First wave of NHS vanguard sites announced

THE first 29 organisations to pilot new models of NHS care in England as “vanguard” sites have been announced.

GP practices, hospitals and voluntary sector organisations have signed up as part of the New Care Models programme which is designed to improve the way care is delivered in the face of an ageing population.

Over the next few months, the chosen sites will work within three different care models: integrated primary and acute care systems; multispecialty community providers; and enhanced health in care homes.

The changes will affect five million people across the country, with projects supported by a £200 million transformation fund as well as tailored national support.

The first model is designed to integrate services across primary, secondary and social care providers with a variety of aims including reducing hospital readmissions and an increased emphasis on prevention. Greater focus will be put on providing joined-up support to the elderly and those with multiple long term conditions, including the use of hi-tech equipment to remotely monitor their health.

In the second model, multispecialty community providers will bring specialist services such as chemotherapy and dialysis out of the hospital and closer to patients’ homes. For the third, enhanced health in care homes will enable the NHS and councils to work together to provide more healthcare and rehabilitation in care homes, and to provide better preventive services in the home.

The programme follows publication of NHS England’s Five Year Forward View which sets out how the NHS must change to cope with the challenges of a growing, ageing population and the increasing demands for mental health and cancer care.

NHS England chief executive Simon Stevens said: “Instead of the usual top-down administrative tinkering, we’re backing radical care redesign by frontline nurses, doctors and other staff – in partnership with their patients and local communities. From Wakefield to Whitstable, and Yeovil to Harrogate, we’re going to see distinctive solutions to shared challenges, which the whole of the NHS will be able to learn from.”

Chair of the BMA’s GP Committee Dr Chaand Nagpaul said: “If implemented properly and led by clinicians, these models have the potential to break down disruptive organisational barriers between GP, hospital and community services.

“There are too many instances where different parts of the NHS are wasting resources and increasing workload, such as the time consuming re-referrals of patients from one service to another. By encouraging greater collaboration workload pressures could be reduced, while patients will get more effective, joined up care.”

Dr Nagpaul added that general practice would require increased resources in order to support the movement of care provision out of hospitals and into the community.

The 29 vanguard sites are:

Integrated primary and acute care systems

1. Wirral University Teaching Hospital NHS Foundation Trust

2. Mansfield and Ashfield and Newark and Sherwood CCGs

3. Yeovil Hospital

4. Northumbria Healthcare NHS Trust

5. Salford Together

6. Lancashire North

7. Hampshire and Farnham CCG

8. Harrogate and Rural District CCG

9. Isle of Wight

Multispecialty community providers

10. Calderdale Health and Social Care Economy

11. Derbyshire Community Health Services NHS Foundation Trust

12. Fylde Coast Local Health Economy

13. Vitality

14. West Wakefield Health and Wellbeing Ltd

15. NHS Sunderland CCG and Sunderland City Council

16. NHS Dudley CCG

17. Whitstable Medical Practice

18. Stockport Together

19. Tower Hamlets Integrated Provider Partnership

20. Southern Hampshire

21. Primary Care Cheshire

22. Lakeside Surgeries

23. Principia Partners in Health

Enhanced health in care homes

24. NHS Wakefield CCG

25. Newcastle Gateshead Alliance

26. East and North Hertfordshire CCG

27. Nottingham City CCG

28. Sutton CCG

29. Airedale NHS Foundation