"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.
The 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."
Simon Stevens Chief Executive NHS England
Launched at the NAPC’s annual conference in October 2015 by Simon Stevens, the Primary Care Home offers an innovative approach to strengthening and redesigning primary care to support the delivery of the NHS Five Year Forward View.
Following the receipt of 110 requests for further information on the PCH model, almost 70 networks of GPs, health and social care staff submitted expressions of interest to be the first PCH ‘Rapid Test Sites’ (RTS), reflecting how much health professionals across primary care are committed to change and working in partnership.
15 RTS were chosen in December 2015 following a rigorous evaluation process, involving key health and social care experts, patient representatives and an evaluation workshop attended by all shortlisted applicants.
Driven by the triple aims and timescales of the Five Year Forward View, the sites are now making rapid progress in developing their plans to transform healthcare delivery for their local population, raising the profile of the PCH model right across the health system.
The characteristics of the Primary Care Home closely align with those of the Multispecialty Community Provider, and also provide unique additional benefits
The Five Year Forward View (5YFV), published by NHS England in October 2014, identified several potential new models of care for the future delivery of National Health Services in England. The Multispecialty Community Provider (MCP) model focuses on drawing together a wide range of health and social care professionals to work together and provide integrated out-of-hospital care. The MCP model aims to provide care to patients that is significantly more person-centred, joined-up, proactive and convenient.
The characteristics of the Primary Care Home (PCH) model are closely aligned with those of the MCP:
- 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; and
- Aligned clinical financial drivers through a unified, capitated budget with appropriate shared risks and rewards.
The key and unique benefits of the PCH model and programme is realised by focusing on:
- A defined registered population proportioned to maintain personalised care from an inclusive interprofessional team;
- Delivery of high quality clinical care across local organisations; and
- Driving behavioural and cultural change
This focus will drive locally owned, bottom up change that is sustainable beyond the end of the New Model of Care (NCM) programme in 2017/18, making the programme value for money and truly transformational.
Speaking at the King’s Fund’s annual conference on 9th November 2015, the NHS England Chief Executive, Simon Stevens suggested that "in future there would be less focus on new models of care operating on the scale of current multispecialty community provider or primary and acute care system vanguards, and more focus on models that cover populations of 30,000 to 50,000."
The Primary Care Home uniquely combines characteristics which together provide cumulative benefits
1. Improved patient health and wellbeing
Improved demand management through patient activation and self care
Improved stratification and analysis of population health needs - more prevention, early detection and screening
Greater accessibility to primary care reducing demand on A&E
2. Improved quality of care for patients in local communities
Improved service availability - patients receive the right care in the right place
More finished episodes of care and extended continuity through perceptive and integrated community therapy - improved access and lower waiting times
3. Improved utilisation and sustainability of local health and social care resources
Improved deployment of NHS and social care resources with improved patient experience and empowerment