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Primary Care Networks – how did we get here?

 

Blog headlines

  • 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.

  • What now for primary care
    4 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.

  • Boosting your resilience
    30 October 2020

    The last year has been a difficult one, who would have imagined last Christmas that we would have been in lockdown, with the NHS seriously tested by a global pandemic. So much change has happened and the resilience of people working in and with health and care services has been seriously tested. Resilience is our ability to deal with, find strengths in and/or recover from difficult situations. Its sometimes referred to as “bounceabiliy” – but bouncing in what way?

  • Link of the week: National Cholesterol Month
    23 October 2020

    Every month or week of the year seems to be an awareness week, October has more than its fair share.

  • New redeployment service offers talent pool of motivated, work-ready individuals
    15 October 2020

    People 1st International have shared some of the work they are doing to support people displaced from industries due to the Covid-19 pandemic. There is an opportunity for health and care services to benefit from this workforce.

  • Link of the week
    9 October 2020

    Article published in the BMJ looking at the ability of the health service to quickly bounce back to pre-Covid levels of activity and considers if it is desirable.

  • Virtual Consultations– the patient perspective
    2 October 2020

    This week Jessie Cunnett, director of health and social care at Transverse has shared this article.

  • Virtual Consultations– the patient perspective
    1 October 2020

    This week Jessie Cunnett, director of health and social care at Transverse has shared this article - Virtual Consultations– the patient perspective.

  • Celebrating innovation in eye research
    24 September 2020

    This week Julian Jackson from VisionBridge has shared a report on eye research.

  • Link of the week: Comprehensive Spending Review and Covid-19
    24 September 2020

    This week we are sharing a blog that outlines the funding pressures and uncertainties faced by the health and care system

  • Risk stratifying elective care patients
    10 September 2020

    This blog has been shared by MBI healthcare technologies. As services are starting to treat routine patients those on waiting lists are making enquiries as to where they are on the list, and if they are still on the list.

  • Link of the week
    4 September 2020

    This week the link we would like to share are reflections from physiotherapy students on placement at Alzheimer Scotland https://letstalkaboutdementia.wordpress.com/

  • Link of the week
    28 August 2020

    This week we would like to share a blog published on the Mind website about being a BAME health worker in the pandemic.

 
 
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.