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The Forward View into action: New Care Models: update and initial support

iThe New Care Models Programme began in March and this document ‘New Care Models: update and initial support’ comes from what vanguards have told us they want, including feedback during site visits to all systems and subsequent thematic reviews.

iMore than 260 health and social care organisations responded to an invitation in January this year to become vanguards to develop new care models that would act as blueprints for the NHS in England and an inspiration to others. In March, we announced the first vanguards leading on developing new models of care following a selection process involving patients, clinicians and peer review. The vanguards are working to enhance the care of more than five million people. These new models of care are being locally designed – by diverse communities and patients working in partnership with health and care organisations across England.

iDuring April and May, the New Care Models team carried out two-day visits to each vanguard to understand their aims in more detail. Building on these visits, the team developed thematic reviews, which were then shared back with the vanguards. Following their support for these reviews, the key areas for transformation were summarised into eight enabling areas for support, forming the basis of the work programme over the next year.

The support package is built on the eight key enablers to maximise both the chances of successful local delivery of the care models and national spread. They come directly from the issues raised by the vanguards, the thematic reviews arising from the visits and the views of a wide range of stakeholders.

Through the joint national/local work outlined in this document, we are making commitments about what will be developed and achieved during the remainder of 2015/16. At the same time, the programme will evolve and develop.

vEach vanguard system is rooted in its local diverse community. The national New Care Models programme draws together these individual local threads into explicit patterns, in order to exploit common opportunities for radical care redesign and remove barriers to change. Through the support package, our focus is on creating simple standard approaches and products, based on best practice and co-produced with vanguards, which are designed from the outset for national spread.

This document covers support for the first three types of new care models:

  • multispecialty community providers (MCPs);
  • ntegrated primary and acute care systems (PACS); and
  • enhanced health in care homes.

All three of these care models will demonstrate the reinvention of out of hospital care, with PACS and MCPs organising this for the whole population, and enhanced care homes targeting their approach to a care home setting. It will shift the integration agenda much further, aided by the dissolution of existing funding, contractual and provider organisational silos.

Whilst the enhanced care home model will focus on the needs and preferences of a targeted and diverse population, MCPs will deliver an expanded version of core and enhanced general practice, based on larger, more resilient multi-disciplinary teams and bringing a broader range of specialist and generalist care closer to all patients and citizens in the diverse community. Similarly, the PACS model will also deliver an expanded version of core general practice, but will go much further by joining with acute hospitals to create a single provider system.

Further vanguard systems and sites will be chosen, to accelerate the implementation of the Urgent and Emergency Care Review, and develop new models of acute care collaboration. Support for these two further vanguard types will be co-designed and published by November 2015. This will draw on and add to the activities described in this document. Rather than launching several additional types of vanguard, the New Care Models Board and national bodies will focus on delivering useful, practical support for these first five vanguard groups.