Feature Briefing

Vanguards start to change practice but will lessons be applied nationwide?

BMJ 2017; 357 doi: https://doi.org/10.1136/bmj.j1880 (Published 18 April 2017) Cite this as: BMJ 2017;357:j1880
  1. Adrian O’Dowd, freelance journalist, UK
  1. adrianodowd{at}hotmail.com

New approaches to care show promise but may not be easily transferable, writes Adrian O’Dowd

What are the health and social care vanguards?

Essentially, these are testbeds for innovation in care in England. In January 2015, the NHS invited individual organisations and partnerships to apply to become vanguards for the new care models programme, one of the first steps towards delivering the aims of the NHS Five Year Forward View.1

Fifty vanguards were established between January and September 2015 to lead on developing new care models that could act as blueprints for the NHS. In addition to support from NHS England, they were allocated total funding of almost £133m (€133; $144) in 2015-16, more than £112m in 2016-17, and £101m in 2017-18.

What are the five vanguard models of care?

The vanguards are looking at various models of care but the five main types …

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