NHS England backs 50,000-patient 'primary care home' pilots

NHS England has endorsed a pilot programme to deliver care for populations of 30,000 to 50,000 patients under the 'primary care home' model championed by the National Association of Primary Care (NAPC).

Dr Nav Chana: championing primary care at scale

The pilots will be run to support the development of new care models outlined by NHS England’s Five Year Forward View.

The primary care home model developed by the NAPC provides care to a defined registered population of between 30,000 and 50,000 patients.

Care 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 budgets merged

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

NHS England chief executive Simon Stevens endorsed the programme in a speech at the NAPC annual conference on Thursday.

Mr Stevens said: ‘This programme offers an innovative approach to strengthening and redesigning primary care, centred around the needs of local communities, and tapping into the expertise of a wide array of health professionals.’

GP care at scale

NAPC chairman Dr Nav Chana said:  ‘In essence what we are describing is the "home" of care for a population with a tailored workforce with access to the data, tools and resources to provide high quality comprehensive care.  Working at this scale ensures a functional team where everyone knows each other and there is a true sense of belonging for patients, the population and the workforce.'

NAPC president Dr James Kingsland added: ‘We want to have a strong evidence base behind us, rather than just individual or collective opinion.  The primary care home is about building from the registered list, which has served the NHS so well and recognises patients access the NHS through general practice.  This new model of care will be more ambitious in the delivery of first contact.’

The programme will be delivered by the NAPC and NHS Confederation with support from NHS England’s new care models programme.

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