• NHS England’s new care models team to provide pilots with £500,000
  • Primary Care Home model aims to spread multispecialty community provider type models across the country
  • Fifteen “rapid test sites” to launch in shadow form in April

NHS England’s new care models team has provided £500,000 to 15 “rapid test sites” piloting an integrated care model developed by the National Association of Primary Care.

The sites (see map below), which form part of a new care models style primary care programme called the Primary Care Home model, are similar to the multispecialty community provider vanguards.

However, the Primary Care Home sites typically cover populations of 30,000-50,000, whereas the average population covered by the MCPs is 186,000.

Between them the test sites will cover a population of 500,000.

The funding from the new care models team will contribute to management time and other administration costs associated with the sites’ preparation.

The sites piloting the Primary Care Home model feature integrated multidisciplinary workforces, the managing of a capitated budget for a registered population, and provision of “urgent” appointments.

They will be going live in shadow form from April, meaning they will first operate without specific delegated funding, but will work towards implementing this.

The sites were chosen through a selection process with 70 entries.

The work of the sites will be overseen by NHS England’s new care models team, led by Samantha Jones.

The Primary Care Home concept was adopted as part of the new models of care programme after NHS England chief executive Simon Stevens lent his support to the work last autumn.

NAPC president James Kingsland told HSJ: “[NAPC chair] Nav Chana and I produced a paper which incorporated a strong organisational memory of the NHS internal market and its effect on primary care. We looked at what had worked well and what hadn’t.

“We also wanted to establish a strong evidence base for our proposal. Having given that to Simon Stevens, he said, ‘If you can demonstrate that this model can get support from primary care and CCGs, come back to me’.

“What we want to deliver is a balance between personalised care and population health management. Care for a local population is best provided through a single team approach.”

He added: “We have identified some of the measurements through which sites can demonstrate their success in relation to improved care delivery.”

While there is not a timetable for when the performance of the test sites would be evaluated, Dr Kingsland said there would be “consistent” review and monitoring as they develop.

“I’ve not seen a better way of delivering first contact care than what is being described in this programme in the 27 years that I have been in general practice,” he said.

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