Chris Ham in conversation with Craig Tanio

This content relates to the following topics:

Chris Ham speaks to Craig Tanio, Chief Medical Officer at ChenMed, about how the US-based primary care-led delivery model offers care to older patients with complex needs.

Craig talks about the innovative features of the model, which include a one-stop shop for patient care with a range of other services like diagnostics and acupuncture provided onsite, a low patient-to-doctor ratio, and close partnership working between clinicians and specialists. He also explains what's changed for patients and staff as a result, and what inspiration clinicians in England could take from the model.

More on primary care

Comments

David Dundas

Position
Managing Director and NHS Trust Governor,
Organisation
Lion Industries UK Ltd
Comment date
17 October 2014
I have long thought that the main problem with the overall quality of patient care, is the long time it takes to diagnosis at the Primary Care level, because GPs have to use many other providers for their diagnosis with each step often taking several weeks, which when added together leads to a long time for diagnosis, especually for those patients who have more complex needs, such as the elderly. ChenMed reduces the time for diagnosis by bringing most of it in-house. At present our GPs get around this problem by sending the patient to hospital which speeds up the diagnosis pathway. The advent of Critical Assessment Units recogises this problem.

Mick Smith

Position
Retired,
Organisation
two: sailing and snooker for the disabled
Comment date
17 October 2014
In our country we have Healthy Living Centres each of which provide exactly the kind of thing provided by ChenMed. In my opinion we ought to have centres like this (with huge car parks) that can house both NHS and both private sect0or and voluntary sector partners. Here you could also have facilities for consultants to work from and this centre could also house the out of hours services too. Even better, some minor operations could also take place here. The doctor section then, could easily be kept open 24/7/365.

Keith Hodge

Position
GP,
Organisation
HVCCG
Comment date
18 October 2014
One GP to 450 patients, wow! With most Practices functioning at one GP to c.1500 to 2000 patients, we would need a massive workforce expansion to replicate this model.
I think the other point is that it breaks the cradle to grave, vertical approach to primary care, and implies that other groups of patients ( children, younger adults) are also being looked after by specialist teams of GPs. That may superficially seem to be a sensible approach, but would lessen the generic skills of GPs in the 24/7 Urgent Care setting who are needed to safely assess a neonate one minute and a 90 year old the next. ChenMed sounds fantastic but I would be cautious about the unintended consequences.

Zahira Bachelani

Position
GP,
Organisation
BrentCCG
Comment date
07 January 2015
I agree with you Keith, the biggest sticking point is where are all these GPs?
It promises wonderful things to suggest this way of working, and I would love the communication barriers between specialties to be overcome and integrated care to benefit our patients; however, it is unrealistic to imagine the model can be transplanted from the USA to the UK unless there is a massive drive to make general practice a more attractive career option with the attached *long term* funding that is needed.

Add your comment