We are pleased to be hosting “Primary Care Homes: the future for NHS dentistry?” at our offices on 16 May 2018.
Dr Paul Batchelor, author of the National Association of Primary Care (NAPC) report on dentistry and the Primary Care Home model, and by Dr Onkar Sahota AM, Chair of the London Assembly Health Committee will offer their thoughts on how dental care services might work within new models of integrated care, specifically the “Primary Care Home”. This event is being hosted as part of the work of the Local Dental Committees, following our response to the Mayor of London’s Draft Health Inequalities Strategy last year.
One of several NHS innovations in the delivery of care to patients is a model developed and tested by the NAPC: the so-called Primary Care Home. This approach to redesigning primary care was launched with the support of NHS England Chief Executive Simon Stevens in late 2015. From 15 early sites, the programme had expanded to over 200 by the beginning of 2018, serving over eight million patients.
The “Primary Care Home” model
There are four key characteristics that make up a “Primary Care Home”:
- an integrated workforce, with a strong focus on partnerships spanning primary, secondary and social care;
- a combined focus on personalisation of care with improvements in population health outcomes;
- aligned clinical and financial drivers through a unified, capitated budget with appropriate shared risks and rewards and
- provision of care to a defined, registered population of between 30,000 and 50,000.
In early 2018 the NAPC published a report exploring how dental services can work within the model. The NAPC identified the lack of joint working between medical and dental care as a key barrier to the first of the characteristics identified above. The report focuses on how collaboration can be improved through recognising the importance of oral health to overall health. Increasing integration of dental and medical services would improve patient health and their experience of care as well as lead to potential efficiency savings. There are, however, barriers to be overcome in increasing integration, with current contractual mechanisms and arrangements for dentistry being very different to those used in general medical practice.
Watch members of the NAPC explain the concept of a Primary Care Home: