Boundaries between care settings will begin to “blur”

A King’s Fund review of England’s 44 Sustainability and Transformation Partnerships has recognised a high priority for many is to redesign services in the community to moderate demand for hospital care. Surrey Heartlands is no exception.

Across the region fragmented primary and community care systems default too often to hospital-based care. This results in too many admissions and hospital stays that last too long. The result is too many handoffs and transfers of responsibility.

We aim to develop a model of care where each Surrey Heartlands locality manages care to a consistent set of standards and coordinates care across a consistent set of treatment pathways.

If we succeed, the traditional commissioner-provider model will be challenged and boundaries between care settings will begin to “blur” with care providers spanning many settings.

The new model will have generalist professionals at the heart of the system, but will see networks of doctors and hospitals coordinating care. Unnecessary costs will be eliminated and the new care model will be underpinned by a single system spending control total.

We are committed to the Surrey Heartlands citizen-led co-design communications and engagement initiative and we will engage meaningfully with staff, patients and the public, local authorities and the third sector to ensure their input is taken into account in planning.