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Our values: Care with compassion, Respect and dignity, Striving to excel, Professional standards, Working together


Through the Vanguard Programme with Guys and St Thomas' NHS Foundation Trust, our clinical teams are exploring how closer working between our organisations can improve care for patients. We are testing this in three pilot areas – cardiology, vascular and children's services. Read the full report 'Foundations for change - The development of the Foundation Healthcare Group 2016/17' (PDF 4249Kb)

Following our accreditation by NHS Improvement, we are also using this opportunity to explore new ways of working and whether the collaboration with Guys and St Thomas' could be extended to other healthcare providers in the future.

We are currently focussing on how an effective hospital group might be governed and how we capture the ways of working and culture that we believe are the essential ingredients for success.

We have also received £3 million in funding for 2017-18 from NHS England to continue this partnership work.

We are working with the other accredited trusts – Northumbria Healthcare NHS Foundation Trust, the Royal Free NHS Foundation Trust and Salford Royal NHS Foundation Trust – to share our ideas and plans as we each explore different approaches to the concept of a hospital group.

Video: The Vanguard Journey Explained

Video: The Vision

Dartford and Gravesham NHS Trust and Guy’s and St Thomas’ NHS Foundation Trust and are working together as a Vanguard site for the new models of care programme. The model aims to allow the two trusts to collaborate and share information more effectively which will greatly improve patient experience and clinical outcomes, without the formal organisational change of a merger or acquisition.

Video: Education

Dr Jugdeep Dhesi, consultant physician at Guy's and St Thomas’ NHS Foundation Trust, talks about the ‘Proactive Care of Older People undergoing Surgery’ (POPS) service which is being run at Dartford and Gravesham NHS Trust due to the innovative Vanguard Programme.

Video: Patient and Public Engagement

Andrea Carney, patient and public engagement manager at Guy's and St Thomas’ NHS Foundation Trust, shares her thoughts on the importance of patient and public engagement within the context of the Foundation Healthcare Group Vanguard Programme.

Cardiology Consultant Speaks about Vanguard Programme

Dr Jagdip Sidhu, Cardiology Consultant at Dartford and Gravesham NHS Trust, explains the aims of the cardiology workstream within the Vanguard programme and progress made to date. This video was originally presented at the Vanguard Celebration and Showcase event held on 4 July 2017.