Developing new care models through NHS vanguards

Developing new care models through NHS vanguards
National Audit Office 29 June 2018

• This report examines whether the NHS is well placed to get value for money from its investment in developing new care models through vanguards. In particular, it focuses on:
• set up and management of the vanguard programme (Part One);
• national support and evaluation (Part Two);
• progress made by the vanguards (Part Three); and
• readiness for the spread of these new care models (Part Four). 
• The report focuses primarily on the two types of vanguards which were designed to test integrated models of health and social care for a local population: integrated primary and acute care systems (PACs) and multispecialty community providers (MCPs)

Report conclusions

Developing new models of care in the PACS vanguards

Developing new models of care in the PACS vanguards: a new national approach to large-scale change?
Kings Fund 19 April 2018

• The primary and acute care system (PACS) model is an attempt to bring about closer working between GPs, hospitals, community health professionals, social care and others. While not an evaluation of PACs this report offers a unique set of first-hand perspectives into the experience of those leading a major programme at the national level and those living it at the local level.

ACO contract and supporting documents

Accountable Care Organisation (ACO) Contract and supporting documents
NHS England 7 August 2017

• Following consultation NHS England has published revised Accountable Care Organisation (ACO) Contract and supporting documents for use by local commissioners to inform the early stages of their procurement processes. The Contract can now be used for accountable care models generally, including MCP and integrated primary and acute care system (PACS) models.
• Documents include:
• Integrating care: contracting for accountable models
• Accountable Care Organisation (ACO) Contract
• ACO Contract Particulars
• ACO Contract Service Conditions
• ACO Contract General Conditions
• Explanatory notes to the Contract
• Summary of engagement feedback
• Template Integration Agreement – overview
• Template Integration Agreement for partially integrated ACOs
• Procurement and assurance approach
• GP participation in an MCP
• ACOs and the NHS commissioning system
• Finance and payment approach for ACOs
• Whole population models of provision: Establishing integrated budgets
• Incentives framework for ACOs
• Accountable models and NHS Pensions
• Contract package Questions and Answers

Fostering hospital-community partnerships

A playbook for fostering hospital-community partnerships to build a culture of health
Health Research & Educational Trust, .American Hospital Association (AHA) July 2017

• This guidance outlines a range of methods, tools and strategies to help create and sustain partnerships between hospitals and communities in order to create a culture of health. 
• The guidance also uses insights from cohorts of a pilot programme on how to manage, strengthen and accelerate collaborations effectively