New models of care

New Models of Care is about developing new ways of joining up and delivering health and social care. There are many different models being considered and tested. The New Care Models programme is a key element of the Five Year Forward View (5YFV).


There are fifty vanguards across the country selected to redesign an area of practice or service delivery across the system. The aim of the vanguard is to be leaders inspiring the rest of the health and care system and provide blueprints for further developments across the NHS. View vanguard site presentations here.

The vanguards encompass a range of areas: 

  • Integrated  primary and acute care systems (PACS) – a new variant of 'vertically integrated' care allowing single organisations to provide GP, hospital, community and mental health services. 
  • Urgent and emergency care networks
  • Viable smaller hospitals
  • Specialised care
  • Modern maternity services
  • Enhanced health in care homes
  • Multispecialty community providers (MCPs) - moving specialist care out of hospitals into the community. 
  • Enhanced Care in Care Homes (ECCH) - offering older people better, joined up health, care and rehabilitation services 
  • Urgent and emergency care (UEC) - new approaches to improve the coordination of services and reduce pressure on A&E departments 
  • Acute care collaborations (ACC) - linking hospitals together to improve their clinical and financial viability.

 You can view NHS England’s New Care Models evaluation strategy here.

Integrated Care Pioneers (IP) 

Twenty five pioneer sites are developing and testing new and different ways of joining up health and social care services across England. Using voluntary and community sector expertise, the IP aims to improve the quality and effectiveness of care provided.

Acute medical model (AMM)

Developing sustainable models in small district general hospitals to improve care and ensure sustainability. Developing services which are closer to where people live and work ‘care closer to home’ (CC2H) is a key driver. The aim being to make services more accessible and equitable but also to reduce unplanned and emergency admissions to acute care by improving the quality and availability of wider primary care services.

Primary Care Home (PCH)

The PCH model is being led by the National Association of Primary Care (NAPC).  The strength of primary care is the focus on personalised care and PCH builds on this through improvements in population health outcomes for a registered population of between 30,000 and 50,000. The population size for the PCH is intended to support a workforce with the required skill mix to make sure patients have a consistent and personalised experience of care. There are 15 PCH model test sites, see the National Association of Primary Care (NAPC) for information. 

GP Federations/networks

In order to facilitate the development of PCH and CHINs, multiple GP practices are coming together in some form of collaboration; federations, networks, collaborations, joint ventures, alliances, the terms are often used interchangeably. They are increasingly being viewed as a vital part of the future of general practice.

GP networks go by many names: federations, networks, collaborations, joint ventures, alliances. These terms are often used interchangeably to describe multiple practices coming together in some form of collaboration.

Extended Access

Developing primary care to make sure that patients are able to access primary care services 7 days a week 8am – 8pm.

Social Prescribing

In line with the prevention agenda and care closer to home, social prescribing enables clinicians and others to refer people to a range of traditionally non-clinical services which will support their health and wellbeing. Social prescribing also directs people to IT solutions that enable self‐management and care navigation support.

CHINs; Care Closer to home Integrated Networks

(Similar to Primary Care Homes) being adopted in some areas. Developed to provide a more integrated and holistic, person‐centred community model which includes health, social care and voluntary sector and encompasses integrated multi‐disciplinary teams (MDTs). 

QIST; Quality Improvement Support Teams

The RCGP toolkit developed to support CHINs, PCHs and GP federations to reduce unwarranted variation by providing support for GP practices to ensure a consistent quality standard and offer is available to all patients.

Place based care

Care closer to home

Devolving power and responsibility about health and social care to local areas.
Sustainability and Transformation Partnerships (STPs)


Plans that deliver the aims of the Five Year Forward View in different localities.