System leadership

We work with many different organisations and services to bring about change for the benefit of patients.

Our Chief Executive led the development of the Sustainability and Transformation Plan (STP) for south east London, during its initial development, working closely with colleagues in local authorities, clinical commissioning groups and other partner organisations.

Trust staff continue to play an active role in the programmes of the STP as we seek to establish sustainable services for our local population through greater collaboration.

This builds on our considerable experience in supporting other organisations including in Medway and previously at the Christie NHS Foundation Trust and Queen Elizabeth Hospital in King's Lynn.

With colleagues at Dartford and Gravesham NHS Trust, we are part of the national vanguard programme acute care collaborative. We were also recently formally accredited by NHS Improvement as one of four trusts exploring how becoming a hospital group could benefit patients.

We work closely with our partners in our academic health sciences centre (AHSC), King's Health Partners. As an AHSC, we are committed to broadening our work to include GPs and others working in primary care. This is demonstrated by the successful roll out of our Local Care Record which is providing joined up access to clinical records for the benefit of patients.

Global health leadership roles

pages-global-healthWe are proud of our global health leadership role. We are working with hospitals in Zambia to develop training and encourage sustainable planning and also in west Africa as part of the King's Health Partners’ Global Health Programme. This saw our staff among the first on the ground helping to tackle the Ebola outbreak in Sierra Leone in 2014/15.

We are also proud to host a number of local and national health organisations, including:

Vanguard with Dartford and Gravesham

Through the Vanguard Programme with Dartford and Gravesham, our clinical teams are exploring how closer working between our organisations can improve care for patients. We have tested 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 Dartford and Gravesham 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.

To find out more about the Foundation Healthcare Groups three 'clinical faculties' in cardiology, paediatrics and vascular services, read the report 'The vanguard of clinical collaboration'.

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.

  • Newsletters

    Foundation Healthcare Group Vanguard is our monthly newsletter.

    It is a way of sharing everything that's going on in the Vanguard programme.

    We are always interested to hear what you think about our newsletter and how we can improve it. If you have any comments or a news story, please email

    Read the latest editions

  • Video: the Vanguard journey explained

  • Video: the vision

    Guy’s and St Thomas’ NHS Foundation Trust and Dartford and Gravesham NHS Trust 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.





European first for radiotherapy

Cancer Centre at Guy's
Our new £160 million state-of-the-art Cancer Centre at Guy’s is the first site in Europe to provide radiotherapy above ground level, and will offer up to 80,000 treatments each year.