The evolving NHS

The NHS is evolving. Following the publication of the NHS five year forward view, a number of ‘vanguard’ sites are developing new models of care in which commissioners and providers are working together in different ways to achieve closer integration of services. This change is happening quickly and has significant implications for the health and care system.

How we can help you

Delivering new models of care will pose significant challenges for NHS leaders. The King’s Fund offers a range of support to help leaders with these challenges including organisational development, learning networks and leadership development programmes.

Organisational development
Find out more about our organisational development services for the NHS, helping organisations to be fit for purpose and prepared for the future.
How we can support you with ACOs, new care models and STPs
We offer a range of programmes and support for those involved with the strategy, planning and implementation of new care models and better integrated care.

What local areas are doing

Approaches being taken in the vanguards

Local areas are adopting different approaches to developing new models of care. Here we present case studies to describe the approach taken in five of the vanguard sites.

The evolving NHS explained

Accountable care explained

Accountable care is the latest health policy buzz phrase. But where did it come from and what does it really mean?

Sustainability and transformation plans (STPs) explained

STPs outline how health and care services will work in partnership across 44 areas of England. But what are STPs and what do they mean for the NHS?

Health and wellbeing boards (HWBs) explained

What are health and wellbeing boards (HWBs) and what role could they play in developments such as integrated commissioning and place-based systems of care?

Our reports

New care models: Emerging innovations in governance and organisational form

This report looks at the different approaches being taken by MCP and PACS vanguards to contracting, governance and other organisational infrastructure.

Place-based systems of care: A way forward for the NHS in England

Our report looks at how NHS organisations can move towards place-based systems of care, in which NHS organisations and services work together to address the challenges they collectively face. The report suggests 10 principles to guide the development of such systems.

Integrating mental and physical health

Bringing together physical and mental health: A new frontier for integrated care

Our report looks at the integration of physical and mental health. The authors discuss 10 areas that offer some of the biggest opportunities for improving quality and controlling costs.

Population health systems: going beyond integrated care

This paper aims to challenge those involved in integrated care and public health to join up the dots, seeing integrated care as part of a broader shift away from fragmentation towards an approach focused on improving population health.

From the blog

Mental health and general practice: intertwined futures

Following the recent publication of NHS England's implementation plan for The five year forward view for mental health, Chris Naylor considers the prospects for better integration of mental health care with general practice.

Separating the noise of contract negotiations from the signal of STPs

Chris Ham considers the progress made so far on sustainability and transformation plans, and whether they really have the potential to be a game-changer for the NHS.

Reuniting care

As we publish our report on emerging innovations in governance and organisational form for new care models, Ben Collins considers the options for local health care providers looking to collaborate in integrated local systems.

Related events

Learning from new care models here and abroad: making accountable care happen

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Multi-specialty community providers and primary and acute care systems: Lessons on developing these new care models

An international perspective on developing new models of care in the PACS vanguards

In this extract from our NHS England-commissioned report on developing new models of care in the PACS vanguards, Don Berwick offers an international perspective.

Developing new models of care in the PACS vanguards: a new national approach to large-scale change?

For this report we invited those who have led the development of the PACS model, nationally and locally, to reflect on the process of being part of the programme, and of trying to bring about complex change in local systems.