Fifteen ‘rapid test sites’ across England have been chosen to develop and test a new enhanced primary care approach – which is in line with the ambitions of the Five Year Forward View.
Almost 70 networks of GPs, health and social care staff submitted expressions of interest to be the first sites for the development of the Primary Care Home Model (PCH) – outlining their innovative ideas for transforming local health and community services.
The successful 15 were chosen following a rigorous process, involving key health and social care partners, patient representatives and an evaluation workshop attended by all shortlisted applicants.
- 1st Care Cumbria
- Beacon Medical Group
- Healthy East Grinstead Partnership
- Larwood & Bawtry
- Luton Primary Care Cluster
- Nottingham North & East Community Alliance
- 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
Launched at the NAPC’s annual conference in October 2015, the programme strengthens and redesigns primary care around the health and social needs of local communities. For patients, it is aims to significantly improve the quality of patient centred care and their experience of local health services. They will be treated by single integrated and multidisciplinary teams, working to provide comprehensive and personalised care.
The principles of the PCH model are similar to the multispecialty community provider (MCP) – one of the Five Year Forward View types of vanguards, and learning and development will be supported by the new care models programme.
The main features are:
- Provision of care to a defined, registered population of between 30,000 and 50,000
- A combined focus on personalisation of care with improvements in population health outcomes
- An integrated workforce, with a strong focus on partnerships spanning primary, secondary and social care
- Aligned clinical financial drivers through a unified, capitated budget with appropriately shared risks and rewards.
The NAPC will work in partnership with the rapid test sites to develop a structured support programme and share the learning more widely. It will be tailored to each rapid test site, but is likely to include peer support, facilitated workshops and networking events to:
- support the development of rapid test site plans and identify support needs
- jointly measure and evaluate progress of the rapid test sites, identifying evidence of what works to inform both their own and other networks ongoing development;
- enable structured co-designed learning at a local and national level, so that all networks that expressed an interest in becoming a rapid test site can benefit.
Dr Nav Chana, Chair of NAPC said: “We have been delighted by the enthusiasm and large number of formal expressions of interest we received from networks wanting to become a rapid test site. 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.”
Dr James Kingsland, President NAPC said: “Being able to announce the rapid test sites is a really exciting development in the future role of primary care in the NHS. The benefits of integrated care and multi-disciplinary 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”.
Phil McCarvill, NHS Confederation Deputy Director of Policy said: “The NHS Confederation is committed to supporting ever greater partnership working between community and primary care. The Primary Care Home ‘rapid test sites’ launched today build on the best attributes of both primary and community services to improve care for people in their communities. The opportunity to test and share evidence from the Primary Care Home model will be incredibly valuable in helping to understand how we can forge stronger partnerships between primary and community care.”
NHS England Chief Executive Simon Steven 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.”
Christine Morgan, Coalition for Collaborative Care said: “I was pleased to be involved in the evaluation of the NAPC Primary Care Home test sites as one of four coproduction members of the Coalition for Collaborative Care (C4CC). The proposed test sites were ambitious in their proposals for integrated care and understood the need to work in partnership with patients and carers to achieve person-centred care and outcomes. If the test sites are successful, their continued work should make a positive difference to people in the communities they serve, including carers and people like me with long-term conditions.”