agreements are required for when the service commences by 30th September 2019.

Consultation documents

 HaRD NYCC Section 75 V16.1 240719 - Commissioner - revised draft for publication (pdf / 2 MB)

 HDFT NYCC Section 75 V3.1 240719 Provider - revised draft for publication (pdf / 2 MB)

Give us your views

If you would like to make any comments or share you views regarding the draft Section 75 agreement please email: integration@northyorks.gov.uk

The consultation runs 25th July to 23rd August 2019.