Examples of how we are reducing health inequality

Home visiting Service

We supported a group of four practices in central Harrogate to test out a shared visiting service using an Advanced Nurse Practitioner to undertake home visits to a patient who is unable visit the GP Practice. The expectation is that this pilot will provide timely access to advice, help and support. The pilot concluded at the end of March 2018 and we will fully evaluate the service to inform future development or expansion.

Homelessness Service

A new service has been commissioned to provide care for the homeless population of Harrogate and Rural District. From November 2017 a weekly visit by 2 members of a primary care team to Springboard, a day centre for homeless people in Harrogate commenced. Anyone attending Springboard can be seen without an appointment. Immediate health needs are addressed, with signposting to other relevant services. Patients are also encouraged to register with local practices.

All practices have also appointed two ‘homeless champions’ who have undergone training and will spread their learning enabling better understanding of the health needs of homeless people throughout the practice team and ensure there are no barriers to providing care for this vulnerable group.

The Transforming Care Partnership - Learning Disabilities

Children, young people and adults with a learning disability and/or autism have the right to the same opportunities as anyone else to live satisfying and valued lives, and to be treated with dignity and respect. If they are well enough, they should have a home within their community, be able to develop and maintain relationships, and get the support they need to live healthy, safe and rewarding lives. The CCG, along with neighbouring North Yorkshire and York CCGs, local authorities and provider Trusts, formed a collaborative to transform care for people with learning disabilities which is called the Transforming Care Partnership (TCP). The objective of the TCP is to reduce the requirement for inpatient hospital stays for people with a Learning Disability and/or autism through enhancing community services to strengthen the care for people close to their homes.

Special Educational Needs and Disabilities (SEND)

The North Yorkshire and York Health SEND Network has been established and includes membership from Local Authority, Providers and Parent/Carer groups. The group meets on a quarterly basis and is well attended. The aim of the group is to establish a network of health, education and social care professionals to share best practice in implementing the reforms of the Children and Families Act 2014 and drive service change, so that children with special educational needs and disabilities achieve well in their early years, at school and in college, and lead happy and fulfilled lives.