Wednesday 11 March 2015

Five million patients to benefit from new era of patient care

Five million patients to benefit from new era of patient care The NHS has chosen the first 29 ‘vanguard’ geographies that will take the national lead on transforming care for patients in towns, cities and counties across England.

269 groups of nurses, doctors and other health and social care staff from across the country put forward their ideas for how they want to redesign care in their areas, and then helped choose thefirst 29 of the most innovative plans.

Drawing on a new £200 million transformation fund and tailored national support, from April the vanguards will develop local health and care services to keep people well, and bring home care, mental health and community nursing, GP services and hospitals together for the first time since 1948.

For patients, this will lead to a significant improvement in their experience of health services. It is estimated more than five million patients will benefit, just from this first wave. For example, this could mean: fewer trips to hospitals as cancer and dementia specialists and GPs work in new teams; a single point of access for family doctors, community nurses, social and mental health services; and access to tests, dialysis or chemotherapy much closer to home.


The vanguards will take the national lead on the development of game-changing care models:
  • multispecialty community providers (MCPs) – moving specialist care out of hospitals into the community;
  • integrated primary and acute care systems (PACS) – joining up GP, hospital, community and mental health services, and;
  • models of enhanced health in care homes – offering older people better, joined up health, care and rehabilitation services.
From April 2015, the national NHS will work with local vanguard sites to develop dedicated support packages to enable and accelerate change, and an intensive evaluation programme will seek evidence on what works so that this can be spread to other parts of the country.

Support will be tailored to the needs of each area, but could be a combination of peer learning and expertise in areas such as patient empowerment and community engagement, leadership, clinical workforce redesign, using digital technology to redesign care, devising new legal forms and new contractual models; and joined up procurement.

All areas will benefit from a wider support and learning package which will be rolled out later this year, based on the learning from the vanguard sites. Additionally, as a result of the many examples of excellent models up and down the country, a wider programme of support is being put in place for some of the health and social care systems that applied to be part of the programme. This is being supported by the Kings Fund. NHS England

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