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Primary care transformation


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Start here to find out more about the network, what it's for, how to use it and how to contribute.


A network for sharing case studies and other useful resources to inform the development of primary care.


To provide evidence and examples of good practice to support clinicians, primary care professionals and commissioners working to develop better models of primary care.

The network has been set up to support the NHS England (North) primary care transformation work programme, with the specific aim of supporting clinical leadership and primary care development in the north of England drawing on the best regional, national and international examples.

Who it's for

The network is for members of the task and finish groups participating in the NHS England (North) work programme with access currently only by invitation. Later, we plan to open the network, making the evidence and discussion forums available to any interested party.

The network has a regional focus, but we welcome the involvement of colleagues working on related national work programmes who may wish to use the resources published here or share material of their own.

About the evidence

The examples on the site are a small selection of the best evidence we believe is currently available. It is intended to be useful rather than comprehensive or definitive. We aim to provide sufficient coverage of important topics without overloading users with information.

Little here is original or new and most of the links are to material on other websites, but by bringing it together in one place we hope to save time and effort sifting through the mass of good, bad and indifferent material available on the Web.

If you know of other good published examples, please let us know by contacting maria.axford@networks.nhs.uk. We are also interested in hearing about local examples that have not yet been written up or anything published but not readily accessible online.

How it's organised

The organisation of the material on the site reflects the workstreams of the northern region project, namely:

  • Long-term conditions
  • Access and urgent care
  • Children's services
  • Organisational forms

(Note that not all of these sections are currently populated.)

Each folder also contains a section for academic evidence. This includes abstracts of articles in various databases. These sources are available on subscription and for copyright reasons we cannot reproduce the full text, though we have provided links for anyone interested in further research.

A further section of useful resources contains material that does not neatly fit any of the existing categories including items relevant to more than one workstream and third-party collections of material such as the Quality and Productivity case studies from NHS Evidence (formerly know as the QIPP Collection).

Selection criteria

The material initially published here is a first cut following a broad trawl of the public internet and various online databases. Part of the job of the task and finish groups for each of the workstreams is to select the best examples from the available evidence, so expect to see the selection change as the programme develops.

Use of the material

The examples seek to demonstrate one or more of the following:

  • Evidence of clinical benefit
  • Evidence of value for money or cost savings
  • Evidence that it could be replicated elsewhere
  • Evidence of scalability
  • Enablers of and barriers to success
  • The role of clinical leadership, relationships between local agencies, engagement with stakeholders including patients and the public and other factors


As Paul Corrigan et al note in the introduction to the Right Care Casebooks, some of the "softer" factors noted above, such as the leadership abilities of individuals or the quality of local relationships, may be critical determinants of success or failure.

They may also influence whether an approach that works in one place will succeed elsewhere. This point helps explain why standardised approaches sometimes fail and spread of good practice remains elusive.


The evidence should reduce the time taken to develop project plans, illustrate what works, prevent people from repeating mistakes, and arming local leaders with material they can use to solve local problems.

As well as this practical purpose, some of the evidence may simply be a source of ideas and inspiration, illustrating what's possible and helping to build the confidence and engagement to get local improvement programmes underway.

Useful features of NHS Networks

The NHS Networks platform has been chosen to develop the evidence base for a number of reasons. One is because it allows access to content to be more or less restricted, allowing it to be run as a closed user community for now but opened up to wider audience later, if required.

Other useful features are:

Email alerts to your mailbox any time new content is added to this network

A discussion forum - currently set up as a single forum, but may also include "threads" for different discussion topics

Support for video, audio and slideshows, which can be streamed directly from the site (as with Youtube) rather than downloaded.

For help with any aspect of the site, email maria.axford@networks.nhs.uk