62:’s 1962 Hospital Plan for England and Wales which established the district general hospital as the central pillar of British healthcare. Even more radical is the proposal to erode the distinction between hospital consultants and General practitioners, encouraging hospitals to employ GPs - a distinction which has lasted in the UK for more than a century - and permit the development of "Accountable Care Organisations" similar to those in Spain and parts of the United States. There is much stress on the fact that 70% of the NHS budget is spent on the management of the 15 million people with long term conditions. Two new models of care – multispecialty community providers, and primary and acute care systems – involve integrating primary care and hospital care in a single provider organisation.
115:
Hospital death rates reduced, especially in stroke. At the same time there was an increase in wages of 24% and an increase of 10% in the number of staff and increases in the use of equipment and supplies. As a whole NHS output increased by 47% and inputs by 31%, an increase in productivity of 12.86% during the period, or 1.37% per year, considerably less than envisaged in the Five Year
Forward View.
69:
the health of NHS staff, saying that three quarters of hospitals fail to make available nutritious food for nurses and other workers on night shifts. Stevens said NHS staff should set an example by leading healthier lifestyles as part of a drive to improve the health of the nation. He pledged to get junk food out of hospital canteens.
96:
This document, published in March 2017, outlined progress since 2015 and priorities for the next two years. Containing the growth in A&E admissions and bed days is to be a priority. GP practices are to be organised into area hubs covering populations of up to 50,000. At least 150 new inpatient
68:
Stevens said that the health service would have to break out of its “narrow confines” and promote healthy lifestyles. Employers are key to promoting better health in the population and there should be incentives to encourage participation in Weight
Watchers-type schemes. The plan includes a focus on
105:
Its claims that the NHS could deliver £22bn of annual savings in 5 years’ time, is the latest of a long line of reports to assert that there is scope for the NHS to make major savings, but the report does make it clear that more resources, an extra £8bn in
Government funding by 2020 would be needed.
53:
and the like, rather than the Royal
Colleges and Trades Unions of the earlier plan. This new national leadership of the NHS issues an unprecedented warning to politicians, none of whom are included in the endorsements, that it cannot continue at current funding levels, and additional resources worth
807:
114:
NHS efficiency savings of 2% to 3% a year from 2015 to 2021 were supposed to save ÂŁ22 billion a year. Between 2004 and 2014 NHS output increased considerably. Hospital admissions increased by 32%, outpatient attendances by 17%, primary care consultations by 25% and community care activity by 14%.
134:
In the 12 months to
September 2017, compared to the 2014–15 financial year, there was a reduction in the rate of hospital bed days per 1,000 population - for Primary and acute care systems 0.5%, for Multispecialty community providers 1.5%, and for the rest of England 1.3%. Both MCPs and PACS saw
270:
has set up 46 new multidisciplinary community teams. An organisation has been established from a consortium of four NHS trusts and 38 local GP practices which will manage a single, whole population budget for about 300,000 people. It will provide community-based physical health for adults and
72:
The plan also pays far more attention to the potential for technological innovation using the internet and mobile phone and apps than any previous NHS document. Technology, it envisages, will enable self-management, integration and patient centred care. This has already been done by the
57:
No more top-down reorganisation was proposed, but instead the development of new models to suit local needs, something quite radical for the NHS, which is accustomed to the imposition of uniformity regardless of local conditions. It seeks to break away from
138:
In order to ensure the knowledge from the new models of care was captured and shared throughout the health and care system, the national new care models programme established the FutureNHS collaboration platform, built on the
Kahootz collaboration software.
110:
pointed out in
October 2016 there were reductions in other areas of health spending outside NHS England’s budget, in particular public health. Without improvements in social care she said the NHS could not be expected to deliver the Five Year Forward View.
581:, were grouped into 44 footprints which were each required to produce joint plans with their local authorities for health and health service transformation for the period up to 2020. Each had a leader, some from the NHS and some from local authorities.
349:
is a central issue for most of these projects. It's intended that it should meet all urgent clinical needs rather than just be a signposting service so that appointments could be made directly with GPs or rapid access mental health services.
210:
Multispecialty community providers are supposed to bring specialist services, like chemotherapy and dialysis, out of the hospital and closer to people’s homes. They were described as a "political vanity project" in April 2017 by Dr
1224:
481:
711:
153:
Integrated primary and acute care systems will bring together GPs, hospital, community and mental health services. Money will be directed from a joint budget to wherever patients are judged to need it most:
135:
substantially slower growth in the rate of emergency admissions per 1,000 population than the rest of
England. Growth for MCPs was 2.6% and for PACS the figure was 1.2%. In the rest of England it was 4.9%.
123:
29 areas were selected (from 269 applicants) to pilot new models for localised healthcare in March 2015. When insufficient transformation funding was allocated in
September 2016 the plans were scaled down.
559:
275:, mental health services, public health, learning disabilities services, urgent care centres and GP out-of-hours care. Adult social care services will be introduced at a later stage of the 15-year contract.
243:: ÂŁ4.26m will extend the Extensive Care service for elderly and frail patients with two or more long-term conditions, and establish a single point of contact for all out-of-hospital services.
513:
404:
852:
541:
97:
beds for children and young people with mental health problems are to be provided. There will be reforms to increase the number of nurses and reforms to enable more flexible working.
521:
313:
Models of enhanced health in care homes will enable the NHS and councils to work together to provide more healthcare in care homes, and to provide better preventive services there:
1074:
1228:
499:
419:
1250:
441:
192:: Happy Healthy at Home has enrolled 250 students on 'recovery college' courses, designed to help them manage long-term conditions, and opened a healthy living pharmacy.
1272:
1096:
938:
525:
489:
469:
127:
Proposals for companies to run primary and acute care systems or multispecialty community providers appear to have been prevented because they would be liable for
1119:
517:
485:
304:
Rushcliffe: Principia
Partners in Health has set up a specialist nursing team to work in local GP surgeries to administer osteoporosis medication intravenously.
173:
407:, Solihull Metropolitan Borough Council, and Solihull Clinical commissioning group, is creating multidisciplinary teams to deliver services in patients homes.
1334:
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622:
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763:
689:
255:
1294:
215:, who is NHS England London clinical director of emergency care. NHS England announced three potential routes for MCP contracts in July 2016:
585:
537:
453:
896:
Street, Andrew (December 2016). "The Financial crisis in the national health Service: insufficient funding will derail transformation plans".
982:
400:
1004:
289:
644:
555:
222:
a “partially integrated” contract – where GPs will be able to retain their general medical services contract alongside the MCP contract;
1030:
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437:
179:
143:
874:
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370:
77:
which is given a favourable mention in the document. It already conducts 75 per cent of consultations remotely using phone or
45:
with which Stevens was also associated it was supported by the great and good of the NHS, but in this case it was regulators -
41:
It received praise for brevity, being only 39 pages, and lacking the illustrations which had graced its predecessors. Like the
161:
30:
502:, Liverpool and Warrington Clinical Commissioning Groups and NHS England Specialised Services Commissioning Team (North).
574:
366:
166:
267:
225:
a “fully integrated model” – a “hybrid” of the standard NHS contract and a contract for primary medical services.
240:
88:
it is the first NHS document he could recall that said NHS structures did not have to be the same everywhere.
81:. Patients have an electronic care plan they can manage themselves, and digital access to consultant advice.
65:
The fact that the word “competition” does not appear once in the document was hailed as a victory by Labour.
331:
230:
198:
189:
50:
379:
North East Urgent Care Network is bringing both pharmacists and paramedics into primary care settings.
323:
74:
299:
597:
279:
1008:
712:"Firms to receive NHS cash to reward staff for losing weight in 'radical model' for health care"
411:
393:
383:
358:
106:
It claimed that there would be a "radical upgrade in prevention and public health", but as Dr
733:
737:
272:
107:
317:
East and North Hertfordshire CCGs are allocating GPs and pharmacists to local care homes.
1134:"Practices bid for controlling stake in integrated provider lined-up for ÂŁ5bn contract"
292:- Better Local Care has screened patient records to identify poorly controlled asthma.
1328:
602:
495:
46:
42:
85:
59:
564:
Working Together Partnership - South Yorkshire, Mid Yorkshire and North Derbyshire
512:
MERIT – The Mental Alliance for Excellence, Resilience, Innovation and Training:
229:
By August 2017 some of these providers appeared to be merging into the proposed
26:
1319:
212:
916:
741:
734:"Giving night shift staff healthy food choices is a priority, says NHS chief"
667:
578:
831:"NHS Five Year Forward View: bold promise of ÂŁ22bn savings will fall short"
142:
An evaluation study of the platform estimated that it has saved the NHS
346:
1075:"GPs could have indemnity covered under new accountable care contract"
853:"One in three NHS hospitals needed Government bailout funds last year"
1120:"Vanguards must utilise their workforce to the best of their ability"
482:
Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust
414:
Group – led by South Devon and Torbay Clinical commissioning groups,
1031:"New care models are political vanity project, says NHS England GP"
78:
560:
Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust
1251:"Vanguards reveal transformation plans and barriers to change"
128:
54:
more than 1.5 per cent a year in real terms will be required.
1203:"Uniting organisations and people to deliver new care models"
1157:"Uniting organisations and people to deliver new care models"
376:
Cambridgeshire and Peterborough Clinical commissioning group.
1053:"Future GP contract options revealed under 'MCP framework'"
961:"Vanguard plans in doubt as NHS yet to agree VAT exemption"
353:
A further wave of 8 new sites were announced in July 2015:
1273:"First eight urgent and emergency care vanguards revealed"
1225:"NHS chief unveils 29 'vanguard' areas in his new reforms"
1097:"Huge cash injection help Blackpool's struggling hospital"
875:"MPs slam government's 'misleading' ÂŁ10bn NHS cash pledge"
514:
Birmingham and Solihull Mental Health NHS Foundation Trust
405:
Birmingham and Solihull Mental Health NHS Foundation Trust
808:"Next steps for the forward view – what you need to know"
623:"Forward view: Unprecedented call for NHS funding growth"
764:"Building future NHS organisations starts with citizens"
542:
University College London Hospitals NHS Foundation Trust
1007:. Commissioning Review. 8 December 2016. Archived from
530:
Cheshire and Merseyside Women's and Children's Services
1180:"Bringing together innovation and clinical governance"
983:"Vanguards dent emergency admissions but not bed days"
522:
Dudley and Walsall Mental Health Partnership NHS Trust
939:"Vanguards scale back plans due to funding shortfall"
573:
In February 2016 NHS organisations in England, both
500:
Warrington and Halton Hospitals NHS Foundation Trust
690:"Stevens: New care vanguard must bring in GP lists"
420:
Torbay and Southern Devon Health and Care NHS Trust
399:Solihull Together for Better Lives, which includes
185:Lancashire North and Cumbria: Better Care Together
389:West Yorkshire Urgent and Emergency Care Network.
526:Coventry and Warwickshire Partnership NHS Trust
490:Royal Orthopaedic Hospital NHS Foundation Trust
219:an alliance contract between various providers;
786:"How much localism in healthcare is too much?"
518:Black Country Partnership NHS Foundation Trust
668:"NHS five-year plan document 'packs a punch'"
647:. Local Government Chronicle. 24 October 2014
486:Royal National Orthopaedic Hospital NHS Trust
382:Barking and Dagenham, Havering and Redbridge
169:: Nothumberland Accountable Care Organisation
8:
1227:. Independent. 10 March 2015. Archived from
476:Moorfields Eye Hospital NHS Foundation Trust
1295:"Leaders named for eight major STP patches"
941:. Health Service Journal. 20 September 2016
552:Dorset County Hospital NHS Foundation Trust
416:South Devon Healthcare NHS Foundation Trust
386:Group is developing shared patient records.
369:, Nottingham City and County councils, and
144:ÂŁ3.5 million within its first year in 2017.
1253:. Health Service Journal. 8 September 2015
985:. Health Service Journal. 26 February 2018
788:. Health Service Journal. 1 September 2017
692:. Health Service Journal. 10 February 2015
547:EMRAD - East Midlands Radiology Consortium
422:plans to open two new urgent care centres.
625:. Health Service Journal. 23 October 2014
544:- Accountable Clinical Network for Cancer
363:Nottingham University Hospitals NHS Trust
246:Calderdale Health and Social Care Economy
29:in October 2014 under the leadership of
1297:. Health Service Journal. 15 March 2016
810:. Health Service Journal. 31 March 2017
614:
569:Sustainability and transformation plans
256:West Wakefield Health and Wellbeing Ltd
1275:. Health Service Journal. 24 July 2015
1055:. Health Service Journal. 28 July 2016
963:. Health Service Journal. 7 March 2017
586:Sustainability and transformation plan
538:Christie Hospital NHS Foundation Trust
454:Royal Free London NHS Foundation Trust
392:Leicester, Leicestershire and Rutland
1178:Jones, Samantha (21 September 2016).
917:"NHS revamp - rhetoric into reality?"
736:. Nursing Standard. 27 October 2014.
401:Heart of England NHS Foundation Trust
7:
1099:. Blackpool Gazette. 23 October 2015
290:Southern Health NHS Foundation Trust
271:children, some outpatient services,
1335:Health policy in the United Kingdom
1201:Jones, Samantha (18 October 2016).
1155:Jones, Samantha (18 October 2016).
556:Poole Hospital NHS Foundation Trust
162:Mid Nottinghamshire Better Together
1118:Jones, Samantha (10 August 2016).
762:Vickers, Robin (3 December 2014).
645:"The future begins in Stevenstown"
534:Royal Marsden NHS Foundation Trust
496:Walton Centre NHS Foundation Trust
438:Salford Royal NHS Foundation Trust
206:Multispecialty community providers
180:Salford Royal NHS Foundation Trust
14:
1340:National Health Service (England)
877:. Public Finance. 31 October 2016
174:South Somerset Symphony Programme
252:Modality Birmingham and Sandwell
829:Cram, Colin (27 October 2014).
480:National Orthopaedic Alliance:
460:Multi-site specialty franchises
371:East Midlands Ambulance Service
365:, South Nottingham and Erewash
1320:The NHS Five Year Forward View
855:. Independent. 7 November 2014
714:. Independent. 23 October 2014
550:Developing One NHS in Dorset:
309:Enhanced health in social care
260:All Together Better Sunderland
149:Primary and acute care systems
1:
666:Pym, Hugh (23 October 2014).
575:Clinical Commissioning Groups
507:Accountable clinical networks
442:Wrightington, Wigan and Leigh
367:Clinical commissioning groups
1136:. GP Online. 17 August 2017
915:Pym, Hugh (10 March 2015).
472:Foundation Healthcare Group
427:Future models of acute care
332:Wakefield - Connecting Care
280:Whitstable Medical Practice
1356:
1077:. GP Online. 8 August 2017
1033:. GP Online. 28 April 2017
268:All Together Better Dudley
1122:. Health Service Journal.
341:Urgent and emergency care
37:Publication and reception
1205:. Health Service Journal
1182:. Health Service Journal
1159:. Health Service Journal
766:. Health Service Journal
742:10.7748/ns.29.8.0.298990
273:primary medical services
231:accountable care systems
33:as a planning document.
410:South Devon and Torbay
328:Airedale & Partners
51:Care Quality Commission
466:Dartford and Gravesham
448:Northumbria Healthcare
361:Group, which includes
285:Tower Hamlets Together
23:Five Year Forward View
432:Multi-hospital chains
201:: My Life a Full Life
190:Hampshire and Farnham
470:Guy’s and St Thomas’
324:Sutton Homes of Care
288:Southern Hampshire:
236:Approved proposals:
75:Modality Partnership
1011:on 29 December 2016
357:Greater Nottingham
345:Development of the
300:Lakeside Healthcare
898:Radical Statistics
598:NHS Long Term Plan
298:Northamptonshire:
263:Stockport Together
182:- Salford Together
1005:"Driving Forward"
412:System Resilience
394:System Resilience
384:System Resilience
359:System Resilience
295:West Cheshire Way
249:Wellbeing Erewash
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494:Neuro Network:
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158:Wirral Partners
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