TY - JOUR
AU - J. Scuffell
AU - J. Hutchinson
AU - D. Lavu
AU - R. Velho
AU - S. J. Woolford
AU - D. Dudley
AU - A. Harvey-Sullivan
A1 - 
AB - BACKGROUND: The NHS Ten Year Health Plan introduces Multi-Neighbourhood Providers (MNPs) as organisations delivering integrated, preventive and community-based care to populations exceeding 250 000. No registry exists of at-scale primary care organisations in England, which limits our understanding of existing provision and organisational architecture. AIM: To identify and characterise existing at-scale general practice organisations in England that could serve as prospective MNPs, describing their geographical distribution and key characteristics. METHOD: A cross-sectional study of Care Quality Commission (CQC) registered primary medical service providers (June 2025) and NHS Integrated Care Board expenditure data reporting transactions over £25 000 (April 2024 - May 2025). At-scale providers were defined through consensus with policymakers and provider leaders as organisations delivering primary medical services to populations exceeding 100 000 patients. Keyword searches (Federation, Alliance, Partnership), multi-location provision, and specific organisational structures (incorporated organisations, limited liability partnerships, Community Interest Companies) informed inclusion criteria. Two reviewers screened organisations via website review; a third reviewer resolved discrepancies. RESULTS: From 56 030 registered providers and expenditure data, 661 organisations were shortlisted for screening. Screening is ongoing and results will be presented in full at the conference as choropleth maps, including details of provider- and practice-level characteristics. CONCLUSION: This first systematic mapping of at-scale primary care providers reveals substantial existing infrastructure operating at multi-neighbourhood scale, with significant variation in structure and maturity. Findings provide essential baseline intelligence for implementing MNP policy and commissioning decisions. The methodology offers a replicable approach for ongoing surveillance of primary care organisational development in England.
AD - KCL, London, UK.; Centre for Primary Care and Health Services Research, University of Manchester, Manchester, UK.; Exeter Collaboration for Academic Primary Care (APEx), University of Exeter, Exeter, UK d.lavu@exeter.ac.uk.; Keele University, Keele, UK.; City St George's, University of London, London, UK.; Cardiff University, Cardiff, UK.; NHS England, London, UK and QMUL, London, UK.
AN - 42134916
BT - Br J Gen Pract
C5 - Education & Workforce
CP - suppl 1
DA - 05/2026
DO - 10.3399/bjgp26X745233
DP - NLM
ET - 20260514
IS - suppl 1
JF - Br J Gen Pract
LA - eng
N2 - BACKGROUND: The NHS Ten Year Health Plan introduces Multi-Neighbourhood Providers (MNPs) as organisations delivering integrated, preventive and community-based care to populations exceeding 250 000. No registry exists of at-scale primary care organisations in England, which limits our understanding of existing provision and organisational architecture. AIM: To identify and characterise existing at-scale general practice organisations in England that could serve as prospective MNPs, describing their geographical distribution and key characteristics. METHOD: A cross-sectional study of Care Quality Commission (CQC) registered primary medical service providers (June 2025) and NHS Integrated Care Board expenditure data reporting transactions over £25 000 (April 2024 - May 2025). At-scale providers were defined through consensus with policymakers and provider leaders as organisations delivering primary medical services to populations exceeding 100 000 patients. Keyword searches (Federation, Alliance, Partnership), multi-location provision, and specific organisational structures (incorporated organisations, limited liability partnerships, Community Interest Companies) informed inclusion criteria. Two reviewers screened organisations via website review; a third reviewer resolved discrepancies. RESULTS: From 56 030 registered providers and expenditure data, 661 organisations were shortlisted for screening. Screening is ongoing and results will be presented in full at the conference as choropleth maps, including details of provider- and practice-level characteristics. CONCLUSION: This first systematic mapping of at-scale primary care providers reveals substantial existing infrastructure operating at multi-neighbourhood scale, with significant variation in structure and maturity. Findings provide essential baseline intelligence for implementing MNP policy and commissioning decisions. The methodology offers a replicable approach for ongoing surveillance of primary care organisational development in England.
PY - 2026
SN - 0960-1643
ST - Identifying at-scale primary care providers in England: a cross-sectional study of routine NHS data
T1 - Identifying at-scale primary care providers in England: a cross-sectional study of routine NHS data
T2 - Br J Gen Pract
TI - Identifying at-scale primary care providers in England: a cross-sectional study of routine NHS data
U1 - Education & Workforce
U3 - 10.3399/bjgp26X745233
VL - 76
VO - 0960-1643
Y1 - 2026
ER -