GPs in 15 areas to pilot 50,000-patient 'primary care home' model

Fifteen test sites have been announced to develop a new enhanced primary care model serving populations of 30,000 to 50,000 patients.

NAPC chairman Dr Nav Chana

The National Association of Primary Care said nearly 70 networks of GPs and other health and care staff had expressed an interest in becoming one of the first sites to test the 'primary care home' model (PCH), developed by NAPC in line with the NHS’ Five Year Forward View and its multispecialty community provider (MCP) model.

The fifteen rapid test sites were chosen by a process involving health and care partners, patient representatives and an evaluation workshop.

The successful applicants are:

  • 1st Care Cumbria
  • Beacon Medical Group
  • Healthy East Grinstead Partnership
  • Larwood & Bawtry
  • Luton Primary Care Cluster
  • Nottingham North & East Community Alliance
  • Richmond
  • Rugeley Practices PCH
  • South Durham Health CIC
  • South Bristol Primary Care Collaborative
  • St Austell Healthcare
  • Thanet Central CIC
  • The Breckland Alliance
  • The Winsford Group
  • Wolverhampton Total Health Care

Care under the primary care home pilots  will be provided by a ‘complete clinical community’, with an integrated primary, secondary and social care workforce providing more personalised and better co-ordinated care closer to home.

GP funding pooled

Funding will be merged into a single capitated budget, and the pilots will focus on personalisation of care and improving population health outcomes.

The main features of the model are:

  • Provision of care to a defined, registered population of between 30,000 and 50,000 patients.
  • Aligned clinical financial drivers through a unified, capitated budget with appropriate shared risks and rewards.
  • An integrated workforce, with a strong focus on partnerships spanning primary, secondary and social care.
  • A combined focus on personalisation of care with improvements in population health outcomes.

NAPC chairman Dr Nav Chana said: ‘All applicants demonstrated a very high level of desire and engagement from local partners to deliver the improvements in health and social care outcomes that the development of the PCH model enables. We now look forward to working not just with the 15 rapid test sites to support their development, but with all those who expressed an interest in the programme to learn and spread best practice so that we are able to see the benefits of the model across multiple locations.’

NAPC president Dr James Kingsland added: ‘The benefits of integrated care and multidisciplinary team working to provide comprehensive and personalised care to individuals and populations are well recognised. However, it has been difficult to demonstrate sustainable community-based models within the NHS with measurable impact. Working in partnership with the rapid test sites and our wider community of interest, we believe this programme presents a unique opportunity for primary care to improve the quality of care provided to our registered patient populations and deliver better value for the NHS.’

NHS England chief executive Simon Stevens said: ‘The response to this new programme shows health professionals across primary care are committed to change and working in partnership. This will be another step towards greater integration between primary and secondary care and to providing personal population-orientated primary care where physical, mental and social care is integrated around the needs of communities, particularly older frail people with long-term conditions. This will complement the delivery of the vanguards.’

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