NHS Confederation members among ‘vanguard’ sites

two hands on a walking stick

Close to 60 NHS Confederation members form part of the first ever cohort of ‘vanguard’ sites, poised to take the national lead on transforming care for patients across England.

Announced on Tuesday (10 March), the vanguards, made up of 29 sites across the country, will trailblaze the development of new models of care. The models were outlined in the Five Year Forward View, published in October 2014:

  • multi-specialty 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
  • models of enhanced health in care homes – offering older people better, joined up health, care and rehabilitation services.
Fifty seven NHS Confederation members are involved in the 29 sites. View the list below.

More than 260 individual organisations and health and social care partnerships expressed an interest in developing a model in one of the areas of care.

Forward View into action

From April 2015, the national NHS bodies will work with the vanguard sites to develop support packages to enable and accelerate change, as well as share learning.

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.

The programme will draw on a £200 million transformation fund.

‘Essential for the future’

“Improving services by helping different parts of health and social care work better together is essential for the future of the NHS,” the head of the NHS Confederation, Rob Webster, said on Tuesday, as he welcomed the announcement.

“If redesigned services in these sites results in, for example, fewer unplanned hospital admissions, fewer hospital trips and more treatment in people’s homes, then that is good news for patients.”

He added: “It is pleasing that clinicians and local leaders have been able to put forward plans for redesigning services in their areas. What works best for patients is care designed by front-line clinicians who are delivering services.

Positive change

Mr Webster went on to say: “It is vital that the new models of care being supported here are properly assessed and evaluated, to test their effectiveness. Lessons from these 29 vanguard sites must be shared across health and social care. The fact that more than 260 groups put forward proposals shows the enthusiasm among clinicians to improve services, and we must not lose this momentum.

“The push to redesign services and better integrate health and social care needs to continue apace if we are to address significant challenges facing the health service and to secure a sustainable NHS.”

‘Truly innovative plans’

Dr Amanda Doyle and Dr Steve Kell, co-chairs of NHS Clinical Commissioners – part of the NHS Confederation – said: “The announcement of the vanguard sites today showcases some truly innovative plans that look to change the models of care and improve outcomes for patients, not just changing organisational structures and models. 

“What these successful bids highlight is the difference that strong clinical leadership, with provider and commissioners working together, can bring to the crucial work of transforming the NHS to ensure we deliver the best care possible for our patients and local populations.”

Improving outcomes

Dr Nav Chana, chair of the National Association of Primary Care, also part of the Confederation, said: "This is a real opportunity to develop care models and transform the workforce so that the focus is on improving outcomes to populations. Demonstrating the value of an empowered and appropriately resourced primary care system must be key to these models of care."

NHS Confederation members

Integrated primary and acute care systems

  • Blackpool Teaching Hospitals NHS Foundation Trust 
  • Cheshire and Wirral Partnership NHS Foundation Trust 
  • Cumbria Partnership NHS Foundation Trust
  • East Midlands Ambulance Service NHS Trust
  • Greater Manchester West Mental Health NHS Foundation Trust 
  • Harrogate and Rural District Clinical Commissioning Group 
  • Isle of Wight Clinical Commissioning Group
  • Isle of Wight NHS Trust
  • Lancashire Care NHS Foundation Trust 
  • Mid Nottinghamshire clinical commissioning groups -- Mansfield and Ashfield and Newark and Sherwood
  • NHS Cumbria Clinical Commissioning Group 
  • North East Ambulance Service NHS Foundation Trust 
  • North East Hampshire and Farnham Clinical Commissioning Group 
  • North West Ambulance Service NHS Trust 
  • Northumberland Clinical Commissioning Group 
  • Northumberland Tyne and Wear NHS Foundation Trust 
  • Nottingham University Hospitals NHS Trust 
  • Nottinghamshire Healthcare NHS Trust 
  • Salford Clinical Commissioning Group
  • Salford Royal Foundation Trust 
  • Sherwood Forest Hospitals NHS Foundation Trust
  • Tees Esk and Wear Valley Foundation Trust
  • United Lincolnshire Hospitals NHS Trust 
  • University Hospitals Morecambe Bay NHS Foundation Trust 
  • Wirral Community NHS Trust

Multi-specialty community providers

  • Barts Health NHS Trust
  • Black Country Partnership NHS Foundation Trust
  • Blackpool Clinical Commissioning Group 
  • Blackpool Teaching Hospital NHS Foundation Trust
  • Calderdale and Huddersfield Foundation Trust
  • Canterbury and Coastal Clinical Commissioning Group
  • Cheshire and Wirral Partnership NHS Foundation Trust 
  • City Hospitals Sunderland Foundation Trust
  • Countess of Chester NHS Foundation Trust
  • Derbyshire Community Health Services NHS Foundation Trust 
  • Derbyshire Healthcare NHS Foundation Trust
  • Dudley and Walsall Mental Health Partnership NHS Trust
  • East Kent Hospital University Foundation Trust
  • East London NHS Foundation Trust 
  • Erewash clinical commissioning group and primary and community care providers 
  • Kent Community Health Trust
  • Lancashire Care NHS Foundation Trust
  • Locala Community Partnerships 
  • Mid Yorkshire Hospitals NHS Trust 
  • NHS Stockport Clinical Commissioning Group
  • NHS Wakefield Clinical Commissioning Group
  • NHS West Cheshire Clinical Commissioning Group/Primary Care Cheshire 
  • Northamptonshire Healthcare NHS Foundation Trust
  • Northumberland Tyne and Wear NHS Foundation Trust
  • Pennine Care Foundation Trust
  • South Tyneside Foundation Trust 
  • Southern Health NHS Foundation Trust 
  • Sunderland Clinical Commissioning Group
  • Yorkshire Ambulance Service NHS Trust

Models of enhanced health in care homes

  • Airedale NHS Foundation Trust 
  • East and North Hertfordshire Clinical Commissioning Group
  • Epsom & St. Helier Hospitals NHS Trust
  • Mid Yorkshire Hospital NHS Trust
  • NHS Gateshead Clinical Commissioning Group
  • NHS Wakefield Clinical Commissioning Group
  • Nottingham City Clinical Commissioning Group 
  • Nottingham University Hospitals NHS Trust
  • Nottinghamshire Healthcare NHS Trust
  • South West London & St. George’s Mental Health Trust
  • Sutton Clinical Commissioning Group 
  • Yorkshire Ambulance Service NHS Trust

Find out more

View the full list of vanguard sites on the NHS England website.

Innovation and new models of care features as a strand at the NHS Confederation annual conference and exhibition 2015. Sessions in this strand include:

  • Implementing new models of care: innovations from home and abroad
  • Out-of-hospital care in 2020: five years to shift gears

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