- National funding for vanguard programme ends in March
- Ten CCGs confirm they intend to keep funding programmes but most could not confirm amounts
- Three CCGs said some vanguard work will continue as part of “business as usual”
- Three vanguards will not get any further funding from CCGs
There is a risk of a “loss of momentum” in new care models ahead of a major shift in their funding in the next financial year, the GP lead for two national vanguards has warned.
HSJ asked clinical commissioning groups involved in NHS England’s 14 multispecialty community providers and nine primary and acute care systems whether they intend to fund these vanguards beyond March when national funding is due to end.
Ten CCGs covering eight vanguards said they would keep funding their MCP or PACS in 2018-19. These were:
- All Together Sunderland MCP (Sunderland CCG);
- Dudley MCP (Dudley CCG);
- Fylde Coast Local Health Economy (Blackpool CCG and Fylde and Wyre CCG);
- Mid Nottinghamshire Better Together PACS (Mansfield and Ashfield CCG and Newark and Sherwood CCG);
- Stockport Together MCP (Stockport CCG);
- Tower Hamlets Together MCP (Tower Hamlets CCG);
- Wakefield MCP (Wakefield CCG); and
- Wirral PACS (Wirral CCG).
Dudley CCG said it planned to allocate £5m for its MCP in the coming years.
Stockport and Wirral CCGs have allocated £800,000 and £500,000 respectively to their vanguards for the next financial year.
No other CCGs could confirm the amount they intend to spend.
Calderdale, Morecambe Bay and North East Hampshire and Farnham CCGs said some vanguard work would continue as “core CCG funding” or as part of “business as usual”, but none of them could confirm how much this would cost.
Nigel Watson, GP lead for the two vanguards in Hampshire, said that despite the fact that some services would continue under core funding, it “is less clear at the moment how we resource locality managers and GPs who are involved in driving that agenda. What we don’t want to do is get rid of all the provider driven stuff and slip back to commissioning as its always been.”
He added: “I think we will lose some of the momentum, some areas will focus on what has been achieved and some will forget about it.
“In the vanguards, commissioners and providers came together with a single voice and it broke down some of the traditional [barriers]. There was much more cohesive relationship. I think there is a risk we will end up with commissioners micromanaging again and lose the efficiency and potential we gained.”
Northumberland, Corby and Harrogate and Rural District CCGs have not committed any funding to their vanguards beyond March.
A spokeswoman for Northumberland CCG said: “The key principle of [the] vanguard was that the work should be self sustaining and we have no planned funding in place past the 31 March 2018.”
A Harrogate and Rural CCG spokesman said: “Our vanguard did not operate as a primary and acute care system. It focused on smaller scale service redesign. Moving forward, the CCG intends to commission a primary care centred, community focused integrated model of care developed from the learning of the vanguard, whilst making the most of national learning.
“The CCG and programme partners have match funded the national funding throughout the lifespan of the programme. Partners have utilised the existing system funding, without any additional financial investment.”
Several CCGs said they had yet to decide whether they will provide further funding for their vanguards, or did not respond. These were:
- Better Care Together (Morecambe Bay CCG);
- Connected Care Partnership (Sandwell and West Birmingham CCG);
- Encompass MCP (Canterbury and Coastal CCG);
- My Life a Full Life (Isle of Wight CCG);
- Principia Partners in Health (Rushcliffe CCG);
- Wellbeing Erewash (Erewash CCG); and
- West Cheshire Way (West Cheshire CCG).
- Somerset CCG and Salford CCG did not respond in time for publication.
- Community services
- East Midlands
- Finance and efficiency
- Isle Of Wight NHS PCT
- Morecambe Bay CCG
- New care models
- NHS Blackpool CCG
- NHS Calderdale CCG
- NHS Canterbury and Coastal CCG
- NHS Corby CCG
- NHS Dudley CCG
- NHS England (Commissioning Board)
- NHS Erewash CCG
- NHS Fareham and Gosport CCG
- NHS Fylde and Wyre CCG
- NHS Harrogate and Rural District CCG
- NHS Mansfield and Ashfield CCG
- NHS Nene CCG
- NHS Newark and Sherwood CCG
- NHS North East Hampshire and Farnham CCG
- NHS Northumberland CCG
- NHS Rushcliffe CCG
- NHS Salford CCG
- NHS Sandwell and West Birmingham CCG
- NHS Somerset CCG
- NHS South Lincolnshire CCG
- NHS Stockport CCG
- NHS Sunderland CCG
- NHS Tower Hamlets CCG
- NHS Wakefield CCG
- NHS West Cheshire CCG
- NHS Wirral CCG
- North East
- North West
- Primary care
- South Central
- West Midlands
- Yorkshire and the Humber