What are we doing?
Between January and September 2015, 50 vanguards from across England were selected to take a lead on the development of new care models, which will act as the blueprints for the NHS and the inspiration for the rest of the health and care system. There were five new models of care established by the programme, each different in its design focus and approach with the aim of improving the overall efficiency, effectiveness and value of local healthcare systems. A national-level support team was also established to provide ongoing and iterative support for each of the vanguards.
This national level evaluation, working with research staff from University of Manchester, University of Kent and the London School of Hygiene & Tropical Medicine, will investigate:
- The processes of implementation and support for the vanguard sites
- How the local vanguards drew on national level support to develop services
- The economic and patient care-related impacts of the vanguard programme
- How each vanguard worked to meet local and national targets for success
Why is it important?
As the vanguard programme represents a significant financial and resource investment on behalf of the NHS, it is necessary to gain a greater understanding of the programme as a whole and conduct a full evaluation of the impact it has had. This will allow us to investigate the success of this novel approach to change and development in the NHS. To inform future design and operation of large-scale change within the NHS, it is important that we provide a synthesis of local evaluative findings from each vanguard whilst providing clear evidence about the costs and cost-effectiveness of the new care models and their impact on local health economies and patient care. We can also explore how local vanguards have been empowered to develop local solutions to perceived local problems in care delivery whilst drawing on support from the national new care models support team.
How will we do it?
The main objectives of this evaluation are to a) determine how successful the programme has been in introducing new models of care in England, b) identify factors that support or inhibit the introduction of new models of care, and c) determine how successful the vanguards were in improving cost-effectiveness of care or patient-level outcomes.
These will be achieved by:
- Conducting an evidence synthesis of all local-level evaluations carried out by the vanguard sites
- Surveys of local evaluation leads and Sustainability and Transformation Partnerships (STP) leads with support from the National Audit Office
- Interviews with approximately 30 key stakeholders involved in the development of the vanguard programme
- In-depth case studies with six selected vanguard sites, including interviews and focus groups.
- Quantitative evaluation of the impacts the vanguard sites have had on stated outcome measures, such as emergency admissions and length of patient stay in hospital.
- Additional surveys with staff and ongoing meetings with NHS England, the national-level vanguard support team, and an established advisory group of experts in large-scale healthcare development from academic and healthcare backgrounds.
Who we are working with?
- The University of Kent
- The London School of Hygeine and Tropical Medicine
- NHS England
- The National-level vanguard support team
- Selected vanguard sites within England
- The National Audit Office