New care models – vanguard sites

In January 2015, the NHS invited individual organisations and partnerships to apply to become ‘vanguard’ sites for the new care models programme, one of the first steps towards delivering the Five Year Forward View and supporting improvement and integration of services.

In March, the first 29 vanguard sites were chosen. There were three vanguard types – integrated primary and acute care systems; enhanced health in care homes; and, multispecialty community provider vanguards.

In July, eight urgent and emergency vanguards were announced.

In September a further 13 vanguards were announced – known as acute care collaborations – they aim to link local hospitals together to improve their clinical and financial viability.

The 50 vanguards were selected following a rigorous process, involving workshops and the engagement of key partners and patient representative groups.

Each vanguard site will take a lead on the development of new care models which will act as the blueprints for the NHS moving forward and the inspiration to the rest of the health and care system.

New care models: Vanguards – developing a blueprint for the future of NHS and care services

Sam Jones, Director of the New Care Models Programme, talks about what the vanguard sites will do and how they will deliver the vision of the Five Year Forward View.
Map showing vanguard locations

Integrated primary and acute care systems – joining up GP, hospital, community and mental health services

  1. Wirral Partners
  2. Mid Nottinghamshire Better Together
  3. South Somerset Symphony Programme
  4. Northumberland Accountable Care Organisation
  5. Salford Together
  6. Better Care Together (Morecambe Bay Health Community)
  7. North East Hampshire and Farnham
  8. Harrogate and Rural District Clinical Commissioning Group
  9. My Life a Full Life (Isle of Wight)

Multispecialty community providers – moving specialist care out of hospitals into the community

  1. Calderdale Health and Social Care Economy
  2. Wellbeing Erewash
  3. Fylde Coast Local Health Economy
  4. Modality Birmingham & Sandwell
  5. West Wakefield Health and Wellbeing Ltd
  6. All together better Sunderland
  7. Dudley Multispecialty Community Provider
  8. Encompass (Whitstable, Faversham and Canterbury)
  9. Stockport Together
  10. Tower Hamlets Integrated Provider Partnership
  11. Better Local Care (Southern Hampshire)
  12. West Cheshire Way
  13. Lakeside Healthcare (Northamptonshire)
  14. Principia Partners in Health (Southern Nottinghamshire)

Enhanced health in care homes – offering older people better, joined up health, care and rehabilitation services

  1. Connecting Care – Wakefield District
  2. Gateshead Care Home Project
  3. East and North Hertfordshire Clinical Commissioning Group
  4. Nottingham City Clinical Commissioning Group
  5. Sutton Homes of Care
  6. Airedale & Partners

Urgent and emergency care – new approaches to improve the coordination of services and reduce pressure on A&E departments

  1. Greater Nottingham System Resilience Group
  2. Cambridgeshire and Peterborough Clinical Commissioning Group
  3. North East Urgent Care Network
  4. Barking and Dagenham, Havering and Redbridge System Resilience Group
  5. West Yorkshire Urgent Emergency Care Network
  6. Leicester, Leicestershire & Rutland System Resilience Group
  7. Solihull Together for Better Lives
  8. South Devon and Torbay System Resilience Group

Acute care collaboration vanguard sites

  1. Salford and Wigan Foundation Chain
  2. Northumbria Foundation Group
  3. Royal Free London
  4. Foundation Healthcare Group (Dartford and Gravesham)
  5. Moorfields
  6. National Orthopaedic Alliance
  7. The Neuro Network (The Walton Centre, Liverpool)
  8. MERIT (Mental Health Alliance for Excellence, Resilience, Innovation and Training) (West Midlands)
  9. Cheshire and Merseyside Women’s and Children Services
  10. Accountable Clinical Network for Cancer (ACNC)
  11. East Midlands Radiology Consortium (EMRAD) (Radiology)
  12. Developing One NHS in Dorset
  13. Working Together Partnership (South Yorkshire, Mid Yorkshire, North Derbyshire)

Vanguard site presentation videos

You can see the presentations from each of the final sites explaining their care model below:

What this means for patients

Through the new care models programme, complete redesign of whole health and care systems are being considered. This could mean 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.

It will also join 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 partners

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.

Further information

You can find out more about the programme by looking at the frequently asked questions. For more information about the new care models programme, email You can also subscribe to our monthly newsletter or join the conversation on Twitter by following: @NHSEngland or by using the hashtag: #futureNHS.