Case Studies

Practice Pharmacists are a great asset to any surgery. They can reduce the workload of overburdened GPs, resolving day-to-day medicine issues and consulting and treating patients directly. This includes providing help to manage long-term conditions, advising those taking multiple medicines and delivering clinical advice about treatments.


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.

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.

As the four practice sites were about to merge it was identified that there were concerns over continuity of prescribing and medicines management. There was a need to be able to manage the combining of the clinical systems along with setting up of consistent procedures for safe prescribing. It was also necessary to establish links with the local community pharmacies and ensure they were kept up to date with key changes in procedures. The best way to do this was having a pharmacist in the practice at the point of the merger to be able to manage the transition.

In 2014 there were four GP practices in St Austell, Cornwall.
Following the collapse of one of the largest of those practices the remaining practices came together in 2015 to form St Austell Healthcare an organisation covering approx 31,000 patients.

With a patient list of over 32000 we needed to review the way in which home visits were managed to make the best use of our GPs, Nurses and Emergency Care Practitioners (ECP) time, ensuring the patient was getting the very best service.

eConsult provides an online portal where patients can self-check their symptoms, and receive on the spot medical advice 24/7. Helping to relieve pressure on GPs by giving patients access to round-the-clock support and alternative treatment providers.

The St Austell Healthcare practice website very basic and was in need of updating to make it more user friendly to both patients and GPs alike.