The NHS five year forward view, published in October 2014 by NHS England, set out a positive vision for the future based around seven new models of care. Here we highlight our research, analysis, events and other content relevant to the main themes in the report.
The seven models of care
Under this new care model outlined in the NHS five year forward view, GPs practices come together in networks or federations and collaborate with other health and social care professionals to provide more integrated services outside of hospitals. This might include GPs working with some specialists currently working in acute hospitals, as well as nurses, community health services and social workers.
Over time, GPs and their partners might take on responsibility for the health budget for their whole population.
Under this new care model outlined in the NHS five year forward view, a single entity or group of providers take responsibility for delivering the range of primary, community, mental health and hospital services for their local population, to improve co-ordination of services and move care out of hospital where appropriate.
Under some circumstances, PACS could become accountable for the whole health needs of a registered list of patients.
Under this new care model outlined in the NHS five year forward view, the urgent and emergency care system will be simplified to provide better integration between A&E departments and other services that provide and support urgent treatments. Changes include the development of hospital networks with access to specialist centres, new partnership options for smaller hospitals and greater use of pharmacists and out-of-hours GP services.
There will be further freedoms for nurses, midwives and ambulance teams, and strengthened clinical triage and advice services to help patients navigate the whole system more successfully.
The NHS five year forward view outlined acute care collaborations as one of seven models of care. ACCs were announced as a new type of vanguard by NHS England and other national bodies in September 2015.
ACCs aim to link together hospital services to improve care quality and financial sustainability. A variety of types of ACCs are emerging in different parts of the country—including multiple hospitals working together as groups or chains and clinical networks between hospitals for different service areas. Franchise models are also being developed for some specialties.
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.
The NHS five year forward view proposes a new care model for modern maternity services, stating that a review of future models for maternity units will recommend how best to sustain and develop maternity units across the NHS in England.
NHS leaders have also pledged to make it easier for groups of midwives to set up their own NHS-funded midwifery services, and to ensure that tariff-based funding supports patient choices.
Under this new care model set out in the NHS five year forward view, NHS services work in partnership with care home providers and local authority services to develop new models of care and support for older people.
This might include better care planning and assessment, closer co-ordination between different parts of the health and care system, and putting in place new services which address the wider aspects of older people’s health and wellbeing.