The impact of Extensive Care Service and Enhanced Primary Care in Fylde Coast

The impact of Extensive Care Service and Enhanced Primary Care in Fylde Coast
Health Foundation Improvement Analytics Unit November 2020

• Early impact of two complementary integrated care team initiatives developed in the Fylde Coast NHS vanguard, the Extensive Care Service (ECS) and Enhanced Primary Care (EPC), aimed at adults with complex chronic care needs. Both use risk stratification to help identify adults with complex chronic care needs who are at risk of hospitalisation. 
• The analysis has found that ECS and EPC patients were admitted to hospital in an emergency respectively 27% and 42% more often compared with their matched control group. Similar trends have been also found across other measures of hospitalisation. While the analysis found that neither model of care reduced hospital activity during the period analysed, it could not conclude that the higher levels of activity were a direct causal effect of ECS or EPC.
• Blog Are multidisciplinary teams an effective tool to reduce emergency hospital activity?

Spreading best practice UK Ophthalmology Alliance

Spreading best practice UK Ophthalmology Alliance
Networked Care, March 2018

• The aim of the National Orthopaedic Alliance (NOA) vanguard programme was to create a UK-wide alliance of orthopaedic providers to deliver outstanding and consistent care in more areas. The NOA vanguard has developed a consistent benchmarking framework, describing not only ‘what good looks like’ in orthopaedic care but also the components of a quality improvement journey. 
• This publication shares experience and advice from replicating the membership model across ophthalmology nationally.

Vanguard sites in care homes

NHS England Vanguard sites offering enhanced health in care homes 
The following organisations are now NHS England vanguard sites taking forward the Five Year Forward Plan and offering older people better, joined up health, care and rehabilitation services.

• NHS Wakefield CCG
• NHS Gateshead CCG
• East and North Hertfordshire CCG
• Nottingham City CCG
• Sutton CCG
• Airedale NHS Foundation

Superpractice vanguard to run A&E front door

‘Super practice’ vanguard appointed to run A&E ‘front door’
HSJ 9 November 2015
The primary care ‘super practice’ and vanguard site Lakeside Healthcare has begun triaging ambulatory patients who arrive at Leicester Royal Infirmary’s accident and emergency department.

• Multispeciality community provider Lakeside Healthcare to run A&E triaging service
• “Front door” service to be run by provider’s urgent care delivery arm Lakeside Plus
• Scheme to start with 12 month contract