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 fulfill 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. 

Six practices in the East Dorset area are working together as a primary care network to broaden their workforce to provide a more efficient service to their patient population and to reduce waiting times for diagnostic testing. They have introduced new responsibilities for roles including clinical pharmacists undertaking medical reviews and paramedics conducting home visits, with an aim to reduce pressure on GP workload and improve local GP retention.

BNSSG CCG was awarded £400,000 by NHS England to work with Weston and Worle GP practices to support GP retention and help improve services for patients in Weston, Worle, Banwell and Winscombe as part of the Healthy Weston programme.

The Weston and Worle area is one of only seven ISS sites created across the country, and secured the funding due to greater number of GPs and nurses nearing retirement age, the ratio of patients to GPs, and the long-term recruitment and retention problems.

Four key issues that needed to be addressed:

  1. Our population is growing, getting older, living with more long-term conditions, and there are significant inequalities in health amongst our local communities – people have changing health needs we need to meet
  2. There is variation in the way GP, primary and community care teams currently provide care across the area, with some patients finding it more difficult than others to access the right care for example
  3. Some of our hospital-based services at Weston are not able to consistently meet national clinical quality standards because of low volumes of particular cases and specialist staffing shortages
  4. There is a growing financial gap between rising costs and available funding.  We must live within our means, get best value and make sure we use our available financial resources most effectively to meet the needs of the whole population.

Health Education England South West (HEE-SW) attends the Devon Cornwall and Isles of Scilly (DCIOS) Quality Surveillance Group (QSG).  During 2017/2018 it was recognised by this group that care homes and nursing beds are closing, in part due to the inability to recruit qualified nurses to these settings.  This not only impacts on patients being cared for closer to home, but on the wider NHS system, in terms of discharging patients from the acute care setting to the community.  The Collaborative Learning in Practice (CLiP™) Community Cluster (CCC) Project was instigated to explore whether a CLiP model of learning has the potential to address this situation by increasing recruitment of adult nurses to the community.

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 Health Education England (HEE) 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 surgery 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 SWAHSNs 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.