A high degree of collaboration and trust enables the Metro North Hospital and Health Service and the Metro North Brisbane Medicare Local to improve the local health system across a shared geographic catchment of over 855,000 community members.  The presentation will highlight collaborative programs that are keeping people well and out of hospital by better integrating primary and acute health care services.  A number of ‘Australian-firsts’, including Team Care Coordination, Map of Medicine and Home and Community Care, demonstrate the innovative responses initiated locally which involve GPs, community providers, NGOs and hospital clinicians all working together to create a community where good health is available to all.  The shared governance and planning arrangements which underpin these efforts and which are enshrined in a Protocol between the two organisations will also be discussed.