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.