In a series of new schemes to test more integrated ways of working in the NHS, Community nurses and practice staff will work more closely together with other parts of the healthcare system. The first wave pilot sites for a series of new NHS models of care, designed to more integrated and multidisciplinary, were announced yesterday by NHS England.
The so-called “vanguard” pilots are intended to test out in practice the all-encompassing ideas set out in October in the NHS five-year plan – the NHS Five Year Forward View. It was heralded as a major opportunity for nurses and midwives to lead the development of new care approaches.
NHS England said yesterday that 29 vanguards, had been chosen from 269 submissions made by groups of clinicians on how they wanted to redesign care in their areas.
Previously announced by NHS England chief executive Simon Stevens, they will be pump-primed with some of a new £200m transformation fund.
From April, the vanguards will develop local health and care services to “keep people well, and bring home care, mental health and community nursing, GP services and hospitals together” from April, said NHS England.
As set out in the five-year plan, the vanguards will test out different approaches for three new care models.
These include multi-specialty community providers (MCPs), which are intended to achieve the ongoing NHS goal of moving specialist care out of hospitals into the community.
Some sites will test out models of improved health in care homes and also integrated primary and acute care systems (PACS), which join up GP, hospital, community and mental health services.
One site, for example, will develop a prevention team made up of health and care professionals including GPs, advanced nurse practitioners, mental health nurses, extended care support and therapy support.
Led by Derbyshire Community Health Services NHS Foundation Trust, it will support vulnerable people who can be treated for their conditions in the community.
It will include care planning for people with long term conditions including diabetes, chronic vascular disease and chronic lung conditions.
Led by East and North Hertfordshire Clinical Commissioning Group, another site, will focus on augmenting the skills of home care staff through a package of education and training.