Five areas have received government approval for their plans to join up health and social care under the £3.8bn better care fund.
Nottinghamshire, Sunderland, Greenwich, Reading and Wiltshire will be the first areas of the country to implement their plans for integrated care.
All other areas must submit their plans by 19 September, and are due to get the go-ahead by the end of October.
Andrew Ridley, the better care fund’s programme director, said: “To have their plans approved before the national deadline demonstrates how dedicated these areas are to transforming services for local people.
“Their plans show great ambition and will inspire the rest of the country as the remaining plans are finalised.”
In detail: The first five plans
The area aims to improve out of hospital care for the elderly and reduce emergency admissions by almost 700 people in 2015-16, saving the local health economy around £1.5m.
It will introduce joint emergency response teams and named professionals to organise an integrated care plan for vulnerable and frail people.
It aims to reduce admissions to care homes by 35%.
The plan aims to reduce emergency admissions by 3.7% and save £7.8m in 2015-16.
It includes investment in telehealth services, community-based “proactive care teams” and improving access to primary care.
The plan aims for a 7% reduction in admissions to residential care and a reduction in delayed transfers of care. By 2020 Sunderland expects to reduce emergency admissions to local hospitals by 15%.
The plan aims to reduce emergency admissions by 2.8%. It includes a “hospital at home” service that will allow patients with intensive support needs to be cared for at home. It aims for a 20% reduction in residential care admissions.
The area is aiming for a 3.7% reduction in emergency admissions in 2015-16, which would save £2.1m. The plan includes the introduction of “wrap-around” health and social care teams and improved access to seven-day services.