Specialised care

The NHS five year forward view outlines that, where there is strong evidence for concentrating care in specialist centres (as in stroke or some cancer services), the NHS in England will seek to drive consolidation through a programme of three-year rolling reviews. The establishment of specialist centres for rare diseases will also be considered to improve the coordination of care for patients.

As part of this new care model, specialised providers will be encouraged to develop networks of services over a wider area, integrating different organisations and services around patient need.

Key publication

Transforming the delivery of health and social care: the case for fundamental change


This paper explores how the current health and social care delivery system has failed to keep pace with the population's needs and expectations.

From the blog

Service reconfiguration: trapped in groundhog day?

Candace Imison

Candace Imison discusses whether there is a way through the difficulties associated with delivering change in the NHS in the context of the process around the proposed closure of the children’s heart surgery unit at Leeds.

The end of the hospital as we know it?

Paul Corrigan facewall

Paul Corrigan
How profoundly do hospitals need to change and will there be a place for the hospital as we currently know it in the health system of the future?


Tony Rudd: the legacy of NHS London - stroke programme


Tony Rudd gives a background to stroke care in London and looks at how NHS London's stroke programme has made a difference.