1. New care models setting the scene
Jane McVea
Senior Strategic Account Manager (London and South)
New Care Models Programme
27 March 2017

2. The NCM Programme

3. We are supporting the NHS Five Year Forward View
through the new care models programme
Clinical engagement
Patient involvement
Local ownership
National support
Radical upgrade in prevention
Health and wellbeing gap 1
New care models
Care and quality gap 2
Efficiency and investment
Funding gap 3

4. 50 vanguards are developing new care models, and acting as blueprints and inspiration for the rest of the health and care system. 9
Integrated primary and acute care systems 14
Multispecialty community providers 6
Enhanced health in care homes 8
Urgent and emergency care 13
Acute care collaboration

5. The national programme is supporting the vanguards through the key enablers of their new care models1.
Designing new care models 2.
Evaluation and metrics 3.
Integrated commissioning and provision 4.
Governance, accountability and provider regulation 5.
Empowering patients and communities 6.
Harnessing technology 7.
Workforce redesign 8.
Local leadership and delivery 9.
Communications and engagement

6. Together, we are learning about the key requirements for developing, delivering, and spreading new care models
Build collaborative system leadership and relationships around a shared vision for the population.
Develop a system-wide governance and programme structure to drive the change.
Undertake the detailed work to design the care model, the financial model and the business model. This includes clinical and business processes and protocols, team design and job roles.
Develop and implement the care model in a way that allows it to adapt and scale.
Implement the appropriate commissioning and contracting changes that will support the delivery of the new care model.

7. Integrated Whole Population Model (PACS/MCP)
Core components of a successful whole population vanguard
Systematic approach to population health management
Engaging the population in their own health and wellbeing
A new model of enhanced primary care &integrated community teams
A person-centred approach to delivery of care and support
Shared care records and digital technology
Specialist advice and treatment in the community
A whole pathway approach to long term care
Integrated access to acute and emergency care
A new model of inpatient care
A whole-system approach to workforce and leadership

8. Enhanced health in care homes
Core components of a successful enhanced health in care homes vanguard are emerging
Enhanced primary care support for care home residents
Multi-disciplinary team in-reach support
Re-ablement and rehabilitation to promote independence and living at home
High quality end of life care and dementia care
Joined up commissioning between health and social care
Workforce training, development and shared planning
Data, IT and technology – shared data, records and new technology 8

9. Social prescribing

10. Encompass MCP (Whitstable, Faversham and Canterbury)
Population: 170,000 across Whitstable, Faversham, Canterbury, Ash and Sandwich.
Social prescribing:-Social prescribing enables GPs, nurses and other primary care professionals to refer people to a range of local, non-clinical services.
The challenge:- many small, local voluntary sector organisations find it difficult to connect with main stream services.
A single point of access for voluntary and community services.
Connect Well Kent, powered by Red Zebra gives access to 371 different providers to maximise well being.
Referrers make one call and a social prescriber takes over the case and works with the service user to identify solutions.

11. Community Activation

12. My Life a Full Life PACS Isle of Wight
Population: 140,000 on the Isle of Wight
Community activation :- empowering people and their communities to take a more active role in their health and wellbeing
The challenges on IoW they believe that if the first point of contact is a statutory service, people will stay in the statutory sector. They aim to break this cycle.
Local Areas Co-ordinators build resilience in the age group and their families. Work fluidly in communities identifying resources and people who need them and making the connection.
Care Co-ordinators are based in primary care settings and help navigate people referred to solutions for them.
Peer support for carers, Mental health, Diabetes, alzheimers.
Good neighbour scheme
Men in sheds – wellbeing coaching.

13. Tower Hamlets Together MCP
Population: 287,000 in inner city London
The Challenge: the highest proportion of children living in poverty in England. Large number of women from ethnic minorities who do not travel more than X from the family home.
Mapped 150 initiatives across borough to reduce demand in primary care.
Cycle of Demand aims to change the relationship between professionals and patients.
Building on social movement DIYH projects co-produce ways of working to support people managing their own health.
How to guide to help general practice work with communities
Can Do Fund
Learning from E2 breakfast;
 DIY health
St Pauls way medical centre and Mission Church– education sessions working with parents of children under 5, focussing on minor ailments
St Andrews Health centre – children under 5 – eczema
Jubilee St practice – peer support for older adults to stay active
Women’s Health and family services – older adults stay active
Can do fund Chatter natter in stepney
Isle of Dogs womens groups.

14. Building on wellbeing

15. Erewash MCP Population: 97,000 across rural Derbyshire
Wellbeing:- a state characterised by health, happiness, prosperity and welfare.
The challenge:- to motivate young people to have greater control and understanding of health and wellbeing
Brilliant Erewash – the Art of Being Brilliant.
Transform the way young people think about themselves.
Share simple principles to promote self esteem, confidence and good mental health
Energise young people and increase numbers able to manage mental health

16. Community resilience

17. Morecambe Bay PACS Population: 365,000 in the Lake District
Community resilience:- the ability of a community to recover after periods of stress.
The challenge
Millom is a small town , population 8,500 in the lake district 50 mins from the nearest A&E. General practice was in crisis and operating out of poor run down premises.
Community produced a recruitment video for GPs.
Promotion of pharmacy minor illness scheme
Health promotion magazine distributed to 5,500 households monthly.
Type 2 diabetes support group
Rally round a technology driveway for volunteer recruitment aimed at younger volunteers
Remote virtual outpatients set up in community centre.

18. For further information…
More details can be found on the NHS England website:
You can the programme at:
Or join the conversation on Twitter using the hashtag:
#futureNHS