Medacs Healthcare

JUN 30/2015

New primary care model 'being created by GPs'

A new multi-specialty primary care model is being created by senior GPs from the National Association of Primary Care (NAPC) and NHS England.

This is according to GP Online, which reports that the model, called 'primary care home', has been created under the Five Year Forward View reforms.  

The website reports that Dr James Kingsland, president of the NAPC, told the audience at the recent Commissioning Show in London that the plan would see doctors in general practice working within a multi-disciplinary team that will deal with a list of up to 50,000 patients.

"I think most general practices recognise that a GP, practice nurse, and an administrative team might have been fit for the 20th century but may not be the vehicle for 21st century care," he said.

Dr Kingsland explained that the NAPC isn't aiming to remove what is perceived a traditional family medicine from general practice, instead it wants to build on this foundation, adding that the size of the organisation would be limited.

"We believe that once you go over a registered list size of 50,000 then you lose some of the personalisation, the continuum, and the interactions within the primary care team," he added. 

The patients treated under the new model would get the best of traditional general practice, but in a manner that is scaled up and multi-faceted, as well as "more finished episodes" of care out of hospital, which Dr Kingsland believes us the agenda for the future of the NHS.

He added that one of the main aims of the scheme was to bring together multiple services on a single site, as he thinks that general practice can often be perceived as a "brokering service", connecting patients to other parties within the health service rather than looking after that need themselves.

"Patients who register with this organisation should expect more, have more made for them and less bought for them from elsewhere," the president added. 

However, this scheme may be difficult to roll out to the whole of England due to well-publicised shortage of GPs, as many trainees are shunning general practice in favour of other specialities within the NHS.  

According to data compiled by Medacs, one in three posts for trainee GPs across the country has not been filled, indicating that there is a recruitment crisis in the NHS. 


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