Revealed: Where the £200m national transformation fund was spent

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.

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.

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

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

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.