As part of the new care models programme, 50 vanguards are taking the first steps towards delivering the Five Year Forward View (published October 2014) and supporting improvement and integration of services.
There are five vanguard types:
- integrated primary and acute care systems – joining up GP, hospital, community and mental health services
- multispecialty community providers – moving specialist care out of hospitals into the community
- enhanced health in care homes – offering older people better, joined up health, care and rehabilitation services
- urgent and emergency care – new approaches to improve the coordination of services and reduce pressure on A&E departments
- acute care collaborations – linking local hospitals together to improve their clinical and financial viability, reducing variation in care and efficiency.
In addition to the support outlined in the support package, the 50 vanguards were allocated total funding of almost £133 million in 2015/16, £112 million in 2016/17 and £101 million for 2017/18.
What this means for patients
The vanguards are improving the care received by millions of people across England. Through the new care models programme, complete redesign of whole health and care systems are being considered. This means fewer trips to hospitals with cancer and dementia specialists holding clinics in local surgeries, having one point of call for family doctors, community nurses, social and mental health services, or access to blood tests, dialysis or even chemotherapy closer to home.
They are also joining up the often confusing array of A&E, GP out of hours, minor injuries clinics, ambulance services and 111 so that patients know where they can get urgent help easily and effectively, seven days a week.
The new care model vanguards are a key element within the Five Year Forward View which is a partnership between NHS England, the Care Quality Commission, Health Education England, NHS Improvement, Public Health England and the National Institute for Health and Care Excellence.