Rick Stern - Making Time in General Practice (ITN) Dr Robert Varnam - the Future of General Practice


About Us

The Primary Care Foundation was established to support the development of best practice in primary and urgent care.  The three Directors bring different skills and perspectives to understanding primary and urgent health care - for more details click below:

David Carson

Rick Stern

Henry Clay

We also work with a number of associates on different projects, in particular:

Simon Lawrence

Latest News

New video about the future of general practice

We have just completed four sessions for practices across Bristol, North Somerset & South Gloucestershire which included an excellent video from Robert Varnam, Head of General Practice Development at NHS England, setting out how he sees the current challenges and opportunities for general practice. To view this video press here and for the slides from the workshop summarising progress on the local Prime Minister’s GP Access Fund, click here


Latest Blog: Home visiting - Risky business?

David Carson’s latest blog looks at the recent NHS England Patient Safety alert on home visits in general practice and explores the practical steps you might take to get things right in your practice. To view CLICK HERE.


Integrated Urgent Care – opportunity for support to your locality

In support of the NHS England Integrated Urgent Care Team we have developed a financial model that focuses particularly on the NHS 111 and OOH ‘front end’ to an integrated urgent care system (but also looks at the cost of onward referrals to other services). This is a great tool for use by commissioners and providers and will be published by NHS England shortly. It requires users to define the nature of the 111 service that they are looking to establish, how the clinical hub will work, what mix of skills it might contain and challenges them to estimate what proportion of calls will go through the hub, what dispositions might be expected from the system. It also models the out of hours services across the locality and includes looking at and costing the referrals to other services such as UCCs or extended hours GP services. Much of the value comes from the discussion, debate and learning from involving a group of experts that know and understand the urgent care system and want to understand the opportunity available to them locally. The tool is shortly to be released by NHS England but it is available for use now and NHS England have also agreed to support some of those making use of the model with some initial setup of the model and a workshop provided by Henry Clay who developed it. For further information please contact Henry Clay on This email address is being protected from spambots. You need JavaScript enabled to view it.


New opportunity to be part of extended audit of appointments in general practice

As part of the National Roadshows with the BMA and NHS England, there is an opportunity for all practices to take part in a new extended audit of appointments in general practice. If you think your practice might like to take part and you haven’t been able to get to one of the 11 Roadshows (more dates put on because of high demand for places including new events now planned for Birmingham, Brighton & Newcastle), click here to download our slide set from the Roadshow and make sure you are added to the list of practices who want to download a new easy to use App – free for the first 100 practices – email us at This email address is being protected from spambots. You need JavaScript enabled to view it.


'Making Time' made simple

A new web based version of our recent report ‘Making Time in General Practice’ is available on the NHS Alliance website – click here for a link. And for a brief introduction to the report listen to an interview by Natasha Kaplinsky from ITN with Rick stern click here


We are now supporting over 1,500 practices across the UK to manage access and urgent care

Our support for general practices looking to improve access for patients and streamline the management of urgent care continues to expand. Based on a web based tool, developed out of our work commissioned by the Department of Health, we collect practice data for one week and prepare a report for each practice looking at how you compare to others and explore what this means for making practical changes in the way you work. We have now worked with over 1,500 practices across the UK. If you want to know more about how we might work with you please contact Rick Stern on  This email address is being protected from spambots. You need JavaScript enabled to view it.  or call on 07709 746771.


Latest Version of a Sample Report Now Available

We are regularly improving the format of our reports for practices based on constant feedback. If you would like to see an example report, CLICK HERE