Primary Health Care

Department of Health written question – answered on 26th October 2016.

Alert me about debates like this

Photo of Lord Mawhinney Lord Mawhinney Conservative

To ask Her Majesty’s Government whether they plan to amalgamate primary care centres into larger units covering approximately 30,000 patients.

Photo of Lord Mawhinney Lord Mawhinney Conservative

To ask Her Majesty’s Government whether the NHS has the authority to require the amalgamation of local primary care centres; and if so, what is the extent of its powers.

Photo of Lord Mawhinney Lord Mawhinney Conservative

To ask Her Majesty’s Government whether it is their intention to amalgamate local primary care centres into larger units; and if so, when.

Photo of Lord Mawhinney Lord Mawhinney Conservative

To ask Her Majesty’s Government whether it is (1) their policy, or (2) the policy of NHS England, that primary care centres should be amalgamated into larger units.

Photo of Lord Prior of Brampton Lord Prior of Brampton The Parliamentary Under-Secretary of State, Department of Health

As part of the New Care Models Programme, NHS England is supporting local health and care commissioners and providers to come together to improve the health and care they provide. This includes the development of population-based care models known as integrated Primary and Acute Care Systems and Multispecialty Community Providers (MCPs). Where and how to develop new care models are decisions taken by local partnerships, in response to local conditions. The Programme is not directing or requiring the amalgamation of primary care centres.

There are 14 MCP vanguards, with a single organisation accountable for joined-up General Practitioner (GP) and community services and some specialist care, mental health services, and social care for a defined population. The building blocks of a MCP are the ‘care hubs’ of integrated teams. Each typically serves a community of around 30,000-50,000 people. These hubs are the practical, operational level of any model of accountable care provision. The wider the scope of services included in the MCP, the more hubs you may need to connect together to create sufficient scale. All 14 MCP vanguards now serve a minimum population of around 100,000.

The majority of GP practices are already working in practice groups or federations. This provides opportunities to expand services, stabilise practice income and work at scale, which has benefits for patients, practices and the wider system. These include economies of scale, quality improvement, workforce development, enhanced care and new services, resilience and system partnerships.

A new voluntary MCP contract will be introduced from April 2017, to integrate general practice services with community services and wider healthcare services. Measures from the GP Access Fund and vanguard sites that are currently piloting this approach, will be learned from to support mainstreaming of proven service improvements across all practices, and funding will be provided for local collaborations to support practices to implement new ways of working.

Does this answer the above question?

Yes0 people think so

No0 people think not

Would you like to ask a question like this yourself? Use our Freedom of Information site.