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This toolkit is the culmination of the first year of Moorfields’ vanguard programme, one of 50 vanguard programmes in England chosen to design new models of care addressing the long-term sustainability of the NHS.

The national programme was developed following the publication in October 2014 of the Five Year Forward View (5YFV) setting out a new vision of the NHS, and the Dalton Review, which followed shortly afterwards, which described the organisational change that could help the NHS translate theory into practice.

Moorfields’ programme is one of 13 acute care collaboration vanguards which aim to link hospitals together to improve their clinical and financial viability. Moorfields has worked as a networked model of care for more than 20 years. It has drawn on its own experience and that of others working in this way to provide a practical, evidence-based resource for other organisations considering this model, particularly those struggling to continue providing specialist care locally.

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The 50 vanguard programmes chosen cover the following:

  • Integrated primary and acute care systems: joining up GP, hospital, community and mental health services
  • Multispecialty community providers: moving specialist care out of hospitals into the community
  • Urgent and emergency care networks: new approaches to improve the co-ordination of services and reduce pressure on A&E departments
  • Enhanced health in care homes: offering older people better, joined up health, care and rehabilitation services
  • Acute care collaborations: linking hospitals together to improve their clinical and financial viability

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The Moorfields team and collaborators

About new care models vanguards