Sharing learning from new care models

We are continuing our work in collaboration with NHS Confederation, the Local Government Association and NHS Providers to help spread the learning from the NHS England new care models programme and showcase best practice throughout the health and care sector. Throughout 2017 we will be looking at how the ‘vanguards’ are providing the blueprint for the future NHS and working with the STPs and emerging accountable care systems to embed the new models of care as part of the ongoing transformation agenda for health and care systems across England.

The joint project has so far included organising site visits to the new care models, launching resources, recording podcasts and videos with health and care leaders, holding events and publishing case studies, a series of blogs and reports. You can find out more about this work below.

Blogs

Tinson_blogThe most recent blog in the new care models series is from Peter Tinson, chief operating officer at NHS Fylde and Wyre CCG and the senior responsible officer for the Fylde Coast Vanguard. Peter writes about how the Fylde Coast local health economy has developed an innovative new care model for over-60s with multiple conditions and highly complex health needs. This takes a more holistic approach to their care and helps to keep them out of hospital.

Read the blog on NHS Voices: A unique offering for patients with highly complex needs.

Other blogs in the series have included:

Achieving collaboration without acquisition: the Northumbrian wayNHS Confederation’s Helen Birtwhistle, reflects on her visit to Northumbria Healthcare looking at the ways the trust is collaborating across regions and borders without the formalities of mergers or acquisitions.

Why care can be nothing less than personalKerry McQuade, head of delivery at All Together Better Sunderland shares how a personal loss propelled a vision of care for the people of Sunderland – and how staff across health and social care are making it a reality.

Ealing’s integrated care journey: learning from international modelsDr Serena Foo, GP partner and member of Ealing CCG governing body, discusses Ealing’s integrated care model and reflects on what they have learnt from the Alzira model in Spain.

Collaboration not competition will allow us to offer the best care: Jeff Johnston, programme director of Cheshire and Merseyside Women’s and Children’s Services Partnership, one of the 13 vanguards developing future models of acute care collaboration talks about its progress.

New models of care in practice – case studies

Since 2015 right across the country the ‘vanguards’ have been working hard to redesign local health and care systems with the aim of improving the care received by millions of people across England – below are some recent examples of where this is working in practice for the benefit of patients and local populations.

Better care Together (Morecambe Bay) (integrated primary and acute care systems vanguard)

Better Care Together (Morecambe Bay) has put listening to its local community and supporting their wellbeing at the heart of its vanguard work. Self-care and prevention are vital to helping people to avoid hospital admissions and live longer, happier lives.

Cambridgeshire and Peterborough CCG (urgent and emergency care vanguard)

This urgent and emergency care vanguard in Cambridgeshire and Peterborough has focused on helping people who are experiencing mental health crisis and demonstrating how, with the right support, they can get the help they need at home or in the community and avoid a trip to A&E.

Connecting Care – Wakefield District (enhanced health in care homes vanguard)

Connecting Care – Wakefield District vanguard has been focusing on improving the health and wellbeing of local care home residents.

East Midlands Radiology Consortium (acute care collaboration vanguard)

The East Midlands Radiology Consortium (EMRAD) network and its new way of working can save money as well as improve the clinical care offered within urgent services such as major trauma and stroke and in regional acute surgical centres.

Mid Nottinghamshire Better Together (integrated primary and acute care systems vanguard)

Mid Nottinghamshire Better Together vanguard is working towards the local health and care system being more joined up, and together partners have been reducing unnecessary hospital admissions for the area’s highest risk patients.

North East Hampshire and Farnham vanguard (integrated primary and acute care systems vanguard)

North East Hampshire and Farnham vanguard is focussing on bringing local primary, community, acute, mental health and social care services together to work as one team to keep the local population healthier.

Royal Free London (acute care collaboration vanguard)

Royal Free London is one of four foundation trusts developing a ‘group model’ – a new way of working across organisational boundaries to improve the quality of patient care, while also reducing the cost to the healthcare economy as a whole.

Tower Hamlets Together (multispecialty community provider vanguard)

Among many other initiatives, the Tower Hamlets Together vanguard has established a new community kidney service which uses technology to help identify and treat patients either at risk of kidney disease or already living with the condition.

Wellbeing Erewash (multispecialty community provider vanguard)

Wellbeing Erewash brings together local health and social care organisations to work as one team. It has shaped a new group of services which are closer to home with patients being supported by a group of professionals working together to prevent ill health, rather than being seen by lots of different professionals individually.

Events

We  are holding a joint event with the NHS Confederation, NHS Providers and the Local Government Association which will showcase a range of vanguards, offer insight into their outcomes and lessons, and explore how they can inform broader transformation work around the development of sustainability and transformation partnerships and accountable care systems.

The event is free for our members, NHS Confederation and NHS Providers members, and local councils.

The programme includes:

  • A showcase of projects, lessons and outcomes from a range of vanguards
  • Insight into the next steps for new care models in the context of sustainability and transformation partnerships and accountable care systems
  • Effective leadership to achieve transformation across complex, system-level health and care systems.

The event will take place at the Crowne Plaza Birmingham City Centre on Wednesday 31 January 2018. Register here.

This is a repeat of an event held in London on Tuesday 28 November. 

Podcasts

We interviewed a range of NHS leaders about the opportunities and challenges involved in establishing new models of care.

Merran McRae, chief executive of Wakefield Council, talks about her experience of the vanguard programmes in Calderdale and Wakefield, and about what she’s learned. She explains how new models of care are making a positive difference to the experience of patients, reducing the number of professionals involved in care, speeding up access to treatment pathways and empowering the individual. However, these are not perfect systems and Merran shares ideas for areas that could be improved, and her desire for a ‘community of learning’. Listen to the podcast.

Paul Maubach, chief officer of Dudley CCG and lead for the Dudley multispecialty community provider (MCP) vanguard. explores the development of the MCP model in Dudley, the challenges and tensions involved in creating an accountable care organisation and the benefits of working in a ‘team without walls’. Sharing key learning from the journey so far, Paul discusses the importance of staff and public engagement, keeping a focus on outcomes and learning from others along the way. Listen to the podcast.

Sam-EveringtonSir Sam Everington OBE, a GP, chair of Tower Hamlets CCG, clinical adviser to the new care models programme and leader of a vanguard in Tower Hamlets spoke to us. The conversation covers Sam’s views on why relationships are so integral to helping spread innovation and good practice, and the importance of the NHS showing humility when considering the things that contribute towards a person’s health and wellbeing. Listen to the podcast.

John Short, chief executive, Solihull Mental Health NHS Foundation Trust and Andrew Foster, chief executive of Heart of England NHS Foundation Trust provided insight into the motivations for an integrated approach to urgent and emergency care, the changes they want to deliver for their communities as part of this work, and discuss the key roles that each part of the system plays in making this happen. Listen to the podcast.

Heather Tierney-Moore, chief executive of Lancashire Care NHS Foundation Trust, and Jackie Daniel, chief executive of University Hospitals Morecambe Bay Trust, were interviewed about the Better Care Together Vanguard, which both of their trusts are involved in. This is one of nine integrated primary and acute care systems being piloted in England.

Vanguards video

Those involved in the New Models of Care programme give their insights into the value of the programmes and what they have learned from being part of a vanguard project. Watch the video.

Resources

In March 2016 we launched an animation and series of factsheets aiming to help health and care staff, patients and the public gain a better understanding of the motivations of the vanguard programme, while explaining some of the innovative work currently making a real difference to people’s lives.

There are currently 50 vanguards across the country grouped under the following care models:

  • NewCare ModelsAcute care collaboration vanguard sites – linking local hospitals together to improve their clinical and financial viability
  • Urgent and emergency care – new approaches to improve the coordination of services and reduce pressure on A&E departments
  • Enhanced health in care homes – offering older people better, joined up health, care and rehabilitation services
  • Multispecialty community providers – moving specialist care out of hospitals into the community
  • Integrated primary and acute care systems – joining up GP, hospital, community and mental health services

Watch the animations on the NHS Confederation website and download the factsheets to find out more; share on social media to help your staff to help create a greater understanding of the programme.

Reports

The NHS Five Year Forward View set out the potential for technology to revolutionise the way health and care is delivered. Our publication New care models: harnessing technology  explores how five of the vanguards are implementing digital technology solutions at the heart of a new approach to care.

Read the report.

Site visits

Health and care leaders will have the opportunity to see first-hand how vanguards are delivering new models of care and implementing innovative transformation programmes as part of an exciting series of vanguard site visits .

Led by those involved in developing the vanguards, the visits will involve a tour of local services, allowing delegates to see change in action for themselves. They will also include an overview of the local health and care economy and opportunities to meet local senior leaders to share experiences of leading transformation programmes.

The next one-day visit is to: Wakefield Connecting Care Vanguard 

Join senior leaders from across partnership organisations at Wakefield Hospital to hear about the work of the connecting care vanguard including its multispecialty community provider vanguard and care home vanguard, as well as looking at how it links in with the local sustainability and transformation partnership.

The session, takes place on Thursday 11 January 2018 and runs from 10am to 3.45pm. It will include a one-hour site visit to an independent living scheme. To register to attend email ben.augustine@nhsconfed.org.  

Find out more about the impact the care home vanguard has had by listening to Margaret’s story.

Previous visits have been to:

Updated 7 December 2017