Following the announcement of the second wave of Integrated Care Systems (ICSs), NHS Providers, the NHS Confederation, NHS Clinical Commissioners and the Local Government Association reflect on how lessons learned by members from across from the four organisations will support the journey to integrated care.
Here, Chris Hopson (chief executive, NHS Providers), Niall Dickson (chief executive, NHS Confederation), Julie Wood (chief executive, NHS Clinical Commissioners) and Cllr Izzi Seccombe (chair, Local Government Association Community Wellbeing Board) discuss why it is vital that the legacy of the vanguards is shared.
The national new care models programme was seen by some as a “game-changer” when it was launched by NHS England in 2015 – setting the template for patient care in the 21st century.
Its vision was to deliver lasting change in the way that people access and use local health and care services in line with the ambitions set out in the Five Year Forward View.
Niall Dickson, of the NHS Confederation, describes this challenge as “enormous”. He adds that the health and care system needed to recognise “that unless we manage demand by providing the right support at the right time, the system cannot be sustained, even with more staff and more funding.”
Chris Hopson, of NHS Providers, added that the programme itself needed to recognise “that large-scale transformation in health care requires funding, implementation support, time, and the permission to make mistakes and learn from them”.
The vanguard sites across England have made strides towards realising those ambitions and setting out a blueprint towards integrated care. Many have introduced innovative approaches to delivering care that can be shared and spread at scale, while also building strong partnerships across traditional boundaries, overcoming complex governance challenges and involving staff, patients and the public in service change.
Three years on it is time to consider the legacy of the vanguards and to ensure that the lessons learned by those involved will make a positive contribution to health and care in the future.
NHS Providers, NHS Confederation, NHS Clinical Commissioners and the Local Government Association have produced a briefing series to help share learning from the vanguards.
This article was first published by National Health Executive on 29 May 2018.
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