Analysis

Redesigning the health service in real time

A major project to find new models of care for the NHS to cope with increasing demands and financial constraints has been under way now for a year. NHS England’s project to find innovative ways to deliver services began last March with the launch of 29 vanguard sites

A major project to find new models of care for the NHS to cope with increasing demands and financial constraints has been under way now for a year. NHS England’s project to find innovative ways to deliver services began last March with the launch of 29 vanguard sites

These initial vanguard sites are intended to integrate primary and acute care, improve health in care homes, and move specialist care into the community. Later in 2015, they were joined by eight emergency and urgent care sites, while 13 further schemes for hospitals to work more closely together were under development. The total of 50 sites, which have received extra funding, were chosen from more than 380 applications.

The sites are intended to be blueprints for the rest of the health and care system. They are an essential part of the NHS Five Year Forward View, which calls for

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