Frimley STP proposes radical upgrade of primary care

The Frimley Health sustainability and transformation plan has set out plans to establish a new model of large-scale general practice, but has stopped short of proposing the full formal integration of acute and primary care.

Proposals described in the Frimley Health sustainability and transformation plan would lead to the creation of 14 primary care “hubs” to be phased in by 2018.

Frimley Health FT is already in the process of establishing a primary and acute care system in north east Hampshire and Farnham. The latest proposals would extend the transformation of primary care into east Berkshire.

HSJ reported in September that Frimley was planning to extend its PACS model across the STP and develop a set of integrated primary care hubs. Although the final STP document details significant reforms to primary care, it stops short of proposing to extend the PACS.

The 14 hubs are likely to be based in Farnham, Fleet, Farnborough, Aldershot, Yateley, Surrey Heath, Bracknell and Ascot, the Royal Borough of Windsor and Maidenhead, and Slough.

The purpose of the GP hubs will be to create “single points of access” for social, mental and physical health care.

Physiotherapy will also be offered in general practice. This is expected to lead to a 20 per cent reduction in physiotherapy and secondary care referrals.

According to the proposals, total primary care expenditure will rise from £111m in 2016 to £136m, over 21 per cent by 2020-21 – a larger increase than either the acute or the mental health sectors. A further £8.5m will be spent on GP transformation.

There is currently no detail about the proposed governance model for running the GP hubs, but partners in the STP are meeting in December 2016 to discuss the governance model. A phased implementation plan will be agreed by February 2017.

Full story in The HSJ 5 December 2016