Primary care home and acute medical models

Primary care home

The primary care home model is a form of multispecialty community provider that aims to re-shape the way primary care services are delivered, based on local population needs.

It is a joint National Association of Primary Care and NHS Confederation programme and was launched in October 2015.

Primary care home sites provide care to a defined population of between 30,000 and 50,000 people.  They align clinical and financial drivers with appropriate shared risks and rewards and personalisation and improvement of care by focusing on healthcare teams working together from all disciplines and encouraging partnerships across primary, secondary and social care.

The key benefit for patients is a multidisciplinary team working approach which provides comprehensive and personalised care to individuals – everyone within the team knows everyone else and the patient has a more consistent experience of care – similar to having a named GP.

Supported by the new care models programme, 15 rapid test sites across the country are developing and testing the primary care home model.

For further information about the primary care home model email napc@napc.co.uk, or visit the national association of primary care website. you can also follow us on Twitter.

Acute medical model

In 2016 the new care models programme began working with a cohort of small district general hospitals (22 in total) to look at strengthening their acute medical model. Many of these hospitals are in rural and remote settings.

These hospitals are working to trial new ways to improve the sustainability, quality, efficiency and effectiveness of acute medical services in smaller district hospitals. They face particular challenges around low numbers of patients and the ability to recruit and retain the clinical staff needed to construct compliant rotas, keep skills updated and attract trainees.

These trusts also often have high fixed costs to deliver acute medical services. Many are trying to provide services where a larger than average proportion of the population is elderly and there are higher levels of deprivation. In areas like this, issues of low car ownership and poor public transport can exacerbate access difficulties.

The programme is offering some support to these hospitals outside that being offered to vanguards. This includes matching participant hospitals with others to maximise opportunities for learning and networking. There is also evaluation support and financial support to enable clinicians to spend time on quality improvement work. The programme is also connecting them with relevant national bodies which can support specific areas of work, for example the Royal Colleges and Health Education England.

For further information contact Vicky Scott, National Lead – Acute Medical Model Programme vicky.scott5@nhs.net.