NEW CARE MODELS - NHS England

1 NEW CARE MODELS : Vanguards - developing a blueprint for the future of NHS and care services #futureNHS 1. NEW CARE MODELS : Vanguards - developing a blueprint for the future of NHS and care services SEPTEMBER 2016. #futureNHS. CONTENTS. What is the new care MODELS 3. programme? New care MODELS - the vanguards 6. The vanguards: integrated 8. primary and acute care systems The vanguards: multispecialty 18. community providers The vanguards: enhanced health 33. in care homes The vanguards: urgent and 40. emergency care The vanguards: acute care 49. collaborations #futureNHS. #futureNHS. NEW CARE MODELS : Vanguards - developing a blueprint for the future of NHS and care services 3.

2 WHAT IS THE NEW CARE MODELS PROGRAMME? In January 2015, the NHS invited individual organisations and partnerships to apply to become vanguards' for the new care MODELS programme, one of the first steps towards delivering the NHS Five Year Forward View (published October 2014) and supporting improvement and integration of services . In March 2015, the first 29 vanguards A further 13 vanguards were announced were chosen. There were three vanguard in September 2015 known as acute care types integrated primary and acute care collaborations, they aim to link hospitals systems; enhanced health in care homes; and together to improve their clinical and financial multispecialty community providers.

3 Viability, reducing variation in care and efficiency. Integrated primary and acute care systems join up GP, hospital, community and mental health All 50 vanguards were selected following a services , whilst multispecialty community rigorous process, involving workshops and providers move specialist care out of hospitals the engagement of key partners and patient into the community. Enhanced health in care representative groups. homes offer older people better, joined up health, care and rehabilitation services . Each vanguard is taking a lead on the development of new care MODELS which will In late July 2015, eight additional vanguards act as the blueprints for the NHS moving were announced.

4 Urgent and emergency care forward and the inspiration to the rest of the vanguards are developing new approaches health and care system. to improve the coordination of services and reduce pressure on A&E departments. #futureNHS. NEW CARE MODELS : Vanguards - developing a blueprint for the future of NHS and care services 4. What does it mean for patients? Supporting the vanguards The vanguards are improving the care received The NHS Five Year Forward View partners by millions of people across England . published an updated national support package for all 50 vanguards in December Through the new care MODELS programme, 2015. complete redesign of whole health and care systems are being considered.

5 This means This followed an initial support package, fewer trips to hospitals with cancer and which was published in July 2015 for the first dementia specialists holding clinics in local 29 vanguards. surgeries, having one point of call for family doctors, community nurses, social and mental The revised package reflects the needs of health services , or access to blood tests, the eight urgent and emergency care and 13. dialysis or even chemotherapy closer to home. acute care collaboration vanguards selected in July and September 2015. It includes learning They are also joining up the often confusing to date from the first 29 vanguards. array of A&E, GP out of hours, minor injuries clinics, ambulance services and 111 so that Extensive engagement with the vanguards patients know where they can get urgent help was carried out including site visits, easily and effectively, seven days a week.

6 Workshops and discussions. The partners The nine areas of support are: The new care model vanguards are a key element within the NHS Five Year Forward 1. Designing new care MODELS working View which is a partnership between NHS with the vanguards to develop their local England , the Care Quality Commission, Health model of care, maximising the greatest Education England , NHS Improvement, Public impact and value for patients;. Health England and the National Institute for 2. Evaluation and metrics supporting Health and Care Excellence. the vanguards to understand on an ongoing basis the impact their changes are having on patients, staff and the wider population;. 3. Integrated commissioning and provision assisting the vanguards to break down the barriers which prevent their local health system from developing integrated commissioning.

7 NEW CARE MODELS : Vanguards - developing a blueprint for the future of NHS and care services 5. 4. Governance, accountability and The national package has been developed to provider regulation helping the enable the vanguards to make the changes vanguards develop the right organisational they want effectively and at pace. It is also form and governance model, as well as aims to maximise the sharing of learning understand the impact on how they are across the vanguards and spread good regulated; practice nationally across the wider NHS and 5. Empowering patients and care system. communities working with the vanguards to enhance the way in which In addition to the support outlined in the they work with patients, local people and support package the 50 vanguards were communities to develop services ; allocated total funding of almost 114 million 6.

8 Harnessing technology supporting the in 2015/16 and more than 112 million in vanguards to rethink how care is delivered, 2016/17. given the potential of digital technology to deliver care in radically different ways. It will also help organisations to more easily share patient information;. 7. Workforce redesign supporting the vanguards to develop a modern, flexible workforce which is organised around patients and their local populations;. 8. Local leadership and delivery working with the vanguards to develop leadership capability and learn from international experts; and 9. Communications and engagement . supporting the vanguards to demonstrate best practice in the way they engage with staff, patients and local people.

9 #futureNHS. NEW CARE MODELS : Vanguards - developing a blueprint for the future of NHS and care services 6. NEW CARE MODELS - the vanguards Integrated primary and acute care systems - Urgent and emergency care - new approaches joining up GP, hospital, community and mental to improve the coordination of services and health services reduce pressure on A&E departments 1 Wirral Partners 30 Greater Nottingham System Resilience Group 2 Mid Nottinghamshire Better Together 31 Cambridgeshire and Peterborough Clinical 3 South Somerset Symphony Programme Commissioning Group 4 Northumberland Accountable Care Organisation 32 North East Urgent Care Network 5 Salford Together 33 Barking and Dagenham.

10 Havering and Redbridge 6 Better Care Together (Morecambe Bay Health System Resilience Group Community) 34 West Yorkshire Urgent and Emergency Care 7 North East Hampshire and Farnham Network 8 Harrogate and Rural District Clinical 35 Leicester, Leicestershire & Rutland System Commissioning Group Resilience Group 9 My Life a Full Life (Isle of Wight) 36 Solihull Together for Better Lives 37 South Devon and Torbay System Resilience Group Multispecialty community providers - moving specialist care out of hospitals into the Acute care collaborations - linking hospitals community together to improve their clinical and financial viability 10 Calderdale Health and Social Care Economy 11 Wellbeing Erewash 38 Salford and Wigan Foundation Chain 12 Fylde Coast Local Health Economy 39 Northumbria Foundation Group 13 Modality Birmingham and Sandwell 40 Royal Free London 14 West Wakefield Health and Wellbeing Ltd 41 Foundation Healthcare Group (Dartford and 15 All Together Better Sunderland Gravesham).