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PCH brochure 2019.qxp_Layout 1 27/03/2019 14:34 Page 1 NAPC | National Association of Primary Care Primary care home April 2019 #primarycarehome PCH brochure 2019.qxp_Layout 1 27/03/2019 14:34 Page 2 02 PRIMARY CARE HOME Contents About primary care home 4 Rapid test sites 14 Community of practice: – 2nd wave 30 – 3rd wave 56 PCH brochure 2019.qxp_Layout 1 27/03/2019 14:34 Page 3 THE PROGRAMME 03 Foreword The primary care home programme has gathered huge momentum since its inception in autumn 2015. From 15 original rapid test sites – we now have more than 225 sites across England, covering 10 million patients – 17 per cent of the population. Primary care homes are established primary care networks (PCNs) – the cornerstone of the new service model featured in the NHS Long Term Plan which was published in January 2019. There are many examples here of the difference primary care homes are making by people coming together, seeking economies of scale and collaborating with others. Many key Long Term Plan initiatives are already underway across primary care homes including a proactive population health management approach, rapid community response teams, expanded multi-disciplinary teams, social prescribing and joint working with community pharmacy. Endorsed by NHS England, the model is spearheading the transformation of primary care. Applications continue to come in – all are very welcome to join. The programme’s success, we believe, is because it is bringing about the change that clinicians know is right for their patients – something they've always wanted to do. Staff feel empowered and excited, with the freedom to innovate and drive improvements. It is also about the human scale of the change where people feel they belong, own local challenges and can make a real difference working alongside their patients. For those developing a primary care home, it is a journey that is joining up not only practices but all first contact providers – a true care community coming together to improve the health and wellbeing of their local population. We welcome all new emerging primary care networks and look forward to supporting you and existing PCHs through your journey. John Pope CBE Dr James Kingsland OBE Dr Nav Chana Chief executive officer President and national National PCH clinical director PCH clinical director PCH brochure 2019.qxp_Layout 1 27/03/2019 14:34 Page 4 04 PRIMARY CARE HOME About primary care home INTRODUCTION Primary care homes are leading the transformation of integrated More than 225 sites primary care across England. across England, Developed by the NAPC, the model brings together a range of health and social care covering 10 million professionals to provide enhanced personalised and preventative patients – 17 per cent care for their local community. of the population Staff come together as a complete care community – drawn from GP surgeries, community, mental health and acute trusts, social care and the voluntary sector – to focus on local population needs primary care home programme in KEY FEATURES and provide care closer to the autumn of 2015, with rapid There are four key characteristics patients’ homes. test sites selected in December that make up a primary care home: 2015. PRIMARY CARE HOME a combined focus on CENTRAL TO NHS LONG The programme has rapidly personalisation of care with TERM PLAN expanded – in 2016 more than 70 improvements in population sites joined and since then in health outcomes Primary care homes are excess of 150 sites have established primary care networks successfully applied, bringing the (PCNs) – the cornerstone of the an integrated workforce, with a total number of primary care home strong focus on partnerships new service model featured in the sites to more than 225 across NHS Long Term Plan which was spanning primary, secondary England, serving 10 million patients, and social care published in January 2019. 17 per cent of the population. Applications continue to come in. Many key Long Term Plan aligned clinical and financial drivers initiatives are already underway All the sites are developing and across primary care homes testing the model as part of a provision of care to a including a proactive population community of practice. health management approach, defined, registered population of between 30,000 and 50,000. rapid community response teams, Primary care networks typically expanded neighbourhood multi- cover a combined patient disciplinary teams, social STAGES OF PRIMARY CARE population of between 30,000- HOME prescribing and joint working with 50,000 – this is the size that community pharmacy. NAPC believes is right – the right The development of a primary size for developing highly effective, care home is a journey which RAPID EXPANSION unified, multiprofessional teams, begins with practices and other NHS England Chief Executive the right size to care and the right first contact care providers Simon Stevens launched the size to scale. coming together, forming PCH brochure 2019.qxp_Layout 1 27/03/2019 14:34 Page 5 THE PROGRAMME 05 relationships and developing a freedom to act, encouraging sense of belonging among innovation, improving staff patients and staff. satisfaction and in turn recruitment and retention. The adoption of a whole Staff are population health management Health is determined by a approach is critical to its complex interaction between given the success. This is a proactive individual characteristics, lifestyle approach to managing the health and the physical, social and and well-being of a population. It economic environment. These freedom incorporates the total care needs, broader determinants of health “ costs and outcomes of the are considered more important to act population. A unified team is then than health care in ensuring a built around the health needs of healthy population and need to be the population. Staff are given the built into a PCH plan. ” NAPC defines effective primary care as: • A person’s first point of contact with the health and social care system • A person-centred (holistic) approach, rather than disease focused, to continuous lifetime care • A comprehensive set of services, delivered by multi-professional teams, with a focus on population health needs • The co-ordination and integration of care in partnership with patients and providers. PCH brochure 2019.qxp_Layout 1 27/03/2019 14:34 Page 6 06 PRIMARY CARE HOME Rapid test sites 7KH%UHFNODQG$OOLDQFH 1 /DUZRRGDQG%DZWU\ 8 7KDQHW+HDOWK&RPPXQLW\,QWHUHVW&RPSDQ\ &,& St. Austell Healthcare 2 6RXWK%ULVWRO3ULPDU\&DUH&ROODERUDWLYH 9 :ROYHUKDPSWRQ7RWDO+HDOWK 3 10 7HDP:LQVIRUG 4 11 %HDFRQ0HGLFDO*URXS Eden 5 6RXWK'XUKDP+HDOWK&RPPXQLW\,QWHUHVW 12 /XWRQ3ULPDU\&DUH&OXVWHU Aspire&RPSDQ\ &,& Integrated Rugeley (AIR) 6 13 5LFKPRQG 7 14 The Healthy East Grinstead Partnership Community of practice – 2nd wave 1RWWLQJKDP1RUWKDQG(DVW&RPPXQLW\$OOLDQFH +DPPHUVPLWKDQG)XOKDP3DUWQHUV 15 +HUQH%D\+HDOWK&DUH 49 6RXWK&KHVKLUHDQG9DOH5R\DO&DUH&RPPXQLWLHV 16 50 51 52 531LPEXV&DUH54 17 55 56 57 :LUUDO*33URYLGHU)HGHUDWLRQ North Cornwall 18 58 59 60 61 Truro Health Park (THP) 19 62 63 64 65 66 67 Perranporth and Penryn 3Sixty Care 20 68 Three Harbours Medical Group Rutland Healthcare 21 22 23 69 East Cornwall Locality East Norfolk Medical Practice 24 70 'XUKDP'DOHV(DVLQJWRQDQG6HGJHıHOG South Kerrier Locality Newport Pagnell Medical Centre and NPMC@Willen 25 71 725HGKLOODQG0HUVWKDP73 74 75 76 77 78 Penwith 26 27 79 Integrated Care Exeter 28 296WDijRUG3ULPDU\&DUH$OOLDQFH30 31 80 +RUVKDP South Kent Coast Integrated Accountable Care Lewes Health Hub 32 /LFKıHOG%XUQWZRRG1HWZRUN3DUWQHUVKLS 81 %XUJHVV+LOODQG9LOODJHV 33 5HGGLWFKDQG%URPVJURYH$OOLDQFH 82 34 35:ROYHUKDPSWRQ&DUH&ROODERUDWLYH36 37 83 'RUNLQJ Haywards Heath 38 84 6RXWK&DPGHQ3ULPDU\&DUH1HLJKERXUKRRG 39 405LYHUVLGH+HDOWK&HQWUH41 42 43 85 +DPSVWHDG3ULPDU\&DUH1HLJKERXUKRRG Wyre Forest Alliance 44 7HDP%'3 86 5DPVJDWH4XH[DQG%URDGVWDLUV 45 87 881HZSRUW'LVWULFW1HLJKERXUKRRG3URMHFW89 46 'HUZHQWVLGH+HDOWKFDUH 90 OneLeeds 47 48 PCH brochure 2019.qxp_Layout 1 27/03/2019 14:34 Page 7 THE PROGRAMME 07 Community of practice – 3rd wave 91 202 Lakeside Stamford North Tandridge Network Group 92 203 Granta West Devon 93 204 Reigate and Horley Practice Network The Rural Practice Network 94 95 96 97 205 Herefordshire Integrated Care Alliance North Halifax Community Wellbeing Partnership 98 99 100 101 206 GP Alliance (Northampton) Pendle East Primary Care Network 102 103 104 207 Central Health Evolution Holderness 105 208 Millennium Federation South Merton 106 209 Healthier Fleetwood South Westminster 107 210 North West Health Alliance South Coast Medical Group 108 211 Kentish Town East Mendip Federation 109 110 111 112 212 Manchester (Central) Weymouth and Portland 113 114 115 116 213 Manchester (North) Blandford 117 118 119 120 214 Manchester (South) Shaftesbury and Gillingham 121 122 6RXWK6WDijRUGVKLUHDQG6XUURXQGV 215 Newham Sherborne 123 124 125 126 127 128 216 Central Halifax Wellbeing Hub 129 217 Exeter Primary Care Wyvern Health Partnership 130 218 Newquay and Petroc Meridian Health Group 131 132 133 134 135 136 137 219 South Worcestershire Alliance Panacea Collaborative 138 139 140 141 142 143 144 145 146 147 148 220 Warwick North, Coventry and Rugby Freshney Pelham Federation 149 150 151 152 221 North West North Tyneside Banstead Health 153 154 155 222 Surbiton, Chessington and Kingston North Guildford 156 157 158 223 Wokingham North, West and East Clusters CoCo 159 224 Westongrove Partnership East Elmbridge 160 161 225 Lower Lea Valley Woking wide (WISE) 162 226 North Kerrier
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