Wednesday, 1 July 2015

London vanguards and LVSC article about new models of care and funding - June 2015



Dear colleague,

This short bulletin contains a link to an article I wrote following our recent Whole Systems event on April 16th. I would very much welcome your thoughts and information about any work you may have done in partnership and co-production with the voluntary, community and social enterprise sector (VCSE), CCGs, etc in the new models of care, including social prescribing.

I have also added a reminder about the role of the vanguards and what this may mean for the VCSE.  We have two in London and I hope to meet with them soon and discuss how we can learn from each other and share good practice in London.

Kind regards


Sandra van der Feen

Policy Officer, LVSC

Mondays - Wednesdays only


Whole Systems Change: co-producing new models of health and care. Moving forward together - a think piece following our recent April event

LVSC recently held a Whole Systems Change: co-producing new models of health and care event. Following the conference report, I produced an article describing the lack of funding as one key issue emerging from the event for the voluntary, community & social enterprise sector (VCSE). The article makes the case for a sustainable and transparent funding/commissioning strategy for the new models of care to work well and the need for the statutory sector including commissioners to invest to save. It also suggests a number of ways how funding issues issues might be addressed and describes some of the actions LVSC will take.

The article is aimed at our Regional Voices' partners as well the wider voluntary, community and social enterprise sector, locally, regionally and nationally. It will also be shared with our statutory sector colleagues, including NHS England, the vanguards, Commissioning Support Units, Academic Health Science Networks and other organisations and partnership bodies.

If you have any comments on the article and would like to share any learning and good practice in London, please contact Sandra van der Feen at


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Vanguards and the new models of care (reminder)

I produced some information about the vanguard in our April /May e bulletin, but as we hope to work with the London sites, I thought it appropriate to reiterate the role of the vanguards and the sites in London. The information below has been in part quoted from the useful RAISE vanguards and the models of care briefing.

As the RAISE briefing (need to scroll down the page for the briefing) states, we can be hopeful that the NHSE vanguard sites are going to be 'pushing the boundaries of what is accepted as the norm or the status quo'… or pushing the boundaries in terms of the traditional divide between primary care, community services and hospitals which have remained largely unaltered since the birth of the NHS.

What will they do?

The vanguard sites are part of what is known as the New Care Models Programme. Chapter 3 of the 5YFV sets out what these new models of care might look like, based on a number of emerging models, including, among others, social prescribing services to cut the need for visits to accident and emergency, out-patient services and hospital admissions.

Each vanguard site will take a lead on the development of one of three new models:

  • Integrated Primary and Acute Care Systems – this is all about joining up GP, hospital, community and mental health services.
  • Multispecialty Community Providers – all about moving specialist care out of hospitals and into the community.
  • Enhanced health in care homes – offering older people better, joined dup health, care and rehabilitation services
  • Frontline clinicians NHS staff and other local partners in each of the selected sites will lead the development of these models themselves, with additional support from NHSE – as practical support or additional funding to help them make planned changes happen.

And what does this mean for the voluntary, community sector & social enterprise sector (VCSE)?
Many of the new models of care are focused on existing emerging models, some of which seek to make better use of the rich variety of voluntary and community services which can support people with long term conditions to meet their health and wellbeing needs. An example of this is social prescribing – NHS England cites the Rotherham model whereby GPs and community matrons work alongside voluntary sector advisors who know what voluntary services are available for patients with long term conditions. More information can be found on the NHS E website.

What about patients?
According to NHS England 'this is all about making health services more accessible and more effective for patients, improving their experiences and their outcomes. This could mean fewer trips to hospitals as cancer and dementia specialists hold clinics in local surgeries, one point of call for family doctors, community nurses, social and mental health services, or access to blood tests, dialysis or even chemotherapy closer to home'.

For example in Kent, 20 GPs and almost 150 staff operate from three modern sites providing many of the tests, investigations, minor injuries and minor surgery usually provided in hospital. It shows what can be done when general practice operates at scale. Better results, better care, a better experience for patients and significant savings.

What will LVSC be doing?
We are currently planning to link up with vanguard sites in London to establish who is involved and what they are doing and what the rest of the sector can learn from these sites and vice versa. We are also in the process of developing a good practice integrated care and co-production case study in partnership with Kensington & Chelsea Social Council and Central West London Healthwatch. How the vanguards may learn from their experiences will be shared with both London vanguards and others. We will also collect some case studies on the social prescribing models based in London. So watch this space.....

The two London sites:
Multispecialty Community Providers (MCPs): Tower Hamlets Integrated Provider Partnership
Care Homes.
Tower Hamlets Integrated Provider Partnership (THIPP), a collaboration of partners that include Tower Hamlets GP Care Group Community Interest Company, Barts Health NHS Trust, East London NHS Foundation Trust and London Borough of Tower Hamlets, will develop local health and social care services to keep people well for the 270,000-strong population of Tower Hamlets.


Sutton CCG: Sutton CCG said: "Over the last year Sutton CCG has been working with local partners in health, social care and the voluntary sector, to provide support to local care homes, with the aim of improving safety and quality for residents. Being part of this national programme will allow Sutton CCG to take our work with care homes to the next level.  With the extra support provided to vanguard sites, we expect to be able to deliver a number of new initiatives, including working with local hospital, community, GP and social care colleagues to develop a regular 'ward round' in care homes, similar to those on a hospital ward."









ABOUT REGIONAL VOICES This e bulletin is published monthly by LVSC as the London region member of Regional Voices.

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Regional Voices champions the work of voluntary and community organisations to improve health, well-being and care, across England. Regional Voices is a partnership of nine regional networks. Together, we directly connect to over 25,000 voluntary and community organisations. Our coverage is broad, deep and well-established. Our vision is for a society where voluntary and community organisations are connected with decision-makers at all levels, able to influence policy and improve community health, care and well-being through better services.

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