New care models
vanguard sites

Vanguard sites

In January 2015, the NHS invited individual organisations and partnerships to apply to become 'vanguard" sites for the new care models programme, one of the first steps towards delivering the Five Year Forward View and supporting improvement and integration of services.

There are five different vanguard types - integrated primary and acute care systemsenhanced health in care homes; multispecialty community providers; urgent and emergency care vanguards; and acute care collaborations. The 50 vanguards were selected following a rigorous process, involving workshops and the engagement of key partners and patient representative groups.

Each vanguard site will take a lead on the development of new care models which will act as the blueprints for the NHS moving forward and the inspiration to the rest of the health and care system.

In the North West Coast area we are supporting the following Vanguards:

Better Care Together (Morecambe Bay Health Community)

Population: 365,000

The partners of this Vanguard are all members of the Better Care Together Programme, working on behalf of the population of Morecambe Bay which has 365,000 residents.

They include five NHS Trusts: University Hospitals Morecambe Bay NHS Foundation Trust; Cumbria Partnership NHS Foundation Trust; Blackpool Teaching Hospitals NHS Foundation Trust; Lancashire Care NHS Foundation Trust.

The Vanguard also includes North West Ambulance Service NHS Trust (NWAS) and two NHS Clinical Commissioning Groups: NHS Lancashire North Clinical Commissioning Group and NHS Cumbria Clinical Commissioning Group.

Two Local Authorities, Lancashire County Council and Cumbria County Council are also in the Vanguard, together with two GP Provider Federations, the North Lancashire Medical Group and the South Cumbria Primary Care Collaborative.

The Vanguard will create a system that will take responsibility for the whole health and social care needs of the population within a single budget.

This will mean a smaller, more productive hospital service working hand-in-hand with integrated out of hospital services.

It will focus on keeping individuals, families and communities healthy, developing capacity in general practice and community services, and focusing the hospital on the services only it can deliver.

This means that patients who work full time, for example, should have greater access to services at times that suit them, as the Better Care Together programme will develop more services and capacity in a setting closer to patients" homes.


Cheshire and Merseyside Women and Children"s Services (Maternity and paediatrics multi-specialty network)

Patient population: 2.4 million

This vanguard aims to develop a clinically managed network for women"s and children"s services (including maternity, gynaecology, neonatal and paediatric services) across Cheshire and Merseyside in order to further improve quality and ensure services are clinically and financially sustainable. It has the backing of all provider trusts, clinical commissioning groups and networks across Cheshire and Merseyside.

The vanguard will address the challenges facing services for women and children locally by creating a new approach between commissioners, clinicians and providers that goes beyond organisational boundaries. These challenges include a greater demand for services and an increase in patients with more complex needs as well a variation in quality of services. No single organisation, commissioner or provider can alone resolve the issues faced and this vanguard will also allow organisations to work together to tackle challenges around workforce like recruitment, retention, retirement and skills mix, as well as overall financial sustainability.

Working more closely together will also allow the vanguard to better engage with the people who use their services and create a more personalised offer for them.


Fylde Coast Local Health Economy

The Vanguard is made up of Fylde and Wyre Clinical Commissioning Group (CCG), Blackpool CCG, Blackpool Teaching Hospital NHS Foundation Trust, Lancashire County Council, Lancashire Care NHS Foundation Trust and Blackpool Council.

It also encompasses services provided by the voluntary sector.

The vision for the Vanguard is to create new models of care, wrapped around local people, spanning across all health and social care services.

It will mean that integrated teams of community nurses, allied health professionals, social care, mental health and third sector will be fully implemented by April 2016.

By this point, one thousand people will be cared for within newly designed Extensive Care Teams for the frail and elderly population.

This means that patients, for example and elderly man with diabetes, angina and suffers from high blood pressure, will have their condition managed by a co-ordinated and integrated health and social care team. The team will have access to one care record to support the patient in their treatment.


The Neuro Network (The Walton Centre, Liverpool) (Neurology and spinal multi-specialty franchise)

Patient population: 3 million

The Neuro Network aims to develop a high quality and cost effective neuroscience service chain. It is a partnership between the Walton Centre NHS Foundation Trust; Warrington and Halton Hospitals NHS Foundation Trust; Liverpool CCG; Warrington CCG and NHS England Specialised Services Commissioning Team (North).

The programme will build on partners" extensive experience in developing the network models for neurology and spinal services in Cheshire and Merseyside. It will also strengthen the neurological support provided by the Walton Centre to local hospitals, GPs and patients, and look to extend the spinal model in partnership with The Royal Liverpool & Broadgreen University Hospitals and Aintree University Hospital. This approach enables patients to have rapid access, locally, to high quality care from a regional specialist centre.

Twitter name: @waltoncentre

West Cheshire Way

Patient population: 330,000

A new Multispecialty Community Provider will now be developed in West Cheshire, an area in North West England with a population of 330,000. The lead partners for developing this model locally are NHS West Cheshire CCG and Primary Care Cheshire (a single entity). They are being joined by a further three participating partners: Cheshire & Wirral NHS Partnership Foundation Trust, Countess of Chester NHS Foundation Trust and Cheshire West and Chester Local Authority.

Under the plans put forward, patients can expect better and more integrated support from different local health and care services, with a particular focus on young children, managing long-term conditions and supporting elderly patients.

To this end, the new partnership will be launching 3 new programmes as part of their model: 'Starting Well" will focus on ensuring the best start in life for babies, children and young people in the local area; 'Being Well" will enable greater collaboration between local services and the several clusters of GP practices, supported by integrated teams, to help people manage long-term conditions, and; 'Ageing Well" will focus on excellent care for the frail/complex wherever they are living (including those in care homes).


Wirral Partners 

Wirral Health Partners is made up of: Wirral University Hospital NHS Foundation Trust; Cheshire and Wirral Partnership NHS Foundation Trust, Wirral Community NHS Trust; Wirral Clinical Commissioning Group; GPs on the Wirral; Wirral Metropolitan Borough Council; Cerner UK Ltd, Advocate Physician Partners ACO (USA based); and the King"s Fund.

Wirral Health Partners will accelerate a new model of integrated care across primary and secondary care providers, supported by a technology enabled population health model. Integrated care teams will be expanded to reduce readmissions and support people to remain at home through primary/secondary care collaboration. Following implementation, the new model will work by identifying older people who are at potential risk of serious fracture following minor falls that result in emergency admission. With approval of the patient, care plans will be developed, home assessments carried out and aids added to reduce the probability of falls happening. With this support, patients are able to stay in her home and potentially avoid a serious fracture.


Keep up to date re Vanguards at: NHS England - New Care Models