Vanguards are pilot sites for one of the new models of care and that already have existing arrangements and agreements for delivering services.
Vanguard sites are across England. Regional information is available here:
Bringing health and social care closer together could have some benefits for staff.
Nursing staff working in social care often face challenges, from overly burdensome bureaucracy to confusion over who or which agency is ultimately responsible for payment so a coordinated approach could help to overcome those challenges.All of the proposed models rely on the skills of a well-trained and resourced nursing workforce, as well as giving nurses opportunities to improve and increase their skills and capabilities. But the RCN is concerned that there may be a risk to terms and conditions.
So far the evaluation of the vanguards has not been shared so it’s difficult to comment on their impact or value.
Many RCN respondents to a vanguard survey last year were unaware that they were now working at a vanguard site which raises questions as to how well front-line staff are being engaged in the programme.
Patients could receive more coordinated care across primary, community and acute services.Vanguards have also been focusing on addressing public health challenges like diabetes, smoking and alcohol.
Nursing staff should be represented on all the bodies that are implementing and overseeing the Vanguard programme, such as their project boards, and clinical commissioning group clinical cabinets.You can contact your local RCN regional offices for more information.