Press releases

At the Vanguard of enhancing health in care homes


Future plans for enhancing healthcare in care homes have been set out by NHS Nottingham City Clinical Commissioning Group (CCG).


The CCG, which is responsible for planning and buying NHS services in the city, has been made a national Vanguard site for enhancing care in care homes. This puts it among the leading areas in the country selected by NHS England for developing a new model of care for care home residents.

As part of the Vanguard programme, the CCG has established a new set of ‘value propositions’ – a series of proposals aiming to enhance the lives of older people living in the city’s care homes.

Plans include introducing a single reablement service helping residents get back on their feet after illness or injury, improving urgent care and helping residents avoid hospital admissions, and expanding the use of technology in care homes such as video consultations and telemedicine. In addition to a number of changes being made by health and social care services, there are plans to encourage older people in care homes to take part in activities that maintain or improve their health and well-being.

Care home residents have complex medical needs. The average resident has six diagnoses and takes eight medications. Currently, care homes residents are 0.5% of the city’s population but account for 5% of all admissions to hospital. Many older people are cared for in hospital but best practice evidence indicates that care is most effective when provided at home or in the community.

Jo Williams, Assistant Director Health and Social Care Integration, Nottingham City CCG and Nottingham City Council, said: “We are working to enable residents living in a care home to be healthier, have a better quality of life and to be treated with dignity and respect, focusing on residents’ capabilities rather than their dependencies. It is our aim that all residents and their families will have a positive experience of care.”

The national Vanguards are local NHS and care consortiums which are leading on developing new and better ways of providing care to act as blueprints for the NHS in England. They were selected following a rigorous process involving patients, clinicians and peer review, and nationwide will improve the care provided to more than five million people.

The Vanguard work in Nottingham City is being taken forward as part of the city’s integrated care programme, run by Nottingham City CCG and Nottingham City Council, working alongside Nottingham CityCare Partnership and partner organisations.

Published: 6 October 2015