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Five-year forwards view

Email policy@rcslt.org and tell the RCSLT how your organisation is engaged in plans to deliver NHS England's new model of care.

The RCSLT, along with partners in the third sector and Allied Health Professions Federation, worked hard to get our key messages and manifesto asks across to the key political parties in the 2015 General Election.

While the parties outlined their policies on the future of public services, there were some important developments we encouraged members to track at a local level and get involved in where possible, to influence on behalf of their patients/users.

In England, the focus was on the implementation of the Five Year Forward View. NHS England CEO Simon Stevens set-out his vision of encouraging local services to innovate and use transformative approaches to integrate care. This included the ‘triple integration’ of primary and secondary, physical and mental health, health and social care.

To support this, he announced the funding of applications for new care models and 'multi-speciality community providers', e.g. involving the pooling of budgets, co-commissioning and GPs coming together at scale with hospital consultants. There was also a focus on changing culture and leadership, including clinical leadership to support this transformational change.

He saw this as a pivotal moment to drive changes forward and consider patient outcomes (and not just budgets), as well as skills-sharing across the workforce. As a profession, we are already moving forward in these areas. He was also looking at the learning, not only from pilot sites, but from across the UK; particularly Scotland, where there has been a focus on quality which has been missing in England.

In February 2015, NHS England and Greater Manchester announced groundbreaking plans with a signed memorandum to bring together health and social-care budgets – a combined sum of £6bn. This trailblazing move saw NHS England, 12 NHS clinical commissioning groups, 15 NHS providers and ten local authorities agree a framework for health and social care, with plans for joint decision-making on integrated care, to support physical, mental and social wellbeing.

On 10 March, the first wave of pilot sites (29 areas or organisations that will develop NHS England’s new models of care) were chosen.

The sites focused upon:

  • 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.
  • Enhanced health in care homes – offering older people better, joined-up health, care and rehabilitation services.

View the full list of 29 pilot sites and their care models

The RCSLT contacted members in the pilot areas and in Manchester. The RCSLT is still pushing on the need to support better-integrated service commissioning and provision for children's services, including an alignment of priorities and frameworks.

Is your organisation engaged in plans to deliver NHS England’s new models of care? If so, the RCSLT wants to hear from you. Email policy@rcslt.org to tell us more about your work.

Maria Luscombe, RCSLT Chair and Kamini Gadhok, MBE, RCSLT Chief Executive. Email: kamini.gadhok@rcslt.org