News & Media

A Year on from Five Year Forward View


When it comes to “One size fits all”, which model really works?

It’s been just over a year since the NHS outlined the emerging models expected to advance the delivery of care in its Five Year Forward View. The document examined how modernising care delivery systems and structures could streamline UK health services and ease the pressure on strained secondary providers.
The problem of overburdened hospitals remains a central issue in the delivery of national healthcare, and the 5YFV produced some alternative models for relocating care services to other localised health centres.

In recognition of a diverse country that requires adaptable, appropriate versions of localised care, a number of new processes were proposed. These would strengthen connections between the UK’s health and social care services, with the long-term objective of producing a synced-up, multispecialty care service.
However, while few would argue the need for multispecialty care provisions, delivering such an expansive spectrum of services is challenging. The 5YFV considered moving services out of hospitals to local centres, as well as incorporating GP services within hospitals to reduce the flow of patients to A&E, two divergent tactics that have since had varying levels of success.

12 months later it appears that the former model, often known as the multispecialty community provider model, is proving a more viable option than the primary and acute care systems model. The recent closure of a general practice that had been developed within hospital premises highlights the need to move services away from hospitals rather than be contained within them.

This is of course not to say that it cannot be done, only that the reliance on our hospitals may well be eased more effectively through greater delegation of skill and investment in resource for neighbourhood centres and general practices.

Assura hosted a panel of CCG members and GPs at our office in Warrington, which agreed that the 5YFV still needs to provide an environment in which self-care can thrive. This requires a coherent understanding of what constitutes “primary care” under the new models, as we introduce information and self-management hubs along with sensory interactivity resources to promote independent, self-sufficient care.

The closure of a hospital-based general practice re-opens the conversation as to which multipurpose models will prove most effective. The health service needs powerful virtual networks capable of sharing resource using modern communicative technologies. This greater connected power enables smoother transferral of staff, services, spending power and expertise.