Today, we’re speaking to Dr Mike Holmes, a GP in Yorkshire and Chair of Nimbuscare, a local GP-led multi-neighbourhood provider. Here at the BJGP we’ve got a new section in the journal focussing on innovation in practice, and Mike, alongside with Tori Blake and colleagues, have written an article looking at neighbourhood delivery of urgent care in North Yorkshire.
Title of paper: Neighbourhood delivery of urgent care in North Yorkshire, UK
Available at: https://bjgp.org/content/76/764/133
Neighbourhood-based urgent care, led by GP Multineighbourhood providers, can reduce reliance on hospitals and NHS 111. Delivering urgent care in community settings is more cost effective than Urgent Treatment Centre and Emergency Departments attendances. Digital integration and shared clinical systems improve safety, responsiveness, and patient experience. Co-locating operational and clinical teams streamlines service delivery and enables operational and quality oversight. Sustained impact requires recurrent funding and performance measures that reflect system-wide improvement rather than single-provider metrics.
