As the NHS begins to visualise the capabilities of new care models, two briefings written by HSJ’s experts look at how vanguards are implementing service redesigns.

Three trusts which make up the National Orthopaedic Alliance are defining a set of standards with which to award orthopaedics services. Those awarded its kite mark can then run services as part of a franchise.

The vanguard trusts are the Royal Orthopaedic Hospital Foundation Trust; the Royal National Orthopaedic Hospital Trust; and Robert Jones and Agnes Hunt Orthopaedic Hospital FT. David Williams looks at how the franchises could potentially be run.

Chief executives should be leading sustainability and transformation plans, the discussion around them have been suggesting. Putting providers in charge may encourage them to put their capacity behind transformation and take it seriously even when it means their organisation is taking a hit, writes Dave West.

The briefing is available to download for free.

HSJ is also publishing daily free digital downloads of case studies from winning or shortlisted entries to its awards programmes – the largest collection of recent and validated best practice in the NHS.

Available as part of the Value in Healthcare Awards and Congress taking place on 24 May, these best practice examples of service transformation offer insight into their successes and failures as well as steps that can be taken to replicate them in various organisations.