The design of our Governance systems reflects the changes that we are seeing through Integrated Care arrangements in the wider system and how this influences our roles, responsibilities, and interactions with each other, including our citizens.
Governance arrangements reflect what will enable to the Harrow Borough Based Partnership to flourish and is based on a strong partnership foundation and led by what is important to our partnership.


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Transformational Workstreams
The transformational workstreams of the Harrow BBP reflect our priority programmes and the priorities of the ICS. The workstreams may be continuous or may be disbanded when the business of the group is concluded.
Delivery workstreams
Proactive Care and Reducing Health Inequalities Workstream
The core purpose of the group is to continue to strengthen our collaboration towards the delivery of a proactive care approach in Harrow, through stronger partnerships across communities, statutory agencies and voluntary sector agencies, access to better data and qualitative insights into our population to target and shape services to meet needs and coordinating action outside of health and care services to lever action to address the wider determinants of health. This activity will be targeted towards the aim of reducing health inequalities in Harrow as they relate to access, experience and outcomes.
Children and Young People’s Integrated Partnership Board
The purpose of this group is to improve the health, education, and wellbeing outcomes for children in their early years, for CYP with long terms conditions and CYP with complex needs through joint working. The role of the Board is to oversee the development of age-appropriate integrated services achieved through, delivery of local, system and national strategies, service integration, models of care that promote prevention and early intervention, managing complex and urgent maternity, delivery of the Special Education Needs and Disabilities (SEND) Strategy, and safeguarding.
Neighbourhood Working Oversight Group
The core purpose of the group is to oversee the establishment and effective functioning of Integrated Neighbourhood Teams in Harrow. Integrated Neighbourhood Teams are being established to break down silos in health and care services for the benefit of staff and citizens. They are made up of teams from across primary care networks (PCNs), wider primary care providers, secondary care teams, social care teams, Public Health, and the voluntary and community sector, who work together to share resources and information and form multidisciplinary teams (MDTs) dedicated to improving the health and wellbeing of a local community and tackling health inequalities.
Complex and Urgent Care Workstream
The core purpose of the group is to enable the delivery of proactive, personalised care with support from a multidisciplinary team of professionals to people with more complex needs, including, but not limited to, those with multiple long-term conditions. The goal is to enable people with complex needs in Harrow to live, as far as is possible for them, healthy fulfilled lives, cared for in their own homes for as long as is possible, with the right support available to the people who are caring for them.Monitored areas include winter planning, preventing admissions, dementia, falls, carers, BCF, hospital discharges.
Mental Health, Learning Disability and Autism Workstream
The purpose of the Mental Health, Learning Disabilities and Autism (MHLDA) workstream is to plan, oversee and assure the delivery of a multi-agency whole system approach and monitoring of key provider activities. Monitored areas include prevention initiatives, post-diagnosis dementia support, substance misuse pathways, homelessness, and mental health, learning disabilities and autism transformation, support for carers, respite and appropriate housing and accommodations.
Enabler workstreams
Workforce and OD Integration
The primary purpose of this enabler workstream is to bring together senior partners to ensure the overall oversight for the delivery of workforce and organisational development (OD) initiatives, to support the transformation required to deliver the workforce requirements of the Harrow Borough Delivery plan.
Strategic Estates Group
The core purpose of this enabler workstream is to provide a forum for estate leads from partner organisations to come together to share knowledge and priorities, whilst collectively agreeing on areas of collaboration across the partnership. A way the group achieves this is to provide advice and expertise to support the partnership in, delivering priority programmes, finding suitable estate to allow our teams to come together in new way, implementing the NWL ‘One Estates Strategy’ and developing long-term plans around neighbourhood development and how we transition our premises for the best delivery of services, to meet the future needs of our population.
Digital Transformation Community
The core purpose of this enabler workstream is to provide advice and expertise to lever the partnership’s digital programme, including promoting system digital tools available, to better facilitate the delivery of integrated care to Harrow residents. The goal is to enable direct care and access capabilities within our sovereign organisations including and not limited to shared care records and care planning.
Communication and Engagement
The core purpose of thus enabler workstream is to provide a central point of contact for escalating communications and engagement activities within the Harrow Borough-based Partnership (BbP). It plays a key role in gathering and raising community, patient, and resident insights, while also linking borough-level work with the ICS communications team. The group is responsible for driving operational delivery and shaping the strategic direction of engagement and communications in Harrow. It brings together essential partners, including NHS providers, primary care, local authority teams, Healthwatch, and the local voluntary and community sector (VCS). Through collaborative agenda-setting and forward planning, the group identifies opportunities for joint working where priorities align. It also acts as a regular forum for colleagues and partners to discuss, share, and coordinate their efforts.