24/7 Primary Care
The care provided to patients in the evening and weekends when the GP surgeries are closed is referred to as Out of Hours. The contract for the current arrangement comes to an end in March 2018 and as from 1st April a new provider will be in place. The newly commissioned service will be called 24/7 Primary Home and it is hoped this will be delivered by a collaboration of providers.
Medicas are working with the commissioners and provider colleagues, to potentially deliver a part of this contract to the North Bucks population. The plans being developed demonstrate a more innovative approach being taken to provide this care, which will combine the expertise of a range of services. These will include community nurses and palliative care teams to look after those who are chronically ill during these hours, or those who are dying, paramedics from South Central Ambulance to visit patients at home with acute illness and Advanced Nurse Practitioners and GPs to respond to calls for advice over the phone and face to face at allocated base sites.
This type of collaborative provider approach requires the different elements to be subcontracted to the best service for each eventuality. With cooperation, trust and good management all of the pieces of the jigsaw fitted together , the system should enable patients to be looked after efficiently, by the most appropriate person, and in the right setting, whether this is at home, in a late GP surgery clinic or in hospital.
Medicas have recently become involved in areas of research, and have recruited a dedicated nurse to run the programmes and coordinate research activity for the North Buckinghamshire population.
Research is about finding out new knowledge that could lead to changes in treatments, policies or care. There are many different types of research from studies in a scientific laboratory to those that observe and examine people with different conditions or develop new treatments. Research might be concerned with preventing disease and promoting good health or finding out people's experience of different services and support in the community.
The people who carry out research will be doctors, healthcare professionals, psychologists, sociologists or researchers, working in a University or other health or social care organisation. In most research teams there will be service users, carers, patients or members of the public involved.
We need research to provide evidence that something works. It is equally important to show that something is not effective or does not work in the way we thought it should.
Health and social care research can help us to:
- identify people at risk of getting ill and help to prevent illness
- provide the best advice and treatments for people
- share knowledge and understanding about different conditions
- find out what people think about services
- assess how effective services are
- improve the environment, health and wellbeing of a local population
To find about more about research and the national programmes please visit:
Primary care home model
Primary care home is an innovative approach to strengthening and redesigning primary care. Medicas are exploring how the principles of this model can work for the local population.
Developed by the National Association of Primary Care (NAPC), the model brings together a range of health and social care professionals to work together to provide enhanced personalised and preventative care for their local community.
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 and provide care closer to patients’ homes.
Primary care home shares some of the features of the multispecialty community provider (MCP) – its focus is on a smaller population enabling primary care transformation to happen at a fast pace, either on its own or as a foundation for larger models.
NHS England Chief Executive Simon Stevens launched the primary care home programme in October 2015. Supported by the new care models programme, 15 rapid test sites were chosen in December 2015. The programme has since expanded to more than 160 sites across England, serving seven million patients, 12% of the population. The sites have come together as a community of practice to develop and test the model.
Four key characteristics make up the primary care home:
- an integrated workforce, with a strong focus on partnerships spanning primary, secondary and social care;
- a combined focus on personalisation of care with improvements in population health outcomes;
- aligned clinical and financial drivers through a unified, capitated budget with appropriate shared risks and rewards;
- provision of care to a defined, registered population of between 30,000 and 50,000.