Eight Urgent and Emergency Care Vanguards are to explore changes in approaches to integrated care, whereby organisations work together better to provide care in a more joined up manner to benefit patients.
Urgent care will be delivered not in hospitals alone, but also by GPs, pharmacists, community teams, ambulance services, NHS 111, social care and others. Patients will be given support and education to manage their own conditions. This approach is also intended to reduce boundaries between physical and mental health.
Six of the Urgent and Emergency Care Vanguards will involve small-scale local systems, which will cover hospitals, GP practices and social care. These are:
- Barking and Dagenham, Havering and Redbridge System Resilience Group.
- Cambridgeshire and Peterborough Clinical Commissioning Group.
- Leicester, Leicestershire & Rutland System Resilience Group.
- Solihull Together for Better Lives.
- South Devon and Torbay System Resilience Group.
- South Nottingham System Resilience Group.
The other two will form Urgent and Emergency Care Network Vanguards working across larger populations to integrate care on a wider scale:
The aim of this re-design in services is to improve the quality of care and experience patients. Regional Major Trauma Networks, which were launched three years ago, have yielded a fifty per cent increase in the odds of surviving life-threatening injuries for trauma patients, according to an independent audit by the Trauma Audit and Research Network (TARN).
NHS launches next step of urgent care review. London: NHS England, July 24th 2015.
“The Urgent and Emergency Care vanguards are a key element within the NHS Five Year Forward View which is a partnership between NHS England, the Care Quality Commission, Health Education England, Monitor, the Trust Development Authority, Public Health England and the National Institute for Health and Care Excellence and represent the next step in the transformation of Urgent and Emergency Care”.
An explanation of the broader policy background behind this mouthful is explored in more detail in the latest NHS England annual report.
Second NHS England Annual Report
Annual Report highlights Five Year Forward View. London: NHS England, July 22nd 2015.
This relates to:
Annual Report 2014-15. Our 2014-15 annual report: health and high quality care for all, now and for future generations. London: NHS England, July 2015.
“The aim is to redesign health and care systems by joining up hospitals, primary care, mental health, community nursing, pharmacy and social care. This will provide a seamless service which could, for example, mean fewer trips to hospital for cancer sufferers and specialists holding clinics in local surgeries for dementia patients. The programme is backed by a £200 million transformation fund”. (p.25)
NHS England’s Five Part Dementia Recovery Plan
NHS England has a five-part dementia recovery plan to improve diagnosis and care for people with dementia. The five parts comprise:
- Regional support to CCGs.
- Improving data.
- Proactive communications.
- Intensive clinical support.
- Use and further development of financial incentives.