Named Clinician (GP) and Micro-Team Continuity Model
See the right person, more of the time. Wherever possible, we book you with your named GP or the small micro-team around them. From April 2025, this became our default booking approach because continuity improves safety, experience and outcomes. We also track our Usual Provider of Care by age, gender, ethnicity and deprivation so continuity benefits every part of our community.
Why continuity matters
When you meet clinicians who know you, you don’t have to repeat your story. Plans build over time, decisions reflect what matters to you, and small changes add up to better health. Our model is designed so this kind of steady, relationship-based care happens by design, not luck.
Your micro-team
Think of your micro-team as your GP’s close circle—familiar clinicians who share information and work together on your care. Long-term conditions nurses sit within these teams to support people who attend often or find it hard to prioritise health. We recognise that difficult life experiences—such as trauma or PTSD—shape how and when people seek help, so we keep you with faces you know and a plan you’ve agreed together.
How booking works here
Our system first looks for an appointment with your named GP. If they’re not available, we offer a slot with their micro-team, so the thread of your care isn’t dropped. This is now hard-wired into our process to make continuity the norm.
When continuity helps most
Continuity is especially powerful for long-term conditions and when life feels complicated. For people with Learning Disability or Dementia, we run continuity-based annual health check clinics led by specific care coordinators and nurse practitioners, so each visit builds confidence rather than starting again.
An equity lens, built in
We monitor continuity carefully—tracking Usual Provider of Care across protected characteristics and deprivation—to spot gaps and fix them. Continuity should work for everyone, not only the easiest-to-reach.
Led by clinical research and improvement
This programme is led by our Health Inequalities GP Fellow, Dr India Wheeler, who is developing a new continuity tool with Research Capability Funding to strengthen how we measure and deliver continuity day to day.
What you can do next
When you book, ask for your named GP. If they’re busy, choose their micro-team. We’ll keep the conversation going—one familiar appointment at a time.