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Vanguard sites

VanguardAim of programme
Multi-specialty Community Providers (MCPs)The Vanguard aims to move care out of the hospital into the community. It involved the implementation of an out-of-hospital model of care focusing on: people staying independent and well for as long as possible; people living longer with a better quality of life with long-term conditions; people supported to recover from episodes of ill health and following injury; resilient communities and high levels of public satisfaction. The MCP Vanguard began in April 2015 although pre-Vanguard elements began implementation from 2013
Primary and Acute Care Systems (PACS)The Vanguard aims to develop a new variant of “vertically integrated” care allowing single organisations to provide joined-up GP, hospital, community and mental health services. It involved the development of a new Urgent and Emergency Care Hospital and the development of an “enhanced care teams” pilot and new workforce models (Transforming Primary Care). The PACS Vanguard began in June 2015 and the Trust became the first Accountable Care Organisation in the region – effective from April 2017
Acute Care Collaboration Vanguard (ACC)The Vanguard aims to link local hospitals together to improve their clinical and financial viability, reducing variation in care and efficiency. It aims to widen the support and services (i.e. commercial/contractual services, consultancy/advisory as well as a range of clinical and corporate services) the Trust can provide to other parts of the NHS through acquiring and/or merging with other hospital Trusts. The ACC Vanguard was finalised in January 2016
Enhanced Health in Care Homes Vanguard (EHCH)The Vanguard aims to offer older people better, joined-up health, care and rehabilitation services. It aims to develop a sustainable, high-quality new care model for people in community beds and receiving home-based care services across a metropolitan area with a new outcome-based contract and payment system that supports the development of the Provider Alliance Network (PAN) delivery vehicle. The Vanguard started March 2015 although some features had been implemented pre-Vanguard status
Urgent and Emergency Care Vanguard (UEC)The Vanguard aims to improve the coordination of urgent and emergency care as a whole system, ensuring people can access the most appropriate service, first time. The Vanguard status was awarded in July 2015 and the programme has been fully operational since November 2016. Most initiatives went live in December 2016

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