The National Association of Primary Care (NAPC) has recently proposed an alternative model pf primary care, which is intended to realign primary care resources around the health and social needs of local communities. It involves “primary, community, mental, social and secondary providers working together”. The Primary Care Home (PCH) model involves:
- Integrated care for 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 partnership working spanning primary, secondary and social care.
- Personalisation of care, aiming to achieve improvements in population health outcomes.
Primary care home: a unique model of care. London: National Association of Primary Care (NAPC), 2016.
Practical Implementation and Evaluation
The following report explores how PCH test sites have gone about implementing and evaluating their respective local Primary Care Home models, and attempts to derive generalisable lessons for the NHS and social care.
Kumpunen, S. Rosen, R. [and] Kossarova, L. [et al] (2017). Primary Care Home: evaluating a new model of primary care. London: Nuffield Trust, August 2017.
The SCIE Viewpoint on the PCH Model
A further report examined the PCH model (looking at three rapid test sites) to assess the degree to which this model has potential for local Sustainability and Transformation Plans (STPs) to improve care quality, financial efficiency and population health and wellbeing, i.e. along the general lines of the US (IHI) “Triple Aim”.
Full Text Link (Note: Access to this document requires free registration with SCIE).
Does the primary care home make a difference? Understanding its impact. London: Social Care Institute for Excellence (SCIE) and PA Consulting Group, March 2017.
Questions of Emerging NHS Terminology?
Another gentle “wherever / whatever next?” style send-up:
Patterson, J. (2017). Urgent search underway for transformative name. London [Online]: NHSNetworks, September 22nd 2017.