NHS vanguards: redesigning the aeroplane in flight Last month, the 50 vanguard sites in the New Care Models programme met for a series of events in London to take stock of progress. The majority of the sites – those announced in March 2015 – have now been running for 200 days.
As at previous meetings, the enthusiasm was palpable – this is a group of people who believe their projects can make a difference – but so was the weight of expectation. The intention is for the vanguards to make a major contribution to addressing the NHS’s financial challenges – both through improvements in their local systems and blueprints that can be adopted across the rest of the NHS.
As others have argued, the vanguards face the challenge of ‘redesigning the aeroplane in flight’ – making significant changes to the configuration of local health and care systems, all the while sustaining existing services in a difficult environment, with limited spare cash and growing service pressures. The King's Fund
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