Reviews / 2022
Next steps for integrating primary care: the Fuller stocktake
Dr Claire Fuller · work from 2022 · published 2022
What this was
Stocktake of how primary care should work inside integrated care systems. It proposed neighbourhood teams for people with complex needs, and a simpler same-day access model for urgent but non-emergency problems.
Why it sits in the hub
The 10 Year Health Plan's neighbourhood-health idea is Fuller, scaled. HSSIB's advice-and-guidance investigation is the safety risk on the access side of the same reform.
Findings
Finding 1
Primary care was carrying complexity that no single practice could manage, and urgent demand was crowding out continuity.
Recommendations in this hub
Paraphrase of the public recommendations, not the official text.
- 1In progressICBs
Build integrated neighbourhood teams for people who need continuity.
- 2Partly donePrimary care networks and ICBs
Separate same-day access from the care of people with ongoing and complex illness.