Health services across the 2Seas region are under continuing pressure as the population ages and public funding decreases. A number of initiatives across Europe have been highlighted as good practice, and yet the occurrence of these or similar ideas being implemented in a different country is low. This project will identify the ‘blocking’ points in transferring a good practice from one area to another and present a method to overcome these barriers and ensure that good practices are fully transferrable. The project will be looking at creating large scale systemic change in the health and social care sectors. This methodology will be created and tested via the implementation of the Buurtzorg community nursing model into new geographic and cultural contexts. There is a serious need to address the clinical, social and financial challenges in health and social care so that citizens take more control of their care, supported by a technological and digital revolution. The objectives of this proposal are to change the way traditional health and social care services work and to develop a methodology to support the integration of health and social care teams and services, increase community capacity and improve workforce recruitment and retention as per local, national and EU policy and strategy. We will be learning from the Dutch Buurtzorg model (Self Managing Neighbourhood Nursing Teams) and exploring with partners from other regions whether the model is transferable into their local systems. Technology will play a key part in relation to communication between professionals, patients and citizens. Buurtzorg uses small self-steering teams (with a maximum of 12 nurses) who attend to an area of approximately 15,000 inhabitants and work together to ensure continuity of care. As a result, the professionals build durable relationships with their community, which further strengthens their ability to find local solutions for patients’ problems. Although the teams are independent and self-steering, they are supported by a centralized service organization which provides management information to both the team and the organizations’ leadership in order to minimize local overhead and maximize the professional’s face-to-face time with patients.