Table 1 Vanguard Organisation characteristics

A

Integrated primary and acute care systems vanguard:

Multi-disciplinary integrated care

5 partners (incl city council, hospital and mental health trusts, CCGs)

230,000

Integrated health and social care team in an older adult acute mental health unit.

n = 36 (29 women, 7 men)

10 Trainee/qualified nurses

6 Vanguard leads/senior managers

6Nursing/activity assistants

3Trainee/qualified physiotherapists

3 Medical doctors

2Trainee/qualified psychologists

2Trainee/qualified occupational therapists

2 Ward managers

1 Speech and language therapist

1 Ward clerk

Increasing the effectiveness of multi-disciplinary integrated working:

Ward team instigating more cross-disciplinary recovery-focussed activities with patients.

B

Integrated primary and acute care systems vanguard:

Multi-disciplinary integrated care

11 partners (incl NHS trusts, ambulance services, CCGs, local authorities, GP federations)

356,000

Integrated children’s nursing community team

n = 10 (9 women, 1 man)

3 Vanguard leads and senior vanguard managers

3 Team leaders

3 children’s specialist nurses

1 service director

Enhancing use of a new integrated service:

Increasing referrals from acute staff to a new specialist holistic children’s nursing team

C

Multi-specialty community providers vanguard:

Moving specialist care into the community

6 partners (incl local councils,

hospital trusts and CCGs)

320,000

Heart failure specialist team.

n = 15 (14 women, 1 man)

5 Heart failure specialist nurses (3 acute and 2 community nurses)

2 Administrators

2 Healthcare assistants

2 OD practitioners

1 Vanguard lead

1 Clinical lead doctor

1 Psychologist

1 Physiotherapist

Moving specialist care into the community:

Acute heart failure team beginning to run one clinic in the community per week.

Community heart failure team redirecting non-specialist referrals back to primary care to increase capacity

D

Acute Care Collaboration Vanguard Site:

New care pathways through a network for women and children’s services and engaging more with local helping people to help them better manage their own health.

29 organisations and networks (incl CCGs, hospital providers, and an ambulance service)

Up to 2.4 million

Community midwifery team.

n = 20 (20 women)

13 Community midwives

5 Team leads /senior midwives

1 Vanguard lead

1 Clinical lead midwife

Increasing the prevention and self-management role of midwives:

Community midwives

starting to offer the ‘flu vaccination to every pregnant woman in their care.