The leaders of the NHS in England have today (Tuesday 10 March) announced that Dudley has been chosen to take a national lead on transforming care for patients.
Dudley joins 28 areas nationally who have been chosen from amongst 269 groups of nurses, doctors and other health and social care staff from across the country that put forward their ideas for how they want to redesign care in their areas.
Drawing on a new £200 million transformation fund and tailored national support, from April 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 patients, this will lead to a significant improvement in their experience of health services. The Multispecialty Community Provider model proposed by the partnership in Dudley aims to develop a team of integrated, GP-led care across health and social care
This new model will see teams working “without walls”, taking shared responsibility for delivering shared outcomes centred around the person.
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.”
Mr Paul Maubach, Chief Executive Officer Dudley CCG: “As a result of the health and care system working better together, people in Dudley will not only receive the right support at the right time & in the right place necessary for their health needs, they will also be linked to the wider organisations in their community to help them to live more independently for longer.”
Dr David Hegarty, Chair Dudley CCG: “I am delighted that Dudley has been selected as one of the leading areas to develop a new model of care. Our selection to be a Vanguard site is testament to our strong foundations of partnership working in the Borough and I look forward to building on this to deliver better care for the people in Dudley.”
Cllr Pete Lowe, Leader, Dudley Metropolitan Borough Council: “This announcement is fabulous recognition for health and social care in Dudley. As a community council we are committed to working together to improve our services and ultimately help people to lead independent and healthy lives.”
Paul Harrison, Medical Director, Dudley Group NHS Foundation Trust, “This is a very welcome opportunity to provide a more seamless experience, in particular for our elderly patients who will have fewer delays and a simpler system to navigate. Improving the way patients flow through the system will ensure patients receive the best possible care in the right place and help alleviate pressures on the healthcare system.”
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.
From April 2015, 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.
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.
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.
Click here to see our integration video which explains how it will work in Dudley