First wave of new care model ‘vanguard’ areas revealed

NHS England has revealed the first 29 ‘vanguard’ areas that will take a national lead on developing new models of integrated care which can then be spread across the country. 

From April 2015, the vanguards will develop programmes to deliver joined-up local health services. It has been estimated that the initial work, which is drawing on a new £200m transformation fund, will benefit more than five million patients. 

With an aim to develop ‘game-changing’ care models, the vanguards will take a lead on creating multispecialty community providers (MCPs) – moving specialist care out of hospitals into the community; integrated primary and acute care systems (PACS) – joining up GP, hospital, community and mental health services; and models of enhanced health in care homes – offering older people better, joined up health, care and rehabilitation services. 

Simon Stevens, chief executive of NHS England, said: “Instead of the usual top-down administrative tinkering, we’re backing radical care redesign by frontline nurses, doctors and other staff – in partnership with their patients and local communities. 

“From Wakefield to Whitstable, and Yeovil to Harrogate, we’re going to see distinctive solutions to shared challenges, which the whole of the NHS will be able to learn from.” 

In January the NHS invited individual organisations and partnerships, including those with the voluntary sector to apply to be ‘vanguard’ sites. Following on from this, 269 groups of nurses, doctors and other health and social care staff from across the country put forward their ideas for how they wanted to redesign care in their areas, and then helped choose the first 29 of the most innovative plans. 

As part of the work, the national NHS will work with local vanguard sites to develop dedicated support packages to enable and accelerate change. There will then been an intensive evaluation programme which will seek evidence on what works so that this can be spread to other parts of the country. 

Chris Hopson, chief executive of NHS Providers and member of the New Care Models Board, said: “We strongly support the vision outlined in the Five Year Forward View that the NHS needs to rapidly develop new ways of delivering care to patients that better meet 21st century patient needs. 

“Today’s announcement is an important early step in translating the Five Year Forward View into real change on the ground. NHS England and the other arm’s length bodies have moved with admirable speed to identify these vanguard sites. We also welcome the way this process is working.” 

Support will be tailored to the needs of each area, but could be a combination of peer learning and expertise in areas such as patient empowerment and community engagement, leadership, clinical workforce redesign, using digital technology to redesign care, devising new legal forms and joined up procurement.  

All areas will benefit from a wider support and learning package which will be rolled out later this year, based on the learning from the vanguard sites. 

David Bennett, chief executive of Monitor, said: “The first wave of vanguard sites represents a practical start to transforming the NHS. We will use our expertise in areas such as pricing and system economics, alongside our oversight of foundation trusts, to help local areas develop the new models of care that are essential for the NHS and the people who use it.” 

The list of successful sites are: 


  1. Wirral University Teaching Hospital NHS Foundation Trust
  2. Mansfield and Ashfield  and Newark and Sherwood CCGs
  3. Yeovil Hospital
  4. Northumbria Healthcare NHS Trust
  5. Salford Royal NHS Foundation Trust
  6. Lancashire North
  7. Hampshire and Farnham CCG
  8. Harrogate and Rural District CCG
  9. Isle of Wight


  1. Calderdale Health and Social Care Economy
  2. Derbyshire Community Health Services NHS Foundation Trust
  3. Fylde Coast Local Health Economy
  4. Vitality
  5. West Wakefield Health and Wellbeing Ltd
  6. NHS Sunderland CCG and Sunderland City Council
  7. NHS Dudley CCG
  8. Whitstable Medical Practice
  9. Stockport Together
  10. Tower Hamlets Integrated Provider Partnership
  11. Southern Hampshire
  12. Primary Care Cheshire
  13. Lakeside Surgeries
  14. Principia Partners in Health

Enhanced health in care homes 

  1. NHS Wakefield CCG
  2. Newcastle Gateshead Alliance
  3. East and North Hertfordshire CCG
  4. Nottingham City CCG
  5. Sutton CCG
  6. Airedale NHS Foundation


Tell us what you think – have your say below or email 


Richard Shircore   28/09/2015 at 09:49

Early intervention for CAMHS is a good candidate to start integration. However integration is too often seen as simply "management" integration rather than "professional knowledge" and "practice" integration. CAMHS is a clear example of where to be effective professional practice and its theoretical underpinnings need critical review, leading to harmonising and embedding. Current arrangement of CAMHS (generic) being split between, LA, the NHS, education and youth offending is hopelessly fragmented and ineffectual. See House of Commons Select Committee CAMHS Review Nov 2014. Happy to advise on the "how to".

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