About Primary Care Home
The PCH is a form of multispecialty community provider (MCP) model. Its key features are:
- provision of care to a defined, registered population of between 30,000 and 50,000;
- aligned clinical financial drivers through a unified, capitated budget with appropriate shared risks and rewards
- an integrated workforce, with a strong focus on partnerships spanning primary, secondary and social care; and
- a combined focus on personalisation of care with improvements in population health outcomes.
What makes PCH unique?
The NAPC identifies Primary Care as both a level in a health system (its form) and a strategy or philosophy for organising approaches to care (its function).
The NAPC regards effective Primary Care as having four central features: first point of contact for all new health needs; person-centred (holistic), rather than disease-focused, continuous lifetime care; comprehensive care provided for all needs that are common in a population; and co-ordination and integration of care when a person’s need is sufficiently uncommon so to require special services or provision from another sector (secondary or tertiary care).
The PCH and MCP model share some of the same goals, such as better outcomes for patients, at lower cost, based on greater integration between primary and secondary care. However, the PCH model, in particular, focuses efforts on the ‘make or buy’ decisions within care provision through the accountability of independently managing a capitated budget for a registered population of between 30,000 and 50,000. It can strengthen organisational relationships, with multi-disciplinary clinical and social care teams working collectively through networked arrangements. The PCH model will be based within modernised community healthcare premises, with access to diagnostics on site and fully integrated IT systems.
The key benefits for patients are a single integrated and multidisciplinary team, working to provide comprehensive and personalised care to individuals. Working at this scale ensures everyone within the team knows everyone else and the patient has a more consistent experience of care, similar to having a named GP.
The PCH model enables primary care, community health and social care professionals to work in partnership with specialists to provide out of hospital care. The workforce model should reflect the size and needs of the registered population, which may result in exploring opportunities to design and develop the roles of nursing, pharmacy and allied health professionals. The scale of the population for the PCH model is intended to drive a workforce model that ensures patients have a consistent and personalised experience of care.