This guidance from NHS England highlights the responsibilities of CCGs to commission services that deliver comprehensive physical health assessments and follow up care to people on the SMI register in primary care; addressing the premature mortality experienced by people with SMI compared to the general population.
The guidance for CCGs is available from NHS England
The Supporting Annexes which include case studies and workforce tools and resources can be found here
New report from the Nuffield Trust evaluates an initiative called the Primary Care Home (PCH) model developed by the National Association of Primary Care (NAPC).
The primary care home model was developed by the National Association of Primary Care as a response to workforce challenges, rising demand and opportunities to shape transformation in local health and care systems across England.
This report from the Nufield Trust suggests that the new models of primary care provision are showing early signs of success but will need more resources and support for these models to work well on a permanent basis.
The evaluation found that participating in the primary care home programme had strengthened inter-professional working between GPs and other health professionals while also stimulating new services and ways of working, tailored to the needs of different patient groups.
It was judged to be too early in the scheme’s development for the Nuffield Trust to quantify impacts on patient outcomes, patient experience or use of wider health services.
Socioeconomic status and geographical factors are associated with health and use of healthcare. Well-performing primary care contributes to better health and more adequate healthcare. In a primary care system based on patient’s choice of practice, this choice (listing) is a key to understand the system | BMJ Open
Objective: To explore the relationship between population and practices in a primary care system based on listing.
Conclusions: Higher income, shorter education, shorter distance to primary care or longer distance to hospital is associated with active listing in primary care.
Multimorbidity, age, geographical location and type of primary care practice are more important to active listing in primary care than socioeconomic status and distance to healthcare.
Challenges facing general practice are increasing. This comes at a time of increased patient need, high demand for services and growing challenges in retaining and recruiting clinical team members | PCC
PCC has been supporting practices to prepare for the future by looking at ways they can become more sustainable. From our work so far, the following themes have emerged:
The need to ensure practices are well run, claiming appropriately and considering how the practice, as a whole, could work smarter.
Planning for the future –how a practice will need to change in the next three to five years and how steps towards this can start now, to achieve early wins and boost morale.
General practices are responding to the increasing demands they face in several ways. Some are merging with other like-minded practices or working with other partners in the health economy. Others are collaborating to share back office or clinical skills to enable them to manage patients and workloads most appropriately. This includes signposting to alternative local services.
The UK emerges as the first of 11 countries in an international survey of care co-ordination in primary care settings | The Commonwealth Fund
In a survey of health care experiences in 11 high-income countries, the rate of poor primary care coordination was 5.2 percent overall and 9.8 percent in the United States, the highest rate. Patients who have a positive, established relationship with their provider were less likely to report poor primary care coordination. Being young or having a chronic illness was associated with poor care coordination.
The dimensions of care coordination assessed for this study were:
access to medical records or test results;
receiving conflicting information;
use of diagnostic tests that the patient felt were unnecessary; sharing of information between primary care doctor and specialist.
The UK had the highest percentage of patients reporting no care coordination gaps within primary care.