Introduction Approach and principles Integration of the health, well-being and social care system on the Isle of Wight requires collaboration across boundaries. The approach used in developing this programme structure is to focus on person-centred outcomes rather than individual organisations’ activities. In doing so, it recognises that a key strength of My Life A Full Life is its collaborative and inclusive working across the Island. In developing the programme structure and workstreams that will deliver the programme, we have categorised them into two types working with each other in a matrix: a)Person centred work streams: focused on directly delivering care and well-being outcomes b)Enabler work streams: supporting and cutting across all person centred work streams In order to structure work streams set out on the following page, we have used the following principles and met with key stakeholders to agree this. Workstreams should be cross cutting i.e. across organisational boundaries. Workstreams are centred on delivering key outputs and outcomes and not based on specific organisations. Workstreams should be based on the future care model rather than current projects within organisations. Focus is on strong and broad based representation from organisations across the system: primary care, secondary care, voluntary sector, mental health, local council, CCG, and people representatives (see slide 5). Workstreams should be aligned to development of value propositions focusing on delivering specific care model outcomes and outputs.

Strategic Commissioning, Contracting and Finance Joint Commissioning Board (JCB) Joint Provider Board (JPB) My Life a Full Life Board (MLB) NHS England New Care Models Team ISLE OF WIGHT HEALTH AND WELLBEING BOARD DRAFT: Proposed Governance Framework Organisational Integration & Form Communications, Engagement and Project Management Office Evaluation and Measurement Infrastructure, Estates, and IT Leadership, Workforce, and Organisational Development IoW People Reference Group Prevention and Early InterventionIntegrated Single Point of AccessIntegrated Locality TeamsClinical Services Review ‘Enabler’ Workstreams ‘System’ Workstreams

DRAFT: Person Centred System Workstreams Delivery Areas / Subgroups Service WorkstreamsDelivery Areas / Subgroups 1. Prevention & Early InterventionPrimary prevention & self care Secondary prevention & self management Social capital & community development (including LACs and Good Neighbourhood Scheme) 2.Integrated Single Point of AccessIntegrated triage point & universal referral process (single point of access) Increase efficiency of NHS Hub and IoW Contact Centre Improve falls response & outcomes – focus on preventative approaches 3. Integrated Locality TeamsAdult Social Care, Community Health, Mental Health, & Voluntary Sector wrapped around Primary Care Care home assessment & improvement plan Care Navigators & Care Coordinators 4. Clinical Services ReviewSystem wide review of demand, supply and pathways Develop recommendations for improved, sustainable services for people

DRAFT: Enabler Workstreams Delivery Areas / Subgroups Enabler Work streamsDelivery Areas / Subgroups 5. Leadership, Workforce and ODWorkforce capacity and capability Leadership and Culture Change 6. Infrastructure, Estates, and ITOne Estates Strategy IT infrastructure, information governance, applications and single records 7. Strategic Commissioning, Contracting & FinanceCommissioning & contracting strategy and framework Whole system outcome measures One Island £ / Finance 8. Organisational Integration & FormIntegrated commissioning Integrated provision Integrated corporate functions 9. Evaluation & MeasurementEvaluation framework Metrics development & agreement Monitoring & reporting 10. Communications, Engagement & PMOCommunity engagement Provider and commissioner engagement PMO Business Case