_{WentWest is unique in that it started life as a Regional Training Provider (RTP) of General Practice vocational training, subsequently integrated divisional functions, and then transitioned to become a fist tranche Medicare Local (ML) - the Western Sydney Medicare Local (WS ML). WS ML responsibilities span western Sydney, from Parrammatta and Auburn through to the Hills and Blacktown-Mt Druitt Local Government AReas (LGAs), while its RTP responsibilities also take in Greater Western Sydney, extending across the Nepean,  Hawkesbury and the Blue Mountains.}

_{This unique combination has enabled the organisation to progressively integrate education, training and research into population health and clinical service planning, delivery and evaluation, with the intention of becoming a fully integrated regional primary health care organisation - articulated well before the concept of Medicare Locals was advanced. Post 2011 and the creation of MLs, this evolution has greatly been facilitated by a one to one relationship with the Western Sydney Local Health District/Network (WS LHD), and a strong existing partnerships - formalised via an MoU, identification of shared priorities, and development of a joint work plan - all within a research and development framework.} 

_{This presentation will outline the key features of WS ML's "top down, bottom up" health system model, including: the importance of a shared vision and clear guiding principles and the learnings and early outcomes from strategies which range from community based HealthOne and LGA level Local Community Partnerships through to hospital avoidance, Health Pathways, e-Health and general practice quality and capacity building programs.}