What is the Harrow Borough Partnership?

The Harrow Borough Partnership brings together health, social care, wider Local Authority services and Harrow’s voluntary and community sector, working alongside local communities to help the people of Harrow thrive; aspiring to improve health and wellbeing and reduce inequalities. 

The partnership is an agreed collaborative arrangement, underpinned by a shared set of priorities and values, to drive better outcomes for the people we serve.

What are our shared set of priorities?

  1. Delivering truly integrated out of hospital care at a neighbourhood level. We will join-up care provided by different organisations, coordinated for the people receiving it; becoming teams of professionals, with distinct skills and expertise, but working together to support people in community settings. 
  2. Reducing health inequalities through care closer to the community and services coproduced with it; also aligning the collective power our organisations and the wider North West London system have, to address the wider determinants of health inequalities.
  3. Services that improve outcomes wherever they are provided – not a postcode lottery! This links strongly to our first two priorities and how we will measure whether we are achieving them.

What does this mean for how staff work?

This partnership is not about merging organisations, it is about aligning our pathways and approach to care.  Staff are more likely to be working more closely with colleagues from across health and care organisations in Harrow to plan and deliver how care is provided and we hope this will stop duplication. 

We want to improve the data that is available to these local teams for joint planning (a process referred to as Population Health Management). 

Staff should see the infrastructure improving, supporting them in this joint working; greater connectivity of IT systems across local services, more training and education delivered jointly and possibly greater co-location of local care teams.

Staff have a shared understanding of:

  • The wider determinants of health. Healthcare only contributes to 15% of a person's health status
  • The value of making connections between the patient’s emotional world, wider environment and their physical health, and how each organisation can support this
  • The evidence-based interventions and pathways to support prevention
  • How the patient voice can be developed?

What does this mean for our patients, service users and citizens?

We know the people of Harrow already receive, in the main, high quality care from our existing services. We also know that people – including our staff - feel frustration by a lack of coordination of services. In addition, some parts of our communities are not using preventative and early intervention services at all; we need to understand why and address the causes. 

Wouldn’t it be great if this is how services in Harrow were consistently described?

“The professionals with me talked to each other. I could see that they worked as a team.”

“I always knew who was the main person in charge of my care.”

“The person in charge of my care helped me to get other services and help, to pull everything together.”

“I was involved in discussions and decisions about my care and treatment as I wanted to be.”

“My healthcare team understood, valued and responded to my culture, values and beliefs.”

“When I used a new service, my care plan was known in advance and respected.”

“It feels like my GP Practice is connected with the local community.”


Hearing more of this feedback about our services will be the most important measure of our success.


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