Designing neighbourhood urgent care: A general practice perspective

Designing neighbourhood urgent care: A general practice perspective

From BJGP Interviews by The British Journal of General Practice

March 3, 2026 · 24 min · Season 4 · Episode 226

About this episode

Dr Mike Holmes discusses the benefits of neighbourhood-based urgent care from a general practice perspective.

Today, we’re speaking to Dr Mike Holmes, a GP in Yorkshire and Chair of Nimbuscare, a local GP-led multi-neighbourhood provider. 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.

People in this episode

Guest: Dr Mike Holmes

Topics covered

  • urgent care
  • general practice
  • healthcare delivery
  • community health
  • cost effectiveness

Keywords

  • urgent care
  • neighbourhood delivery
  • GP-led care
  • cost effectiveness
  • digital integration

Mentioned in this episode

Organizations: Nimbuscare, NHS, British Journal of General Practice

Places: Yorkshire, North Yorkshire

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