The Five Year Forward View
An Early Temperature Check
The National Health Service is confronting growing demands on its service and the impact of both demographic and lifestyle changes, all at a time when the financial straitjacket has rarely been tighter. The NHS’s Five Year Forward View, launched in late October, proposes several new models of healthcare delivery which aim to address these challenges.
NHS England Chief Executive Simon Stevens has acknowledged the scale of the challenge, describing the NHS as “at a crossroads,” but noted that there is no single blueprint for introducing the level of change needed. “England is too big for a one-size-fits-all plan, and nor is the answer to simply let ‘a thousand flowers bloom.’ it’s horses for courses.”
According to the Five Year Forward view, Multispecialty Community Providers can be broadly summarised as extended group practices of GPs, structured either as federations, networks or single organisations. Primary and Acute Care Systems, by contrast, are vertically integrated groups such as hospitals with their own GP surgeries, or may take the form of MCPs taking over district hospitals, so that different types of care operate within the same NHS organisation.