The U.K.-based Nuffield Trust evaluated the Primary Care Home (PCH) model developed by the National Association of Primary Care as a way of organizing primary care for groups of between 30,000 and 50,000 patients. Its report says the model shows signs of success, but will take time, money and strong working relationships across the NHS and social care to be effective. The PCH model aims to link staff from general practice, community based services, hospitals, mental health services, social care and voluntary organizations to deliver care. The evaluation identified six 'enablers' to developing a PCH:
- Building leadership and engagement;
- Redesigning services that contribute to the PCH model;
- Creating a PCH workforce and culture;
- Aligning clinical and financial drivers;
- Developing an organizational form and governance arrangements; and
- Monitoring and evaluating progress and outcomes.
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