About primary care home
Primary care home is an innovative approach to strengthening and redesigning primary care. Developed by the NAPC, the model brings together a range of health and social care professionals to work together to provide enhanced personalised and preventative care for their local community. Staff come together as a complete care community – drawn from GP surgeries, community, mental health and acute trusts, social care and the voluntary sector – to focus on local population needs and provide care closer to patients’ homes. Primary care home shares some of the features of the multispecialty community provider (MCP) – its focus is on a smaller population enabling primary care transformation to happen at a fast pace, either on its own or as a foundation for larger models.
Four key characteristics
There are four key characteristics that make up a primary care home:
- 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;
- aligned clinical and financial drivers through a unified, capitated budget with appropriate shared risks and rewards and
- provision of care to a defined, registered population of between 30,000 and 50,000.
A video about the four key characteristics
NHS England Chief Executive Simon Stevens launched the Primary Care Home programme in October 2015. Fifteen rapid test sites were chosen in December 2015 following a rigorous evaluation process, involving health and social care experts, patient representatives and an evaluation workshop. Since then the programme has rapidly expanded – in December 2016 another 77 sites joined and in 2017 a further third wave of sites have successfully applied bringing the total primary care home sites to more than 200 across England, serving eight million patients and 14% of the population. The number continues to grow. All the sites are developing and testing the model as part of a community of practice.
Part of the latest NHS reforms
The primary care home model is featured in the Next Steps on the NHS Five Year Forward View and is part of the practical delivery plans to transform primary care over the next two years to provide high quality services for patients and staff.