P1Vision and operating structure

A single continuous fabric of care.

Homes, neighbourhoods, family clinics, hospitals, and community research and training centres operate as one connected system - not five separate domains. Below: the principles that anchor the work, the model that organises it, and the method that puts it into motion.

The vision

One fabric, not five domains.

The vision

The NNHC initiative envisions a healthcare ecosystem where homes, neighbourhoods, family clinics, hospitals, and community research and training centres operate as a single continuous fabric of care.

The model integrates these layers into one connected system rather than treating each as a separate domain. It works upstream - building health, preventing disease, and revising the structure of primary care so that hospitals are the exception rather than the default.

Principles

Five guiding principles.

Principles

  1. 01

    Home as the unit of care

    Healthcare is delivered closer to people’s homes, supported by trained caregivers and community networks.

  2. 02

    Professional ownership

    Healthcare professionals take responsibility for defined communities, reviving the family doctor relationship.

  3. 03

    Empowered communities

    Communities participate actively in care delivery, not merely as recipients but as co-creators.

  4. 04

    Seamless coordination

    Technology enables coordination between stakeholders, integrating EMR, CMR, and open platforms.

  5. 05

    Equitable access

    Healthcare remains equitable, accessible, and affordable, with cross-subsidy supporting vulnerable populations.

Star Model

Five stakeholder groups, one shared centre.

The Star Model

Care@Home sits at the centre, with five distinct stakeholder groups converging around it. Each brings a different form of capability; together they form the operational structure of the network.

THE CENTRECare@HomePatient · Family · CaregiverHCPHealthBIZFoundationsSSOSocialNBRNeighbourhoodLSGLocal
01 / 05Clinical

The clinical anchor.

Health Care Professionals

The clinical anchor of the network, organised by district and integrated through IMA.

120k+IMA members in Kerala
Members

Medical doctors, specialist associations, dentists, nurses, therapists, technicians.

Method

From vision to action - needs, services, gaps.

Method

  1. 01

    Identify care needs

    Map the actual care needs of each community, household by household. Move from assumption to evidence.

  2. 02

    Map existing services

    Inventory current healthcare, palliative, and community capacity already operating in the geography.

  3. 03

    Assess the gaps

    Identify gaps in care delivery, scheduling, and resource availability. The gap analysis becomes the brief.

What comes next

The model compiles into five operating tracks.

Each track has an owner, an output, and a hand-off into the next. Read how the work moves from convening to deployment.