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  • The Health Foundation has captured some of the experiences of those working on the vanguard sites of the new care models programme in England.
  • Drawing on the experiences of those leading the vanguard sites of the new care models programme, this report sets out 10 lessons for those seeking to systematically make improvements across local health and care services for those patients who are in most need of joined up care.
  • It emphasises the value of local co-creation and testing of new care models, and offers useful learning for those seeking to drive the development of new models of care within sustainability and transformation partnerships and accountable care systems.

Key findings

  • Understanding the lessons learnt from the new care models programme will be vital in helping NHS leaders develop more effective ways of delivering care in the future. This report shines light on how vanguard sites have made changes and offers crucial insight into the challenges and enablers in developing new care models.
  • The report sets out 10 lessons for those seeking to systematically make changes across services in their area. These are based on first-hand accounts of clinicians and managers from the new care models programme’s vanguard sites. These sites have worked through the complexities of bringing together professions and organisations to develop place-based models of better coordinated care for people with complex health and social care needs.
  • The report finds that assessing and understanding what change efforts have come before, and what organisations and relationships currently exist is vital when developing new models of care. It emphasises the value of local co-creation and testing.
  • Applying the new care models programme’s approach to supporting local change could have a substantial impact on the health of the population and, in particular, on the lives of people who fall through the gaps between fragmented health and social care services


Dr Alison Tonkin

I am looking forward to seeing how this links to health of the population - thank you


Whilst it might appear to make sense linking up services, we still suffer discrimination around mental health, particularly in the general sector when consultants find there is a mental health history, that is all they see.
I find that when you mention you have had a mental health history, particularly in my local hospital at Southend, consultants just don't know how to manage it, they focus on the mental health as being the 'be all end all' of our problems, they drag up old history and add it to reports which are then available to half the population, which is discriminating and really unnecessary.
I have learned never to tell anyone anything I don't feel they need to know and lie if I have to, just to be treated as a normal person.

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