• Acute care collaboration is the only vanguard area to get funding rise
  • Most PACS and MCPs receiving less money in 2016-17 than previous year
  • NHS England previously said funding would be prioritised to the areas it had most confidence in
  • Data: See all the vanguard allocations

Vanguards will receive less money in 2016-17 than last year, with hospital chains the only sector to see an overall increase in funding.

Transformation funding allocations data for 2016-17, published on Thursday, reveal that most vanguards working to establish vertically integrated provision are facing a cut in funding.

Royal Free London NHS Foundation Trust

Royal Free Hospital

The Royal Free vanguard has had a 215 per cent funding increase

HSJ understands many vanguards asked for funding increases to drive change in their areas. Vanguards submitted business cases known as “value propositions” in the spring, setting out how much cash they needed and what the return on investment would be. HSJ has heard that the total sum requested was an order of magnitude more than has been allocated.

The figures show that excluding three vanguards in Greater Manchester, which are being funded locally rather than via the national transformation fund, vanguards will receive £112m in 2016-17, compared with £120m last year.

Although there are winners and losers in each type of vanguard, when taken as a whole, funding is being cut to four of the five vanguard sectors: primary and acute care systems; multispecialty community providers; care homes; and urgent and emergency care sites.

Of the 21 PACS and MCP vanguards outside Manchester, which are trialling vertically integrated care, 12 are having funding cut. Last year, five PACS and MCP vanguards received over £5m. In 2016-17 only one is.

Only the acute care collaboration vanguards are together receiving increased investment. Excluding the Salford and Wigan collaboration, this cohort received £13.9m in 2015-16. This year that will almost double to £26.4m.

Breakdown by sector

Vanguard type2015-16 funding2016-17 funding% change

PACS

£40.4m

£30.9

-23.4

MCPs

£46m

£37.3

-18.7

Care homes

£6.6m

£5m

-23.7

Urgent and emergency care

£12.9m

£12.8m

-0.9

Acute care collaboration

£13.9m

£26.4m

90.7

Total

£119.6m

£112.5m

-6

All figures exclude three Greater Manchester vanguards, which are funded from local allocations from 2016-17

In March, new care models director Samantha Jones told HSJ that this year’s transformation funding would be prioritised to the areas that national leaders had the most confidence in.

The data shows that some vanguards have had their funding cut dramatically.

Vanguards which have had their funding halved, or are receiving minimal funding

VanguardVanguard type2015-16 funding2016-17 funding% change

Northumberland

PACS

£8.6m

£4.3m

-50.12

South Somerset Symphony

PACS

£8m

£4m

-50.5

Wirral Partners

PACS

£4.5m

£0.08m

-98.3

Calderdale

MCP

£1.3m

£0.08m

-94.3

West Cheshire Way

MCP

£5.3m

£0.08m

-98.58

Lakeside Healthcare

MCP

£0.3m

£0.08m

-75

Airedale & Partners

Care homes

£1.3m

£0.5m

-61.8

Wakefield District

Care homes

£1.4m

£0.3m

-78.3

Nottingham City

Care homes

£0.7m

£0.3m

-54.6

Sutton

Care homes

£0.7m

£0.5m

-23.7

Dorset

Acute care collaboration

£1.5m

£0.2m

-88.2

Yorkshire and Derbyshire

Acute care collaboration

£1.3m

£0.2m

-86.5

Cheshire and Merseyside Women’s and Children’s Services

Acute care collaboration

£0.8m

£0.2m

-79.2

Vanguards which have had significant increases in funding

VanguardVanguard type2015-16 funding2016-17 funding% change

Mid Nottinghamshire

PACS

£4.3m

£6.6m

55

Gateshead

Care home

£0.9m

£1.6m

81.8

North East Urgent Care Network

Urgent and emergency care

£1.8m

£2.9m

51.6

Royal Free

Acute care collaboration

£2.5m

£8m

215

Dartford and Gravesham

Acute care collaboration

£1.3m

£2.5m

92.3

Accountable clinical network for cancer

Acute care collaboration

£1.1m

£7m

560.4

MERIT (Mental Health Alliance)

Acute care collaboration

£1m

£1.8m

76.8

The Neuro Network

Acute care collaboration

£0.7m

£1.8m

150

The national commissioning body has not yet said how the remainder of this year’s £300m transformation fund will be allocated. Last year it was spent on a national support package, and some other national projects.

Data on how much the vanguards in Greater Manchester are receiving has not yet been released.

A spokesman for the new care models team said: “We have always said that we would back the strongest vanguards. 

“It is clear that some vanguards have made much more progress than others and it is those that are receiving the greater share of funding in 2016/17. The vanguards are being encouraged to think of the sustainability and transformation plans process as an opportunity to ‘scale-up’ their care models within their transformation footprint.”