Primary care and community services are central to the NHS long-term plan with £3.5bn of the additional £20.5bn directed towards them. Moreover, the new ICSs that are developing across England are being built on the firm foundations of strong general practice and primary care. With all GP practices expected to join Primary Care Networks and the development of Integrated Care Provider Contracts, this is a time of great change and opportunity for primary care and their partners in community and social care.
New integrated models of primary, community and social care are emerging, including the NAPC’s primary care home model of population-based health and social care for communities of between 30,000 and 50,000 that now covers 16% of the country.
As in the trust sector, workforce shortages, spiralling demand and stretched finances are hampering progress in primary care. Unsustainable pressures are driving the adoption of multidisciplinary team working, new roles in general practice and time-saving technologies.