Acute Hospital Collaborations
Acute hospital collaborations will build on the recommendations of the Dalton Review and its service-level chain model, which focuses on one specialised provider providing services to other providers when Trusts recognise they are unable to provide quality services efficiently themselves. This will allow the host provider to focus on delivering a smaller set of core services, while providing greater patient benefit through the overall services it offers, for which it retains responsibility. Each of the providers in the 'chain' would then gain benefits of scale without necessarily having to centralise services.
The following models are likely to emerge as the Five Year Forward View is made into a reality:
- “Accountable clinical networks” running particular services via an NHS-led joint venture;
- “NHS service franchises” run by specialist providers; and;
- “NHS management groups” or "chains" involving several organisations under the banner of an “NHS foundation group”.
In practice, some of these models may involve a unified system of governance between multiple organisations, the development of standard operating procedures across numerous organisations, or indeed an enlarged organisation with a tiered management structure that retains the accountability from ward to board and board to ward in multiple sites, not necessarily based in the same region.