National Association of Primary Care

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The National Association of Primary Care is a membership association for Primary care professionals in the National Health Service and is the primary care provider network of the NHS Confederation. [1]

Dr Caroline Taylor is the chair of the association. [2] It has offices in London.

Until 1998 it was called the National Association of Commissioning GPs and many of its members were involved with GP Fundholding. [3]

It is involved in the development of plans associated with the Five Year Forward View for bringing GP practices together across populations of up to 50,000 patients in what it calls the 'primary care home'. This is similar to the multispecialty community provider model, but on a smaller scale. [4] This has been implemented in 15 pilot sites during 2016, covering around 500,000 patients. [5] Occupational therapists, mental health therapists, clinical pharmacists and other clinical professionals are given a more prominent role in these organisations. [6] The Nuffield Trust produced a preliminary report on it in August 2017, which was quite positive, but found would need time, money and strong working relationships across the NHS and social care to be effective. [7]

Simon Stevens addressed a meeting of the association in October 2016 to explain plans for capital investment in 300 GP practices using the £900 million Estates and Technology Transformation Fund between 2016 and 2021. [8]

Related Research Articles

General practice is the name given in various nations, such as the United Kingdom, India, Australia, New Zealand and South Africa to the services provided by general practitioners. In some nations, such as the US, similar services may be described as family medicine or primary care. The term Primary Care in the UK may also include services provided by community pharmacy, optometrist, dental surgery and community hearing care providers. The balance of care between primary care and secondary care - which usually refers to hospital based services - varies from place to place, and with time. In many countries there are initiatives to move services out of hospitals into the community, in the expectation that this will save money and be more convenient.

<span class="mw-page-title-main">Family medicine</span> Medical specialty

Family medicine is a medical specialty within primary care that provides continuing and comprehensive health care for the individual and family across all ages, genders, diseases, and parts of the body. The specialist, who is usually a primary care physician, is named a family physician. It is often referred to as general practice and a practitioner as a general practitioner. Historically, their role was once performed by any doctor with qualifications from a medical school and who works in the community. However, since the 1950s, family medicine / general practice has become a specialty in its own right, with specific training requirements tailored to each country. The names of the specialty emphasize its holistic nature and/or its roots in the family. It is based on knowledge of the patient in the context of the family and the community, focusing on disease prevention and health promotion. According to the World Organization of Family Doctors (WONCA), the aim of family medicine is "promoting personal, comprehensive and continuing care for the individual in the context of the family and the community". The issues of values underlying this practice are usually known as primary care ethics.

General medical services (GMS) is the range of healthcare that is provided by general practitioners as part of the National Health Service in the United Kingdom. The NHS specifies what GPs, as independent contractors, are expected to do and provides funding for this work through arrangements known as the General Medical Services Contract. Today, the GMS contract is a UK-wide arrangement with minor differences negotiated by each of the four UK health departments. In 2013 60% of practices had a GMS contract as their principle contract. The contract has sub-sections and not all are compulsory. The other forms of contract are the Personal Medical Services or Alternative Provider Medical Services contracts. They are designed to encourage practices to offer services over and above the standard contract. Alternative Provider Medical Services contracts, unlike the other contracts, can be awarded to anyone, not just GPs, don't specify standard essential services, and are time limited. A new contract is issued each year.

<span class="mw-page-title-main">NHS Wales</span> Publicly-funded healthcare system in Wales

NHS Wales is the publicly-funded healthcare system in Wales, and one of the four systems which make up the National Health Service in the United Kingdom.

<span class="mw-page-title-main">NHS Scotland</span> Publicly-funded healthcare system in Scotland

NHS Scotland, sometimes styled NHSScotland, is the publicly funded healthcare system in Scotland and one of the four systems that make up the National Health Service in the United Kingdom. It operates 14 territorial NHS boards across Scotland, 7 special non-geographic health boards, and NHS Health Scotland.

<span class="mw-page-title-main">National Health Service (England)</span> Publicly-funded healthcare system in England

The National Health Service (NHS) is the publicly funded healthcare system in England, and one of the four National Health Service systems in the United Kingdom. It is the second largest single-payer healthcare system in the world after the Brazilian Sistema Único de Saúde. Primarily funded by the government from general taxation, and overseen by the Department of Health and Social Care, the NHS provides healthcare to all legal English residents and residents from other regions of the UK, with most services free at the point of use for most people. The NHS also conducts research through the National Institute for Health and Care Research (NIHR).

Healthcare in England is mainly provided by the National Health Service (NHS), a public body that provides healthcare to all permanent residents in England, that is free at the point of use. The body is one of four forming the UK National Health Service as health is a devolved matter, there are differences with the provisions for healthcare elsewhere in the United Kingdom, and in England it is overseen by NHS England. Though the public system dominates healthcare provision in England, private health care and a wide variety of alternative and complementary treatments are available for those willing and able to pay.

<span class="mw-page-title-main">Clinical commissioning group</span>

Clinical commissioning groups (CCGs) were NHS organisations set up by the Health and Social Care Act 2012 to organise the delivery of NHS services in each of their local areas in England. On 1 July 2022 they were abolished and replaced by Integrated care systems as a result of the Health and Care Act 2022.

<span class="mw-page-title-main">NHS England</span> Oversight body for the National Health Service in England

NHS England, officially the NHS Commissioning Board, is an executive non-departmental public body of the Department of Health and Social Care. It oversees the budget, planning, delivery and day-to-day operation of the commissioning side of the National Health Service in England as set out in the Health and Social Care Act 2012. It directly commissions NHS general practitioners, dentists, optometrists and some specialist services. The Secretary of State publishes annually a document known as the NHS mandate which specifies the objectives which the Board should seek to achieve. National Health Service Regulations are published each year to give legal force to the mandate.

Healthcare in London, which consumes about a fifth of the NHS budget in England, is in many respects distinct from that in the rest of the United Kingdom, or England.

The Five Year Forward View was produced by NHS England in October 2014 under the leadership of Simon Stevens as a planning document.

The Modality Partnership is a large GP partnership formed in 2009. Such large practices are often described as a "super partnership". According to the King's Fund in 2016 it was one of England’s largest super-practices. In 2018 it had about 400,000 patients and was thought to be the largest practice in England.

Patient choice is a concept introduced into the NHS in England. Most patients are supposed to be able to choose the clinician whom they want to provide them with healthcare and that money to pay for the service should follow their choice. Before the advent of the internal market, in principle, a GP could refer a patient to any specialist in the UK. When contracts were introduced in 1990 these were called extracontractual referrals. From 1999 the concept of Out of Area Treatments was developed. These referrals were not necessarily related to choice made by a patient. Specialised treatments were not, and are not, available in every area.

Healthcare in Somerset, England was the responsibility of three clinical commissioning groups (CCGs) until July 2022. These covered the ceremonial county of Somerset, which comprises the areas governed by Somerset County Council and the unitary authorities of North Somerset and Bath and North East Somerset.

The "Greater Manchester Model" of NHS health care was a system uniquely devolved within England, by way of close integration with the Greater Manchester Combined Authority and local authorities, led by the Mayor of Greater Manchester. In July 2022 the Greater Manchester integrated care system took over responsibility for health and social care in the conurbation. The financial plan for 2022-23 had an initial shortage of £187 million.

Healthcare in the West Midlands was, until July 2022, the responsibility of five clinical commissioning groups: Birmingham and Solihull, Sandwell and West Birmingham, Dudley, Wolverhampton, and Walsall.

Healthcare in Lancashire in 2015 was the responsibility of seven clinical commissioning groups covering Blackpool, Chorley and South Ribble, East Lancashire, Fylde and Wyre, Greater Preston, Lancaster North and West Lancashire. In 1 April 2017 32 GP practices from Cumbria Clinical Commissioning Group merged with Lancashire North CCG to form Morecambe Bay CCG which was abolished in July 2022 when integrated care systems were introduced.

<span class="mw-page-title-main">Nick Harding</span> British general practitioner

Professor Nick Harding OBE BSc FRCGP FRCP HonMFPH DRCOG DOccMed PGDIP (Cardiology) SFFLM, born 21 December 1969, is a British general practitioner and Chief Medical Officer at Operose Health.

GP Federations became popular among English general practitioners after 2010 as a means to exploit the opportunities—or mitigate the threats—posed by the Five Year Forward View proposals in the English NHS which envisaged delivering primary care at a larger scale than the traditional GP list. It is widely believed that ‘Practices cannot survive on their own – they have to look at ways of making themselves stronger.’ 15 sites were selected in December 2015 to test new enhanced primary care models serving populations of 30,000 to 50,000 patients. Some, but by no means all, clinical commissioning groups have given financial support to encourage the formation of federations.

A Primary care network is a structure which brings general practitioners together on an area basis, possibly with other clinicians, to address chronic disease management and prevention. In 2022 the term is used in England, Singapore and Alberta.

References

  1. ↑ "About us". National Association of Primary Care. Retrieved 19 April 2021.
  2. ↑ "GP social prescribers to assess poor housing conditions following tragic death". Pulse. 18 November 2022. Retrieved 18 November 2022.
  3. ↑ "Doctors' lobby group changes name to broaden primary care base". Health Service Journal. 22 January 1998. Retrieved 25 January 2017.
  4. ↑ "'Huge appetite' for primary care at scale, says NHS England chief". Health Service Journal. 7 December 2016. Retrieved 25 January 2017.
  5. ↑ "Primary care model for 50,000-patient groups to be extended across England". GP Online. 13 July 2016. Retrieved 25 January 2017.
  6. ↑ "How occupational therapists help keep older people out of hospital". Guardian. 30 June 2016. Retrieved 25 January 2017.
  7. ↑ "New primary care model needs resources, say experts". OnMedica. 24 August 2017. Retrieved 8 October 2017.
  8. ↑ "NHS England sets out funding for GP infrastructure, indemnity and mental health". GP Online. 19 October 2016. Retrieved 25 January 2017.
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