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Report
Implementing the Five Year Forward View
New Models of Care
Emily Hough
Senior Strategy Advisor, NHS England
January 2014
www.england.nhs.uk
The future NHS
The Forward View identifies three ‘gaps’:
Health &
wellbeing
gap
Radical
upgrade in
prevention
Care &
quality gap
New
models of
care
Funding
gap
Efficiency &
investment
•
•
•
•
Back national action on major health risks
Targeted prevention initiatives e.g. diabetes
Much greater patient control
Harnessing the ‘renewable energy’ of communities
•
•
•
Neither ‘one size fits all’, nor ‘thousand flowers’
A menu of care models for local areas to consider
Investment and flexibilities to support implementation
of new care models
•
Implementation of these care models and other
actions could deliver significant efficiency gains
However, there remains an additional funding
requirement for the next government
And the need for upfront, pump-priming investment
•
•
www.england.nhs.uk
2
New Models of Care
Initially the new models of care programme will focus on:
Multispecialty
Community
Providers
Integrated primary
and acute care
systems
New approaches to
smaller viable
hospitals
Enhanced health in
care homes
• Blending primary care and specialist services in one organisation
• Multidisciplinary teams providing services in the community
• Identifying the patients who will benefit most, across a population of at
least 30,000
• Integrated primary, hospital and mental health services working as a
single integrated network or organisation
• Sharing the risk for the health of a defined population
• Flexible use of workforce and wider community assets
• Coordinated care for patients with long-term conditions
• Targeting specific areas of interest, such as elective surgery
• Considering new organisational forms and joint ventures
• Multi-agency support for people in care homes and to help people stay
at home
• Using new technologies and telemedicine for specialist input
• Support for patients to die in their place of choice
www.england.nhs.uk
3
Supporting new models
As health economies are all at different stages we will work will work with them in
different ways
Vanguard Sites
Providing focused support for a number of leading health
areas to rapidly progress prototypes & learning
All health
economies
Supporting the establishment of foundations for early
adoption making it easier for all local areas to implement
change
Challenged Health
Economies
For a minority of health economies that have faced
significant difficulties a “success regime’ will be applied
to create the conditions for success
www.england.nhs.uk
Applying to be a vanguard site
The expected timetable for progressing new models of care is:
January
• Supplementary information and requirements for
Expressions of Interest (EOIs) published
• EOIs submitted by 2 Feb
February
• Six national bodies to review EOIs
• Further discussions with leadership of those with best fit
• First sites announced
March
www.england.nhs.uk
• Work with vanguard sites starts
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