NHS England and the New Care Models
In his Five Year Forward View for the NHS, Simon Stevens noted “The traditional divide between primary care, community services and hospitals – largely unaltered since the birth of the NHS – is increasingly a barrier to the personalised and coordinated health services patients need.”
There have been many attempts over the years to break down barriers between general practice, community providers, hospitals, health and social care and mental health services, but success has been limited, with patient experience seeing little discernable difference. And that’s where the latest focus on new care models by NHS England aims to be different. Rather than closer working being a means in itself, the new care models take as a starting point the patient experience, and the associated objectives of integrated care, reduced admissions to hospitals and care closer to home.
Central to this has been the creation of a national network of Vanguard sites, each taking a lead on the development of new care models for its local population to act as the blueprints for the NHS moving forward. There are three types of model: MCPs (multi-specialty community providers), concerned with moving specialist care out of hospitals and into the community; PACs (primary and acute care system), with single organisations providing hospital, GP and community services; and enhanced health in care homes.
And with the creation of this network of Vanguards came a need for NHS England, which oversees the budget, planning, delivery and day-to-day operation of the commissioning side of the NHS in England, to recruit a new care models team, responsible for linking with and supporting Vanguards across the country.
Following the creation of a behavioural framework – both true to the values of the wider NHS constitution but also relevant to the fast paced reality faced by the New Care Models team – and the design of bespoke assessment exercises to measure both current capability and future potential of candidates, CentreStage was asked to provide support from both a role play and observation perspective.
Working alongside senior managers from the New Care Models team we helped to assess 80 posts, each with multiple vacancies, within the space of 2 months. By any standards this was a large recruitment campaign and with high stakes given the levels of talent NHS England were looking to attract.
Needless to say the New Care Models team is now in place and has already started to see significant results both in terms of patient and staff engagement across vanguard and other sights. You can read more about their progress at https://www.england.nhs.uk/tag/new-models-of-care/