Case Studies

A few years ago we wanted to turn our surgery into more of a community hub rather than it just being somewhere where people came when they were unwell. The practice has worked extremely hard to identify gaps that we were not able to fulfil within the NHS.
Having set up a successful gardening group at Redgate Medical Centre, we wanted to set up a second gardening group in our sister surgery, Somerset Bridge Medical Centre and explore other ideas we had had such as a singing group, walking group, walking football and Pilates, baby massage and foot massage.


The Healthy Cornwall scheme funded by Public Health England is a free service provided across all major towns in Cornwall.
This scheme aims to support people with weight management, healthy eating and physical activity, improving health and wellbeing within Cornwall and Isles of Scilly. Focusing on lifetime change.

Until earlier this year Primary Care Commissioning (PCC) led the organisational development work for the NHS England clinical pharmacists in general practice programme. PCC has published a collection of case studies from this programme, illustrating the benefits gained by some of the nearly 600 practices taking part.

We were approached by NHSE to take part in their CLiPP project (Collaborative Learning in Placement Practice) in April 2018 as there was funding available to bring CLiPP into the community, whereas previously it was only piloted in secondary care.
Second and third year students were allocated to us in small groups the idea behind this being that they would support each other in practice and that the learning environment would be enhanced. 
The first cohort started their placement with us in October 2018. Our request was that the students came to us being able to do venepuncture, which is not currently part of their training.                                                                                                                                                                                                      

In 2016 NHS England established the Healthy New Towns Programme (HNT), funded for three years, based on ten Healthy New Town sites to look at how health and wellbeing can be planned and designed into new places, bringing together partners in housebuilding, local government, healthcare and local communities to demonstrate how to create places that offer people improved choices and chances for a healthier life.

Pre-pregnancy care is very poor overall in the UK and Devon is not different according to the national pregnancy audit. Studies have shown that pre-pregnancy planning can greatly reduce these risks therefore we have developed an evidenced based intervention for Devon.

Atrial fibrillation is a heart condition that causes an irregular and often abnormally fast heart rate that can increase the risk of strokes, heart failure and other heart-related complications. The AliveCor monitor works with a compatible mobile device (such as a smartphone or tablet) and uses ultrasound to transmit the ECG recording to the phone and display the results using an App.
Devon Square Surgery in Newton Abbott are now using the AliveCor ECG monitor helping detect AF early.

A virtual nurse network - Practice nurse leads coming together across Devon.

Watch Joyce Pickering, Nurse Lead at Cricketfield practice in Newton Abbot talking about her Social Prescribing project and introducing it into the practice and being awarded the Queens Nurse title for her contribution to Healthcare in General Practice.

David Bearman, Clinical Lead for Pharmacy talks about SW AHSNs work with Medicine Optimisation and its impact on care in the community and how pharmacy is working in a more integrate way.

Charlie Young a Connect Project Worker with East Devon Health talks about his work in Technology Transformation Projects.

SDS MyHealthcare is a GP Federation based in Birmingham, consisting of 47 member practices covering a patient list of 300,000. In the area of Diabetes care, the project to provide Virtual Diabetes Community Clinics has radically improved the access to specialist care across the federation of GP practices.

Since the NHS was created in 1948, the population has grown and people are living longer. Many people are living with long term conditions such as diabetes and heart disease, or suffer with mental health issues and may need to access their local health services more often.
To meet these needs, practices have begun working together and with community, mental health, social care, pharmacy, hospital and voluntary services in their local areas in primary care networks.

General Practice Awards - GP of the Year 2018, Dr Gabriel Hendow, based in Bransholme Health Centre, Hull
Bransholme is the largest council estate in Europe, and one of the most deprived areas in the country with high unemployment, obesity, heart disease, smoking, social issues, diabetes, teenage pregnancies and chronic illnesses.
Dr Gabriel Hendow a single-handed GP working in Bransholme Health Centre with a practice list of 2712 patients. He won the GP of the Year Award 2018 and is the only single-handed GP in the country to receive an ‘Outstanding’ rating from the CQC.
  • In October 2016 he won the Health Care Awards for Health Improvement
  • In September 2017 he won RCGP Celebrating Good Practice
  • In December 2017 he met the Prime Minister at No.10 nominated for the National Health Hero Award
  • In May 2018 he appeared in the Sunday Times Alternative Rich List

At St Austell Healthcare we wanted to separate routine and urgent care maintaining continuity for those with ongoing problems. For urgent issues patients need to see the most appropriate clinician ensuring we make best use of the whole clinical team including ECPs, minor illness nurses, pharmacists, first contact physiotherapists, mental health practitioners and the on call GPs.
For ongoing/routine problems we encourage the patient to see the same clinician supported by other teams such as the pharmacists and social prescribing. Having changed the appointment system and trained our receptionists to work in a different way.