What are vanguards?
The first wave of 29 vanguard sites comprised three types – integrated primary and acute care systems; enhanced health in care homes; and multispecialty community provider vanguards.A second wave of eight vanguards was announced, known as urgent and emergency care vanguards.Three vanguards were announced for the Wessex region, comprising two integrated providers and one multispeciality community provider.
Each vanguard site will take a lead on the development of new care models which will act as the blueprints for the NHS and the inspiration to the rest of the health and care system.
Wessex AHSN support
The 3 Vanguard sites have all engaged with the AHSN and requested different levels of support.
North East Hampshire & Farnham CCG
Wessex AHSN's Centre for Implementation Science (CIS) is leading the Evaluation and Metrics work. We have commissioned Consilium Consulting to assist. (Consilium are also supporting South Hampshire.)
An evaluation framework has been designed to measure the impact against the overall system aims: supporting people to be happy, healthy and at home, whilst also improving value for money. The framework operates at three levels:
- Evaluating the impact of individual interventions to we can learn, adapt and share success, using logic models
- Evaluating the impact for specific target population groups; for example, the high risk population, for children, or for people with specific conditions
- At high level: creating a visual dashboard against which overall progress can be assessed and which the Integrated Primary and Acute Care systems (PACs) can use to steer the scheme.
The New Models of Care team are developing and promoting a range of models and metrics that can be used with local measurements to provide a consistent methodological approach to evaluate the whole vanguard programme. To make this happen, we are working with the national team who will join us at a workshop to share experiences and exchange ideas.
We are directly supporting the Evaluation worksteam and three specific projects. The Evaluation worksteam is expected to launch during Q2.
The three specific projects are, Dementia Friendly Surgeries, WebGP, and Surgery Signposting.
1. Dementia-Friendly Surgeries: The GP dementia friendly surgery project has already spread to 20 surgeries and Southern Hampshire are considering a phased adoption in 28 Vanguard practices.
2. Surgery Signposting: A single point of access to help patients navigate local voluntary and community support to reduce demands on GPs has started its pilot in Gosport GP surgeries.
3. WebGP: Seven South West Hampshire Vanguard practices are implementing WebGP and the CIS is working with Bristol University to develop an evaluation method. 13 practices are currently implementing WebGP in the Bristol area.
Isle of Wight
Discussions are currently underway between Wessex AHSN's Centre for Implementation Science and Consilium to progress joint working and shared learning for the Wessex Vanguard sites.
We have published a short report on the evaluation of how people feel when they experience new models of care. The report has been produced in partnership with R-Outcomes and the Wessex AHSN Centre for Implementation Science (University of Southampton) and responds to local evaluation guidance, published by NHS England in June 2017, that calls for a strengthened focus on capturing and evaluating patient and residents’ experience of transformed services.