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Primary Care Networks – how did we get here?

 

Blog headlines

  • Cultural change at the heart of integrated care systems
    8 April 2021

    The blog this week, by Helen Northall, looks at the changes needed to make integrated care systems a reality.

  • Bluelight Cycling Club
    1 April 2021

    We are a cycle club that is dedicated to the Police Service, Fire Service , NHS, Coastguard, RNLI, Prison Service, NCA, Search and Rescue community and Armed Forces.

  • Enabling Integrated End of Life Care with a population data dashboard
    25 March 2021

    The guest blog this week is by Dr Karen Chumbley MBBS FRCGP MSc, North East Essex Health and Wellbeing Alliance Lead for End of Life Care.

  • The new proposed NHS legislation and where this fits in the jigsaw of changes
    18 March 2021

    In the blog this week William Greenwood, chief executive of Cheshire Local Medical Committee, looks at the implications of the White Paper on general practice.

  • Integration and Innovation: working together to improve health and social care for all
    11 March 2021

    Professor David Colin-Thomé shares his thoughts on the White Paper in this week’s blog.

  • UK’s National Health Service teams up with the Radio Society of Great Britain to improve health and wellbeing
    4 March 2021

    This week's blog is by Paul Devlin, Emergency Care Improvement Support Team (ECIST), NHS England and NHS Improvement.

  • Structuring a PCN Social Prescribing Service for the post COVID world
    25 February 2021

    This week we have a blog by Nick Sharples.

  • Community-Oriented Integrated Care
    18 February 2021

    The blog this week is a short extract from a paper considering an approach primary care networks could use to move towards community-oriented integrated care.

  • Strategy Unit releases opensource model for planning vaccine centre capacity
    11 February 2021

    This week's blog is from The Strategy Unit who are sharing an opensource model to help with vaccine centre capacity planning.

  • Time to talk day
    4 February 2021

    A small conversation about mental health has the power to make a big difference.

  • Supporting Staff: the emergence of ‘long-covid’
    28 January 2021

    As we are now well into a second, or is it now the third, wave of Covid-19 it is becoming apparent that Covid is something we have not experienced before and it has unique implications for staff management. It is not just the possibility that staff may become acutely ill with the virus, but that for some they may go on to develop persistent debilitating symptoms that will affect their ability to go back to work. This article looks at the implications of long-covid for HR and service managers when looking to support health care professionals (HCPs) return to work.

  • Link of the week: Clinically-Led workforce and Activity Redesign (CLEAR)
    21 January 2021

    This week we are sharing a link to the Clinically-Led workforce and Activity Redesign (CLEAR) site that is funded by Health Education England.

  • So much more than an extra pair of hands
    14 January 2021

    The introduction of the additional roles reimbursement scheme for primary care networks has started to grow capacity in general practice to address the unsustainably high workload that has put so much pressure on GPs.

  • Primary Care Networks – how did we get here?
    7 January 2021

    This week we are sharing a blog by PCC’s chairman David Colin-Thomé.

  • A year like no other
    17 December 2020

    On 5 July 1948 the NHS was born, over the last 72 years challenges and changes have been remarkable but the service has probably never been tested as much as in the last nine months. There have previously been numerous re-organisations, multiple changes to hospitals, mental health services and a shift from the family doctor towards more integrated primary care services delivered by a range of professionals. However, rapid transformation of services to embrace digital technologies, and a shift change to work differently has been forced upon all areas of the health service this year.

  • Guest blog: David Hotchin
    11 December 2020

    This week we have a guest blog that was submitted to us by David Hotchin, written by a retired friend....obviously, he's used a little poetic licence.

  • What now for commissioning?
    3 December 2020

    By Professor David Colin-Thomé, OBE, chair of PCC and formerly a GP for 36 years, the National Clinical Director of Primary, Dept of Health England 2001- 10 and visiting Professor Manchester and Durham Universities.

  • What White people don’t see
    26 November 2020

    This year’s Black History Month (BHM) has, unfortunately, in its shadow another example of why campaigns like this exist.

  • Primary Care: Why don’t we talk about Racism?
    20 November 2020

    Rita Symons is an ex NHS leader who is now a leadership consultant, coach and facilitator. Her work is mainly in the NHS and she is an associate for PCC offering facilitation, coaching, strategy development and team development activities. She is a concerned but hopeful world citizen and combines work in the NHS with a board role in a non for profit organisation and an interest in writing.

  • Primary Care and the Health of the Public
    12 November 2020

    By Professor David Colin-Thomé, OBE, chair of PCC and formerly a GP for 36 years, the National Clinical Director of Primary, Dept of Health England 2001- 10 and visiting Professor Manchester and Durham Universities.

 
 
Thursday, 7 January 2021

Primary Care Networks – how did we get here?

This week we are sharing a blog by PCC’s chairman David Colin-Thomé.

By Professor David Colin-Thomé, OBE, chair of PCC and formerly a GP for 36 years, the National Clinical Director of Primary, Dept of Health England 2001- 10 and visiting Professor Manchester and Durham Universities.

Primary Care Networks – how did we get here?

In the NHS Five Year Forward View. 2014, Simon Stevens uniquely for an NHS senior leader, emphasised - ‘The foundation of NHS care will remain list-based primary care’.

And now we have Primary Care Networks (PCNs) the base unit in responsibility for England’s health care, populations circa 30,000 to 50,000 people served by groups of GP practices working with NHS community services, social care and other providers to deliver more co-ordinated and proactive services.

How did this happen?

It began with the ‘bottom up’ voluntary Primary Care Home initiative which captured the imagination and enthusiasm of clinicians, managers, senior officials alike and in particular the supportive NHS England Chief Executive. The Primary Care Home concept was originated by the author in 2009, its overarching aim being ‘a population based (GP registered list) community provider possessing its own budget and ultimately providing an alternative to current NHS hospital centricity’. And importantly a responsibility for broader health and wellbeing where a bio-clinical focus and addressing the social determinants of health can be the responsibility of one provider organisation.

The Primary Care Home idea was brilliantly advanced by the National Association of Primary Care (NAPC) and the 240 innovative and often transformational nationwide volunteer sites, so much so that to quote a senior NHS England leader - “The Primary Care Home is the precursor to current national policy of Primary Care Networks (PCN).’’ The primary care paramountcy that is essential to NHS sustainability is equally essential for local patients and public, it is where most NHS care and support takes place This is not a claim for a primary care power grab but to be influential partners in a more dispersed leadership.

Can Primary Care Networks succeed?

The former 240 Primary Care Home sites make up nearly 20% of all PCNs offering a wealth of knowledge, experience and leadership to support progress. We now have approximately 1250 PCNs. In the year ahead they are set to be the building blocks of integrated care systems, and the immediate challenge is for them to be a major part of the current Covid-19 vaccination effort.

We can’t afford for them to fail.