The Future of Integrated Primary Care stocktake

The Future of Integrated Care work is a wide-ranging national stocktake of how best primary care can be supported within the emergent Integrated Care Systems (ICSs) and how systems can accelerate implementation of the primary care, out of hospital care and prevention ambitions in the NHS Long Term Plan and drive more integrated primary, community and social care services at a local level.

The stocktake will focus on identifying the fantastic work already taking place across the country and identifying the practical next steps ICSs can take as they assume a statutory footing from April 2022.

How to take part in the stocktake

We will shortly set up a hub where you can find information about the stocktake and how you will be able to participate in discussions about the future of integrated primary care.

In the meantime, if you would like to share your views on three initial key lines of enquiry that we have identified and listed below, please email england.fullerstocktake@nhs.net.

Initial key lines of enquiry

1. What are the key priorities for ensuring a more integrated and effective NHS primary care service in future? With particular focus on:
  • supported self-care and self-management
  • urgent and emergency care
  • management of long-term conditions, multi-morbidity and anticipatory care
  • elective care
  • mental health and wellbeing
  • services for people with learning disabilities and autism
  • services for children and young people
  • support for people at the end of life
2. What practical enablers are needed to realise this vision, and how should these best be put into practice? In particular:
  • digital and data, including care records; patient monitoring; population health management, risk stratification and health inequalities; and demand/capacity planning
  • workforce models, including expanded primary care teams, changes to education and training, different employment models across multiple PCNs, flexible and portfolio careers
  • estates models, including the use of community assets, and flexible space
  • local funding and local contracting models.

Note the stocktake will assume, as a fixed point, the existing fjve year General Medical Services contract agreement between NHS England and the British Medical Association General Practice Committee

3. What type of leadership, engagement and decision-making structures are needed? In particular:
  • leadership capacity, capabilities, support and development
  • governance and supporting infrastructure
  • working within communities
  • engagement structures

Guiding principles of the stocktake

  • Genuine co-production with all partners
  • Builds upon hearing what matters most to patients, carers and communities
  • Uses evidence of what works, emerging good practice and promising innovations
  • Supports integrated working and multidisciplinary leadership
  • Achieves local system and place-based backing

During the initial scoping phase, we are taking a number of approaches to make sure voices from a representative cross-section of the NHS, voluntary sector, community leaders, carers and patients are heard.