Special Edition: New Care Models


September 2018


In this special edition of Evidence insights we've collated the evidence on the 50 New care model vanguards, which were developed following the 'Five Year Forward View', (published in October 2014),

The evidence has been gathered from a range of sources with open access and covers learning from all five vanguard types: 

  • Integrated Primary and Acute Care Systems (PACS) 
  • Multispecialty Community Providers (MCPs) 
  • Enhanced Health in Care Homes (EHCH)
  • Urgent and Emergency Care (UEC)
  • Acute Care Collaborations (ACC)

Featuring in this edition:

New Care Models

Integrated Primary and Acute Care Systems (PACS) 

Multispecialty Community Providers (MCPs) 

Enhanced Health in Care Homes

Urgent and Emergency Care (UEC)

Acute Care Collaborations 


Evaluation strategy for the new care model vanguards (NHS England. May 2016)

Integrated Primary and Acute Care Systems (PACS) 

Isle of Wight

Morecambe Bay 

North East Hampshire and Farnham 

Multispecialty Community Providers (MCPs) 

Connected Care Partnership 

Dudley MCP



Better Local Care (South Hampshire) 

Sunderland All Together Better 

Tower Hamlets Together 

Connecting Care Wakefield 


Enhanced Health in Care Homes




Newcastle Gateshead

Urgent and Emergency Care 

Acute Care Collaborations 


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Implementation learning


NHS England 

NHS Confederation 

The King's Fund 



The international knowledge base for new care models relevant to primary care-led integrated models: a realist synthesis
This realist synthesis, by Alison Turner et al (July 2018), articulates the underlying programme theories for the Multispecialty Community Provider (MCP) model of care.  

Supporting shared decision making for older people with multiple health and social care needs: a realist synthesis
This realist synthesis, from Frances Bunn et al (July 2018), provides a context relevant understanding of how interventions to facilitate Shared Decision Making might work for older people with multiple health and care needs, and how they might be applied in integrated care models.

Understanding new models of integrated care in developed countries: a systematic review
This systematic review, from Susan Baxter et al (July 2018), reviewed international evidence to enhance the understanding of the mechanisms whereby new models of service delivery have an impact on health-care outcomes.  

Innovation to enhance health in care homes: Rapid evidence synthesis
This rapid evidence synthesis, by Barbara Hanratty et al (waiting publication), collated evidence
relating to the effectiveness, cost-effectiveness, implementation, delivery, evaluation and impact of new models of care on enhancing health in care homes.  

From programme theory to logic models for multispecialty community providers: a realist evidence synthesis
This evidence synthesis, by Rod Sheaff et al, (July 2018), used policy-makers’ assumptions to elicit an initial programme theory (IPT) of how MCPs can achieve their outcomes and to compare this with published secondary evidence and revise the programme theory accordingly.  

Some assembly required: implementing new models of care: Lessons from the new care models programme
This report, from Anna Starling at the Health Foundation (November 2017), draws on experiences of those leading the vanguard sites of the new care models programme. 

Implementing new care models: learning from the Greater Manchester demonstrator pilot experience
This paper, by Rebecca Elvey et al (June 2018), explores the factors influencing the implementation of services within a programme designed to improve access to primary care.  

Improving care for older people with long-term conditions and social care needs in Salford: the CLASSIC mixed-methods study, including RCT
This study, by Peter Bower et al,  explores the process of implementation of the Salford Integrated Care Programme and the impact on patient outcomes and costs.

Useful resources  


The Future of new care models 

New Care Models

  • How will the new care models of care change general practice? - An expert panel discussion (Ockham Healthcare, July 2018).  Part 1 and Part 2 - Panel includes Nav Chana (GP and chair of the National Association of Primary Care), Nick Hicks (Ex-GP and CEO of COBIC an independent consultancy) and Tracey Vell (GP, Chief Executive of Manchester LMC and Associate Lead for Primary and Community Care in the Greater Manchester Health and Social Care Partnership).  
  • Developing new care models through NHS vanguards (National Audit Office, June 2018) - this report examines whether the NHS is well placed to get value for money from its investment in developing new care models through vanguards.

Sustainability and Transformation Partnerships 

And Beyond 

  • The Strategy Unit is currently involved in:
    • Place-based working and the NHS webinar from The Strategy Unit, Health Services Management Centre, Public Health England and NHS England will address an overview off place-based developments in the NHS with case studies. (Tuesday 2nd October at 11:30am-12:00pm, email to register to attend)
    • Neighbourhood Working - In order to support neighbourhood working, the Strategy Unit has set up a Neighbourhood Network - bringing together different services; health, social care, voluntary sector (etc) and coordinating their efforts to improve health outcomes for local populations.  The first event featured Nick Harding, NHS Horizons and others and the second event focuses on ‘making the case and creating the culture’. It will help teams to define their purpose, measure their progress and set the right culture for multi-disciplinary working. The event is free, on 11th October in Birmingham, or more details and to register, click here.
  • Developing the long-term plan for the NHS - This web page hosted by NHS Improvement contains updates on the long-term plan for the NHS, including; life course programmes, clinical priorities and enablers.   
We want to hear from you!

We welcome your feedback about this special edition, if you know of any other sources that would be useful to share on 'New Care Models' we'd love to hear from you.  Please contact Mahmoda Begum on:

We'll endeavour to keep this list of evidence on 'New Care Models' updated on our website 

If you have any other general feedback about Evidence Insights please contact us on,  Email: or Telephone: 0121 612 1538. 
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