In 2015 the NHS created ‘vanguard’ sites for the new care models programme.

Following a rigorous process, 50 vanguard sites were chosen nationally. Each vanguard takes 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. As a vanguard we receive financial and practical support, and learning from our experience will be used by other areas in coming years. We are one of 13 acute care collaborations, which have the aim of linking local hospitals together to improve their clinical and financial viability.




three-types-of-vanguardIn addition to Acute Care Collaborations, there are four other types of Vanguards:

Integrated Primary and Acute Care Systems – will join up GP, community, mental health and hospital services. Under this new care model, primary and acute care systems (PACS) would provide listbased GP and hospital services, together with mental health and community care, in single NHS organisations for the first time. They could evolve in different ways, for example, by hospital trusts opening their own GP surgeries. Under some circumstances, PACS could become accountable for the whole health needs of a registered list of patients.

Multispecialty Community Providers – will aim to move services out of hospitals The vanguard sites are part of what is known as the New Care Models Programme, a new initiative by NHS England to support the implementation of its The Five Year Forward View (5YFV), which sets out the future vision of the NHS. and into the community. Under this new care model, GP group practices would expand, bringing in nurses and community health services, hospital specialists and others to provide integrated out-of-hospital care. These practices would shift the majority of outpatient consultations and ambulatory care to out-of-hospital settings. Over time, these providers might take on delegated responsibility for managing NHS budgets (or combined health and social care budgets) for their registered patients.

Enhanced health in care homes – will aim to improve services for older people, joining up health, care and rehabilitation. Under this new care model, the NHS will work in partnership with care home providers and local authority social services departments to develop new shared models of care and support, including medical reviews, medication reviews and rehabilitation services.

Urgent and emergency care – will look at new approaches to improve the coordination of services and reduce pressure on A&E departments. These new models will see care delivered by GPs, pharmacists, community teams, ambulance services, NHS 111, and social care.

See here for more information on the national Vanguard Programme