<unk> s were introduced into the National Health Service in England as part of the NHS Long Term Plan, published in January 2019. The 2019 General Practitioner contract gave the opportunity for GP practices to join<unk> s, each with between 30,000 and 50,000 patients. The stated aim is to create fully integrated community-based health services which will be an important component of integrated care systems. By June 2019 1,259<unk> s had been established across England, with an average population covered of about 42,000 patients, and including all but about 55 practices. About 25 had decided not to participate.<unk> s will be required to deliver seven national service specifications. Structured medication reviews, enhanced health in care homes, anticipatory care (with community services), personalised care and supporting early cancer diagnosis were to start by April 2020. Cardiovascular disease case-finding and locally agreed action to tackle inequalities are to start in 2021. This model was pioneered by the vanguard projects established under 2014's Five Year Forward View. The<unk> s will hold local contracts for enhanced services. They will have 'expanded neighbourhood teams', which the plan envisages 'will comprise a range of staff such as GPs, pharmacists, district nurses, community geriatricians, dementia workers and allied health professionals such as physiotherapists and podiatrists/chiropodists, joined by social care and the voluntary sector'. Evidence of the effectiveness of this approach is rather limited, according to a 2019 review in the Health Policy journal. Modality Partnership and Our Health Partnership, two of the biggest GP super-partnerships, proposed in 2019 to lead<unk> s across the country, which may include practices not in their organisations.
Primary care network
Therapeutic community
Prescription drug purchasing pool
Prison healthcare
Primary health organisation
Direct primary care
Community mental health service
Two-tier healthcare