Primary care home: evaluating a new model of primary care. Research report

KUMPUNEN Stephanie, et al
Nuffield Trust
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This is an evaluation report for the Primary Care Home (PCH) model – a way of organising care for groups of 30,000 to 50,000 patients, developed by the National Association of Primary Care (NAPC). The model seeks to link staff from general practice, community-based services, hospitals, mental health services, social care and voluntary organisations to deliver joined-up care. The model was piloted in 15 rapid test sites, each of which qualified for £40,000 of start-up funding from NHS England. Since then another 170 sites have signed up. The formative evaluation was based on reviews in 2016/17 of 13 rapid test sites’ plans and priorities for building the PCH model, and an in-depth look at the progress and early successes in three case study areas. The report looks at how sites can make early progress with implementing and evaluating their local PCH models, examines what might stand in the way of change and offers a number of broader lessons for the NHS as a whole. Key points raised by the evaluation included: participating in the primary care home programme had strengthened inter-professional working between GPs and other health professionals, and stimulated new services and ways of working tailored to the needs of different patient groups; policy-makers must accept that these new working relationships will take time to establish, as widespread service change requires support from people at all levels and across organisational boundaries; developing the PCH model needs significant investment in time, money and support to enable; the complex external context in which PCHs are emerging – particularly with the development of Sustainability and Transformation Partnerships – could help or hinder their development; good quality data – and the ability to use it – are essential for future evaluations of these models. (Edited publisher abstract)

Subject terms:
primary care, integrated care, evaluation, interprofessional relations, joint working, community care;
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