NEW MODELS of CARE ANNOUNCMENT 10Th March 2015

NEW MODELS OF CARE ANNOUNCMENT 10th March 2015

The leaders of the NHS in England have today (Tuesday 10 March) announced that the Isle of Wight has been chosen to take a national lead on transforming care for people, families and carers on the Isle of Wight. The Island was chosen from 269 groups of nurses, doctors and other health and social care staff from across the country who put forward their ideas for how they want to redesign care in their areas, who then helped choose the first 29 of the most innovative plans.

Drawing on a new £200 million transformation fund and tailored national support, from April 2015 the vanguards will develop local health and care services to keep people well, and bring home care, mental health and community nursing, GP services and hospitals together for the first time since 1948. For people, families and carers, this will lead to a significant improvement in their experience of health and social care services. It is estimated more than five million patients will benefit across the country, just from this first wave.

For example, this could mean: fewer trips to hospitals as cancer and dementia specialists and GPs work in new teams; a single point of access for family doctors, community nurses, social and mental health services; and access to tests, dialysis or chemotherapy much closer to home.

Simon Stevens, the Chief Executive of NHS England, said: “The NHS now has its own long term plan, backed by just about everybody, and today we’re firing the starting gun. Instead of the usual top-down administrative tinkering, we’re backing radical care redesign by frontline nurses, doctors and other staff - in partnership with their patients and local communities. From Wakefield to Whitstable, and Yeovil to Harrogate, we’re going to see distinctive solutions to shared challenges, which the whole of the NHS will be able to learn from.”

In January the NHS invited individual organisations and partnerships, including those with the voluntary sector to apply to be ‘vanguard’ sites. Applications asked for expressions of interest in four models of care that will reduce demand, improve productivity and breakdown structural barriers.

Support will be tailored to the needs of each area but could be a combination of peer learning and expertise in areas such as:

patient empowerment and community engagement;
clinical workforce redesign;
using digital technology to redesign care;
optimal use of health and care infrastructure;
creating joined-up information systems;
devising new legal forms and new contractual models; and
integrated commissioning across CCGs, NHS England and local authority and procurement.

A successful bid was submitted by My Life a Full Life, a partnership between the Isle of Wight NHS Trust, Isle of Wight Clinical Commissioning Group, Isle of Wight Council and the GP collaborative ‘One Wight Health’,to become a national Vanguard pilot site. From April, partners will build on the work already carried out under My Life a Full Life, working together with Adult Social Care, Public Health, the voluntary and third sector to deliver integrated care and support on the Island. The national NHS will work with local vanguard sites to develop dedicated support packages to enable and accelerate change, and an intensive evaluation programme will seek evidence on what works so that this can be spread to other parts of the country.

The vanguards will take the national lead on the development of game-changing care models:

multispecialty community providers (MCPs) – moving specialist care out of hospitals into the community;
integrated primary and acute care systems (PACS) – joining up GP, hospital, community and mental health services, and;
models of enhanced health in care homes – offering older people better, joined up health, care and rehabilitation services.

Support will be tailored to the needs of each area, but could be a combination of peer learning and expertise in areas such as patient empowerment and community engagement, leadership, clinical workforce redesign, using digital technology to redesign care, devising new legal forms and new contractual models; and joined up procurement.

All areas will benefit from a wider support and learning package which will be rolled out later this year, based on the learning from the vanguard sites. Additionally, as a result of the many examples of excellent models up and down the country, a wider programme of support is being put in place for some of the health and social care systems that applied to be part of the programme. This is being supported by the Kings Fund.

An example of how this might work is Sam, an 84-year-old woman with multiple long term conditions. She sees her GP, hospital consultants, and district nurses on a regular basis. Her GP identifies that she could be at risk of admission to hospital is lonely and isolated and depressed. First the GP will identify someone who will be her lead professional. This person will work then with the hospital consultants, district nurses and other professionals together with Sam to put a care plan in place which supports her to manage at home. Then the lead professional will work through the new integrated locality team, which includes local voluntary groups as well as therapists and social services to ensure that Sam is able to access social support, reducing her isolation and enabling her to make new friends. Sam is in control of her care whether it is in hospital or the community. Her care is coordinated around her and her visits to healthcare professionals reduce, while her social engagements increase. She is more confident and less anxious because she feels in control. Behind the scenes the walls between the hospital, GP and community and between health and social care have been broken down, enabling professionals to put Sam’s wellbeing at the forefront of their minds.

The NHS Five Year Forward View, published in October 2014 by NHS England, Monitor, the NHS Trust Development Authority, the Care Quality Commission, Public Health England and Health Education England, set out the health, quality of care, and funding gaps that will open up if the NHS does not change.

The My Life, a Full Life programme is an initiative on the Island designed to get health, social care services, voluntary and community groups working together more effectively and efficiently to transform the lives of older people and those living with long-term conditions. It is being led jointly by the Clinical Commissioning Group, the Isle of Wight NHS Trust, the Isle of Wight Council and a wide range of voluntary and community organisations providing help and care to older people on the Island. For more information visit