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NHSenglandDecember 16 2015

Updated support for the 50 NHS Five Year Forward View vanguard partners now includes ‘new operating models’ and ‘governance, accountability and provider regulation’.

NHS England has broadened the areas of support as well as updating the vanguard package to reflect the needs of eight urgent and emergency care (UEC) vanguards and 13 acute care collaboration vanguards. The update follows the initial programme of support published in July for the initial 29 vanguards which were established to demonstrate how out of hospital care can be changed.

“The national package has been developed to enable the vanguards to make the changes they want effectively and at pace. It aims to maximise the sharing of learning across the vanguards and spread good practice nationally across the wider NHS and care system,” said NHS England.

“'New operating models’ has been added to support the ACC vanguards, who are linking hospitals together to improve their clinical and financial viability, develop the right operating model. It will also support the UEC vanguards to explore models to ensure they are working effectively as integrated communities.

“'Governance, accountability and provider regulation’ is designed to help the vanguards develop the right organisational form and governance model, as well as understand the impact on how they are regulated.”

One of the vanguards highlighted by NHS England is the Mid Nottinghamshire Better Together programme, bringing together primary and acute care systems (PACS). Specific service interventions include a single ‘front door’ and integrated triage at hospital emergency departments, community-based crisis response teams, referral GP review and integrated data sharing between emergency departments and out of hours GP services.

Amanda Sullivan, Chief Officer for Mansfield and Ashfield, and Newark and Sherwood Clinical Commissioning Groups, commented: “The Mid Nottinghamshire Better Together vanguard has received valuable support from the national support package, assisting us in progressing our programme to integrate health care and social care, taking forward new ways of working and new models of care across our area.”

NHS England has also published a directory of the national support on offer for the vanguards. This “outlines the support currently available from the Five Year Forward View arm’s length bodies and some of the voluntary sector strategic partners. It has been put together as a forerunner for a wider directory of support for the vanguards, which will enable them to meet the six principles in the empowering patients and communities domain.”

These principles are:

  • care and support is person centred: personalised, coordinated and empowering;
  • services which are created in partnership with citizens and communities;
  • focus is on equality and narrowing health inequalities;
  • carers are identified, supported and involved;
  • voluntary, community, social enterprise and housing sectors are key partners and enablers;
  • volunteering and social action are recognised as key enablers.

Jeremy Taylor, Chair of the Five Year Forward View People and Communities Board, commented: “Creating new partnerships between people and their professionals, and between communities and core services, will lie at the heart of sustainable care for the future. As this directory of support develops, we hope the vanguards will recognise the diversity of expertise and resources they can draw from the voluntary, community and social enterprise sector to redesign mainstream care.”

Links:

NHS England announcement

Better Together Mid Notts vanguard

NHS England. ‘The Forward View Into Action. New Care Models: support for the vanguards’

NHS England ‘New Care Models: empowering patients and communities - A call to action for a directory of support’

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