Decision details

Section 75 Agreements for Harrogate and Rural Alliance

Decision Maker: Corporate Director of Health and Adult Services

Decision status: Recommendations Approved

Is Key decision?: Yes

Is subject to call in?: Yes


To consider and agree the extension of the existing Section 75 County Council/NHS commissioner and provider agreements for the integrated community health and social care services in the Harrogate district. Give consideration to any consultation requirements.


Approval has been given for a 12 month extension to the Commissioner and Provider S75 Agreements for the Harrogate and Rural Alliance .

It has also been agreed that further proposals for future development of the service and any revisions to the Section 75 Agreements are brought back for consideration within the extension period, to enable any decisions and public consultation to take place with respect to longer-term arrangements being agreed beyond 2022/23

Reasons for the decision:

Harrogate and Rural Alliance (HARA) is a partnership involving the NHS (North Yorkshire Clinical Commissioning Group, HDFT, Tees Esk and Wear Valleys NHS Foundation Trust and Yorkshire Health Network GP Federation and the 4 Primary Care Networks in the Harrogate district) and the County Council.

In Autumn 2019, the Executive approved the two Section 75s covering North Yorkshire County Council’s involvement in the HARA. The purpose of the S75 agreements was to put in place the agreements 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. A formal consultation was undertaken as part of the process for the approval of the Section 75s in 2019, which included the options to extend with the Section 75s.

The purpose of the extension is to allow HARA to continue to operate for a further year whilst work is completed on the future scope of HARA, taking into account changes in Local Government, Social Care and the NHS.

Alternative options considered:

Further work to be undertaken during 2022/23 to consider longer term arrangements and to take account of the national Integration White Paper

Publication date: 14/03/2022

Date of decision: 11/03/2022

Effective from: 22/03/2022