Primary and acute care systems

Under this new care model outlined in the NHS five year forward view, primary and acute care systems (PACS) would provide list-based GP and hospital services, together with mental health and community care, in single NHS organisations for the first time. They could evolve in different ways, for example, by hospital trusts opening their own GP surgeries.

Under some circumstances, PACS could become accountable for the whole health needs of a registered list of patients. This would resemble the accountable care organisation model that is emerging in the United States and elsewhere.

Key publications

Accountable care organisations in the United States and England

This briefing explores the accountable care organisations emerging in the United States and discusses the implication of these developments for integrated care initiatives in England.

Co-ordinated care for people with complex chronic conditions: key lessons and markers for success

Co-ordinated care for people with complex chronic conditions front cover

Co-ordinated care for people with complex chronic conditions front cover
Our report explores the key components of effective co-ordinated care through a study of five UK-based programmes that deliver co-ordinated care for people with long-term and complex needs.

Examples of new models of care in practice

Our integrated care map

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Our map pulls together case studies from the UK and abroad to highlight integrated care and new models of care in practice.