Nottingham North and East Primary Care Home best practice
The Nottingham North and East Community Alliance (NNECA) Primary Care Home is made up of practices within the East of Nottingham. It serves a diverse population including areas of high deprivation as well as some of the most deprived areas in the UK. Across the Primary Care Home, there is significant variation in long term conditions and urgent care needs. The Primary Care Home vision is to develop a collaborative and strategic approach to addressing the health care needs of the combined patient population with their partners. Its aim is to develop a diversified workforce to enable patients to see the right person first time.
How things are changing
Working together as members of the Nottingham North and East Community Alliance, practices have been able to come together to start to work collaboratively to improve the service they are able to provide and the health of their combined practice population. The alliance has started work to develop a plan for a diversified workforce to enable patients to see the right person first time to address their health needs. One example has been to develop clinical pharmacists in general practice to improve patients’ health and access to care. A pilot of a community pharmacist at one practice from 2015 to 2017 showed that diabetic patients achieving blood pressure targets increased by 28.3 per cent because of the programme. The pharmacist also improves access for patients by seeing urgent problems on the day.
As a Primary Care Home, it hopes to expand this approach throughout its member practices. Member practices have also begun to develop collaborative working looking at back office support and efficiency improvements as well as peer support to help develop a strategy for more strategic care and reducing unwarranted variation in referrals and urgent activity.
Five practices (Apple Tree Medical Practice, Giltbrook Surgery, Peacock Healthcare, The Ivy Medical Group, Westdale Lane Surgery), Nottingham North and East Clinical Commissioning Group, Community Health Partnerships, Circle.