New care models
In January 2015 the NHS invited local health partnerships to apply for ‘vanguard’ status for the new care models programme, as an early step towards delivering the NHS Five year forward view and supporting service integration and improvement. Over 260 health and social care partnerships expressed interest in developing one of the models to transform the delivery of care for their local populations.
The vanguard programme
In 2016, vanguard projects in 50 localities are now up and running. Each vanguard site is leading the development of a new care model and receives dedicated support and transformation funding from the new care models team, including help in overcoming barriers and building capability to enable change that can be replicated elsewhere. The models are intended to provide a blueprint that can be used to transform care delivery across the system and detailed frameworks are being developed to support this goal.
Support for vanguard sites focuses on the following areas:
- designing new care models – working with the vanguards to develop their local model of care, maximising the greatest impact and value for patients;
- evaluation and metrics – supporting the vanguards to understand – on an ongoing basis – the impact their changes are having on patients, staff and the wider population;
- integrated commissioning and provision – assisting the vanguards to break down the barriers which prevent their local health system from developing integrated commissioning;
- empowering patients and communities – working with the vanguards to enhance the way in which they work with patients, local people and communities to develop services;
- harnessing technology – supporting the vanguards to rethink how care is delivered, given the potential of digital technology to deliver care in radically different ways. It will also help organisations to more easily share patient information;
- workforce redesign – supporting the vanguards to develop a modern, flexible workforce which is organised around patients and their local populations;
- local leadership and delivery – working with the vanguards to develop leadership capability and learn from international experts; and
- communications and engagement - supporting the vanguards to demonstrate best practice in the way they engage with staff, patients and local people.
Sharing learning from the vanguard programme
A wider support and learning package is available for local areas wishing to learn form the experience of vanguard sites. It is regularly updated as new learning emerges. NHS Providers is working in partnership with the NHS Confederation, NHS Clinical Commissioners and the Local Government Association to help spread the learning from the vanguard programme more widely across the health and care sector. As part of this work, we have interviewed a range of NHS leaders about the opportunities and challenges involved in establishing new models of care.
The view the interviews, click here.
To view a full list of the vanguard sites, click here.
New organisational forms
In 2014 the secretary of state invited Sir David Dalton, chief executive of Salford Royal NHS Foundation Trust, to undertake a review into the sustainability of providers of NHS care and consider how it might be improved through the adoption of new organisational forms.
The Department of Health published the report of the Dalton Review in December 2014. The Secretary of State made a statement to the House welcoming the report and Sir David also wrote to all provider chief executives about his findings.
For more information on the Dalton Review, click here.
The Better Care Fund
The government announced the £5.3bn Better Care Fund (BCF) in June 2013 to support better integration between health and social care to create seamless pathways for people using services. The BCF created a single pooled budget for each local area to ensure closer working between the NHS and local government to deliver services designed around people's individual needs.
Better Care Fund Planning 2016/17
The Better Care Support Team issued a new document, BCF Planning 2016/17 – Approach to regional assurance of Better Care Fund plans, outlining the process and key lines of enquiry to support the assurance of BCF plans. The document is intended as a guide to the minimum information that plans should include.
As part of the support offering for 2016/17, a team of highly experienced managers is now in post to coordinate and commission support for BCF implementation regionally. For further details, click here.