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NHS England announces first 29 vanguard sites

The 29 areas will pilot three new models of care aimed at preparing the NHS for ageing population

Ingrid Torjesen

Wednesday, 11 March 2015

The NHS has announced the sites of the first 29 ‘vanguard’ areas that will take the lead in radical reforms aimed at preparing the health service in England for the burden of an ageing population.

Five million people in England will have their local NHS services transformed from April in this first wave of 29 sites rolling out three new models of care.  The 29 sites were chosen from 269 groups of nurses, doctors and other health and social care staff who put forward proposals and will be able to draw on a new £200 million transformation fund and tailored national support.

The first model, integrated primary and acute care systems (PACS), will bring together primary care, hospital, community and mental health services. Money will be directed from a joint budget to wherever patients are judged to need it most. In the second, multispecialty community providers (MCPs) will bring specialist services, such as chemotherapy and dialysis, out of the hospital and closer to people’s homes. In the third, models of 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 reforms are part NHS England’s Five Year Forward View plan. Simon Stevens, chief executive of NHS England, said: “The NHS now has its own long-term plan, backed by just about everybody, and today we’re firing the starting gun. 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. ”

Dr Chaand Nagpaul, BMA GP committee chair, 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.”

However, he added: "To achieve its aims, these proposals must deliver NHS England's stated commitment in the Five Year Forward View to address the long-term under resourcing of general practice as well as ensure that resources shift into the community to provide the expanded volume of care moving out of hospitals.  It is also vital that these changes maintain the essential strengths of the personalised care provided by GPs to registered lists of patients."

David Flory, chief executive of the NHS Trust Development Authority, said: “This is positive news for patients. The Five Year Forward View recognised the challenges that lie ahead for the NHS. There are some genuinely innovative plans to help us meet those challenges and with the support announced today there is an opportunity to develop better health and care services that will be built to thrive long into the future.”

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

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