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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 5