NHS England has for the first time released comprehensive details of how its £200m transformation fund for 2015-16 was allocated to vanguards, and spent by national teams.

The data shows:

  • A total of £132.6m of the £200m fund went to vanguards. The rest was spent on national programmes or funded the central support team for new care models.
  • Vanguards spent £111.1m of their own money on their new care models, with primary and acute care system sites more than matching the transformation funding they received.
  • Only one vanguard received significantly less transformation funding than its peers.
  • PACS received more central funding on average than any other type of vanguard.
  • National initiatives such as Care.data, the success regime and the integration pioneers were also funded from the £200m fund.

How the pot was split between vanguards

PACS sites received the most funding, with an average of more than £5m per site. They were also the only vanguard group to more than match their transformation funding with their own resources.

PACSTransformation fundingMatched resources

Morecambe Bay Health Community



Harrogate and Rural District



Mid Nottinghamshire Better Together



Isle of Wight



North East Hampshire and Farnham









South Somerset









Lakeside multispeciality community provider was the only MCP to receive very little transformation funding. The large scale primary care provider attempted to switch CCGs last year, and HSJ understands a lack of support from Lakeside’s commissioners could have been a factor in the decision by national bodies not to invest in this site.

MCPTransformation fundingMatched resources

Better Health and Care for Sunderland



Southern Hampshire









Encompass (Whitstable)






Fylde Coast



Modality (Birmingham and Sandwell)



Principia Partners (South Nottinghamshire)






Tower Hamlets



West Cheshire



West Wakefield



Lakeside Healthcare






Enhanced health in care homes vanguards received over £6m in transformation funding. Separately, national leaders spent £1.6m on “scaling Airedale”.

Enhanced health in care homesTransformation fundingMatched Resources

Airedale and Partners



Wakefield District



East and North Hertfordshire






Nottingham City









Urgent and emergency care vanguards received nearly £13m, while the acute care collaboratives were allocated over £17m.

Urgent and emergency careTransformation fundingMatched resources

Barking and Dagenham, Havering and Redbridge






Cambridge and Peterborough



Leicester, Leicestershire and Rutland



South Devon and Torbay



North East Urgent Care Network



Greater Nottinghamshire



West Yorkshire Urgent Care Network







Acute care collaborativeTransformation fundingMatched resources

Salford and Wigan



Royal Free London






East Midlands Radiology Consortium






Dartford and Gravesham



Accountable Clinical Network for Cancer



South Yorkshire, Mid Yorkshire and North Derbyshire



Mental Health Alliance



Cheshire and Merseyside



Neuro Network



National Orthopaedic Alliance









Overall total for vanguards

  • Transformation funding: £132.6m
  • Matched resouces: £111.12m

Spending on national projects

The biggest items of spend from national budgets were £3.45m for evaluation and metrics – still very much a work in progress, £3.5m for the integrated care pioneers – a programme started under the last government before the Five Year Forward View; £2.48m on communications and engagement, and over £6m on a “regional spread initiative”.

The national support package was budgeted at £34m, but the cost reduced to £25m when “slippage” worth £9m was taken into account.

Some of the transformation fund was spent on national programmes outside the vanguard.

This included £3.6m for Care.data, £10m for a programme for employing people with learning disability, and £4m for a diabetes prevention scheme.

National Support Package  

Designing new care models


Leadership and system development


Workforce redesign


Empowering patients and communities


Evaluation and metrics


Harnessing technology


Commissioning, contracting and procurement


Payment design and pricing


Organisational form




Communications and engagement


Other - pioneers




Additional major projects

A) Primary Care Home


B) Major Projects Leadership Academy


C) 100 day accelerator


D) GM MCP diffusion


E) Scaling Airedale


F) Regional spread initiative


Clinical associates

UEC vanguards (modelling)


UEC NECS Channel Shift Programme


Value Framework (HFMA Bain)


Total national support package



National programmeFunding

Success regime


Diabetes prevention scheme


Strategic group programmes




Employing people with learning disabilities


Other in year initiatives


Strategy budgets total



Testing 14th June 2016