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Primary Care

Helping GPs and PCNs lead integrated, proactive care for local populations

Primary care is the front door to the NHS and the foundation of neighbourhood health. GPs and Primary Care Networks (PCNs) are central to improving outcomes, reducing inequalities, and keeping people well in the community - while easing pressure on hospitals.

Graphnet partners with GP practices and PCNs across the UK to make that possible. We provide the shared care records, population insights and digital tools that help primary care teams coordinate better, act earlier and deliver joined-up care at scale.

What we help GPs and PCNs achieve

Across neighbourhood teams, the goals are clear: make care simpler for patients, safer for clinicians and more sustainable for practices. Graphnet supports that by helping you:

  • See the whole person, not just the GP record

Access a trusted, system-wide view that includes acute, community, mental health and social care information — so decisions are safer, faster and better informed.

  • Deliver consistent neighbourhood pathways

Use digital workflows to reduce variation across practices, standardise best practice, and support multidisciplinary working. 

  • Keep people well and out of hospital

Enable proactive management of long-term conditions, frailty and high-risk cohorts, with the tools to support care closer to home.

  • Target support where it’s needed most

Identify risk earlier, understand population need, and focus interventions on the cohorts and communities that will benefit most. 

  • Reduce admin burden and duplication

Spend less time searching for information or re-entering data, and more time with patients.

These capabilities directly support the NHS’s long-term direction of modernising care, strengthening neighbourhood delivery, and focusing on preventing avoidable illness.

Why Graphnet for primary care

A Shared Care Record that supports neighbourhood teams

Graphnet is the UK’s leading provider of Shared Care Records. We connect the data that matters across the local system and present it in a clear, clinician-friendly view.

For GPs and PCNs, that means:

  • fewer information gaps at consultations
  • better continuity when patients move between settings
  • safer decisions for complex needs
  • more confident community care

Whether you’re running an MDT, reviewing frail patients, or coordinating discharge follow-up, everyone works from the same up-to-date picture.

Population health insight that turns data into action

Primary care is increasingly expected to lead proactive and preventative models of care. Graphnet’s Population Health platform helps practices and PCNs:

  • stratify risk and segment populations
  • find people earlier in deterioration pathways
  • track long-term condition cohorts
  • monitor inequalities and variation between neighbourhoods
  • evidence impact for PCN and ICB reporting

This makes prevention practical - not just aspirational.

Digital pathways that reduce variation and speed up care

Graphnet supports PCNs to embed consistent pathways across practices, helping neighbourhood delivery scale quickly and safely. 

Examples include:

  • long-term condition coordination
  • frailty and falls pathways
  • discharge and follow-up workflows
  • community and social care referral routes
  • personalised care planning

The result is smoother care across neighbourhoods and fewer “hand-offs” that delay support.

Remote monitoring and virtual care for people at home

Graphnet enables remote monitoring and virtual ward pathways so PCNs can support people safely in their own homes, with escalation when needed.

For primary care this supports:

  • admission avoidance
  • earlier discharge support
  • high-risk long-term condition monitoring
  • improved patient confidence and self-management

How we work with practices and networks

Graphnet works alongside primary care to ensure technology fits real-world delivery. We support:

  • single practices and groupings
  • PCN-wide neighbourhood models
  • cross-place shared pathways
  • training, adoption and change support

We focus on outcomes: safer decisions, earlier action, fewer avoidable admissions, and more consistent care for every patient.

Core Graphnet solutions for PCNs & GPs

  • Shared Care Record - a single, secure view across the local system
  • Population Health Analytics (CIPHA) - risk, cohorts, inequalities, outcomes
  • Remote Monitoring & Virtual Wards - scalable care at home pathways
  • Digital MDT & care-coordination workflows – consistent neighbourhood delivery

Let’s talk about your neighbourhood priorities

Whether your focus is proactive long-term condition care, frailty support, neighbourhood MDTs, or expanding care at home, Graphnet gives your practices and PCNs the shared platform to deliver joined-up, modern primary care that keeps people well.

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