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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:
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.
The report 'No Hospital is an Island' sets out the learning from these collaboratives.
Information Sharing Across Health and Social Care
Super Buddy and Inter-Trust Management Support
Smartcare Clinical System Integration
NHS Mergers and Acquisitions
Alliance Contracting in the NHS