New Care Models: East Midlands Vanguards Supporting the transformation of NHS and care services #futureNHS www.england.nhs.uk/futureNHS New Care Models – Contents Vanguards New Care Models - What are vanguards? 3 This guide provides a summary of the East Midlands new care model ‘vanguards’. Of the 50 vanguards around the country, nine East Midlands vanguards footprint 4 are in the East Midlands, more than anywhere else – reinforcing our region’s commitment to transformation, innovation and East Midlands – our nine vanguard partnerships 5 collaboration. Collectively the nine East Midlands sites are supporting service improvement for millions of people. Integrated Primary & Acute Care Systems • Mid-Nottinghamshire Better Together Programme 6 What are vanguards? Multispecialty Community Providers During 2015 the NHS invited individual organisations and • Erewash Multispecialty Community Provider 7 partnerships to apply to become vanguards as part of the new • Principia Partners 8 care models programme, which is a key part of the NHS Five • Lakeside Healthcare 9 Year Forward View (published in October 2014). The aim of each vanguard is to bring together a range of partners to support the Enhanced Health in Care Homes improvement and integration of services – providing patients with • Nottingham City Clinical Commissioning Group 10 better, more accessible and joined-up support. During 2015, a total of 50 vanguards were chosen by NHS England, split into five types: Urgent & Emergency Care • Greater Nottingham System Resilience Group 11 • Acute Care Collaborations that aim to link local hospitals • Leicester, Leicestershire & Rutland System Resilience Group 12 together to improve their clinical and financial viability, reducing variation in care and efficiency Acute Care Collaboration • Enhanced Health in Care Homes that seek to offer older people • Working Together Partnership 13 better, joined up health, care and rehabilitation services • East Midlands Radiology Consortium (EMRAD) 14 • Integrated Primary and Acute Care Systems that seek to join up East Midlands Partner Organisations ‘EMPO’ 15 GP hospital, community and mental health services • Multispecialty Community Providers that seek to move specialist care out of hospitals into the community • Urgent and Emergency Care that seek to develop new approaches to improve the coordination of urgent and emergency care services and reduce pressure on A&E departments 2 3 East Midlands How will vanguards Vanguard make a difference Footprint to patients? Each vanguard brings together a range of partners to support improvement and integration of health and care services – providing better and more accessible joined-up support to patients, their families and carers. For example this could include: • Organising specialist clinics in local surgeries, Mid Nottinghamshire resulting in fewer trips to hospital Better Together • Providing more support and advice services within Led by Newark & Sherwood patients’ homes and Mansfield & Ashfield CCGs Nottinghamshire Lincolnshire • Giving patients a single point of call for family Derbyshire doctors, community and social support services Erewash Multispecialty Greater Nottingham • Joining up the often confusing range of services – Community Provider: System Resilience Group such as A&E, GP out-of-hours, minor injury clinics, ‘Wellbeing Erewash: Partnership of Nottingham City CCG, ambulance services and 111 – so patients know Nottingham West CCG, Nottingham North Your life, your way’ and East CCG and Rushcliffe CCG more easily how to access help seven-days-a-week Led by Erewash CCG • Improving IT systems and using technology to better share patient information between care Leicester, Leicestershire & Rutland providers, and also help people take more control Principia Partners in Health Leicestershire System Resilience Group over managing their own care. (Rushcliffe) Partnership of Leicester City CCG, East Leicestershire Led by Rushcliffe CCG and Rutland CCG and West Leicestershire CCG To find out more about NHS England’s new care models programme and the Five Year Forward View visit: Lakeside Healthcare Working Together Partnership www.england.nhs.uk/futureNHS (Northamptonshire) (South Yorkshire, Mid Led by Corby CCG Yorkshire, North Derbyshire) Northamptonshire North Derbyshire CCG area Nottingham City Clinical Commissioning Group East Midlands Radiology (Nottingham City CCG area) Consortium (EMRAD) Led by Nottingham City CCG Collaboration across the whole region 4 5 Vanguard type: Integrated Primary & Acute Care Systems Vanguard type: Multispecialty Community Provider Mid Nottinghamshire ‘Wellbeing Erewash: Better Your life, your way’ Together Aim Aim • A new care model for delivering Seven Day Services This vanguard will provide more joined-up hospital, community, social and GP / primary care – The vision is for thriving communities within Erewash, for local people including those with urgent care transforming services and bringing care closer to home for the 310,000 people who live in mid where people feel confident and supported to choose needs • Accessible primary care through appropriate GP Nottinghamshire (Newark & Sherwood and Mansfield & Ashfield). a healthier lifestyle, stay well, and know how to get help and support when they need it. The partners’ coverage and use of triage systems • An electronic patient record enabling single point Background • Build connections between doctors, nurses and care mission is to develop Thriving, Capable, and Healthier Communities. access for providers and patients The partners are developing a blue-print for health staff in different organisations – sharing what works In 2020 Erewash will be characterised by: • Sufficient clinical out-of-hours care coverage care, with feedback from communities and health and well and working together on common challenges • Strong inclusive communities Together GPs and the integrated community services care staff used to shape the plans. By understanding and opportunities. • Shared ethos between the people in the community will become a Multispeciality Community Provider, the future needs of local people, the vanguard will Partners and their trusted professional staff of self-care and working with the county and borough councils, drive closer working across organisations to deliver • NHS Newark & Sherwood and NHS Mansfield & shared decision making voluntary sector and local communities to meet the better, more joined-up and efficient services that meet Ashfield CCGs • Responsive and accessible support services needs of the local population efficiently and effectively. the current and future needs of patients, their families • Central Nottinghamshire Clinical Services • Integrated services that wrap around people and and carers. Partners • Circle Health Limited their family and carers reducing the need for bed- Provider partners This vanguard focuses on a number of important • East Midlands Ambulance Service based care areas including urgent and proactive care (for example • General Practice Provider Clinical Cabinet • Derbyshire Community Health Services NHS Background people with long term conditions such as diabetes and (facilitated by the Local Medical Committee) Foundation Trust frail older people) and early and planned care (such as • Nottinghamshire Healthcare NHS Trust (including This new care model looks to build on our unique • Derbyshire Healthcare NHS Foundation Trust surgery to replace hip and knee joints). County Health Partnerships) selling point of excellent clinical leadership to remove • Derbyshire Health United • Nottingham University Hospitals NHS Trust organisational boundaries and shape an integrated • Erewash Health For example this could: • Nottinghamshire County Council person-centred community, where people feel Commissioner partner • Reduce unnecessary visits to A&E (where patients • Sherwood Forest Hospitals NHS Foundation Trust empowered to support themselves and reduce their • NHS Erewash CCG don’t need urgent help), and provide more planned • Local Community and Voluntary Services reliance on costly statutory services. Where care is care closer to the patient’s home • United Lincolnshire Hospitals NHS Trust needed, services will be wrapped around the patient. • Empower people to take greater control of Specifically, the new models will result in: managing their own care • Resilient local supportive communities promoting • Save money that can be used to provide better education and information care – for example removing barriers between • Encouraging and empowering people to self-care Follow us at: organisations will help reduce administrative and training staff to share decision-making with @WellErewash complexity and cut costs Follow us at: patients @DCHSTrust / @bettermidnotts / #futureNHS • Integrated care services with GP-led multi- @NHS_Erewash_CCG / www.bettertogethermidnotts.org.uk disciplinary teams spanning primary and community @derbyshcft #futureNHS services which target at risk patients 6 7 Vanguard type: Multispecialty Community Provider Vanguard type: Multispecialty Community Provider Principia Follow us at: Lakeside Partners in Health @PrincipiaMCP / #futureNHS / Healthcare (Rushcliffe) www.rushcliffeccg.nhs.uk (Northamptonshire) Aim Aim This vanguard brings together general practice, urgent care services, community and local mental health services, This vanguard brings together a wide range of health and social care partners to develop home and community- social care, the third sector and hospital providers. By fully integrating