Services
Health & Wellbeing
Health and wellbeing coaches support people to increase their ability to self-manage, motivation levels and commitment to change their lifestyle. They are experts in behaviour change and focus on improving health related outcomes by working with people to set personalised goals and change their behaviours. They work with people with physical and/or mental health conditions and those at risk of developing them.
Health and wellbeing coaches can be an effective intervention for people experiencing a range of long term conditions, including respiratory, cardiovascular (including type 2 diabetes and hypertension), and stress/low mood. They can also support people with weight management, diet and increasing activity levels.
Social Prescribing
Social prescribing link workers give people time and focus on what matters to the person as identified in their care and support plan. They connect people to community groups and agencies for practical and emotional support and offer a holistic approach to health and wellbeing, hence the name ‘social prescribing’.
Social prescribing enables patients referred by general practice, pharmacies, multi-disciplinary teams, hospital discharge teams, allied health professionals, fire service, police, job centres, social care services, housing associations and voluntary, community and social enterprise (VCSE) organisations to get the right care.
Link workers typically work with people over 6-12 contacts (including phone calls and face-to-face meetings) over a three-month period with a typical caseload of up to 250 people, depending on the complexity of people’s needs.
Care Coordinator
Care co-ordinators help to co-ordinate and navigate care across the health and care system, helping people make the right connections, with the right teams at the right time.
Our Care co-ordinators provide extra time, capacity, and expertise to support patients in preparing for clinical conversations or in follow-up discussions with primary care professionals.
They work closely with GPs and other primary care colleagues within the PCN to identify and manage a caseload of patients, making sure that appropriate support is made available to them and their carers (if appropriate), and ensuring that their changing needs are addressed. They focus on the delivery of personalised care to reflect local PCN priorities, health inequalities or at-risk groups of patients. They can also support PCNs in the delivery of Enhanced Health in Care Homes.
Clinical Pharmacists
Clinical pharmacists work in primary care as part of a multi-disciplinary team in a patient-facing role to clinically assess and treat patients using expert knowledge of medicines for specific disease areas. They work with and alongside the general practice team, taking responsibility for patients with chronic diseases and undertaking clinical medication reviews to proactively manage people with complex medication use, especially for the elderly, people in care homes and those with multiple conditions.
Paramedics
A paramedic in primary care can recognise and manage the deteriorating patient and can manage patients with long-term conditions, minor injuries and minor illness. They can also support patients who require wound care, have fallen, have MSK problems and have urinary tract or respiratory infections. Paramedics can supply a range of medicines through PGDs, including antibiotics and analgesics.
Our Paramedics can support PCNs in responding to on-the-day demand by undertaking home visiting. They can also support PCNs to improve access to care by seeing minor ailments and injuries in surgery. Paramedics can support PCNs with the delivery of Enhanced Health in Care Homes and overall their intervention should reduce the need for admission to hospital.
Physician Associates
Physician associates are healthcare professionals with a generalist medical education, who work alongside doctors providing medical care as an integral part of the multi-disciplinary team. Physician associates are dependent practitioners who work under the supervision of a fully trained and experienced doctor. They bring new talent providing a stable, generalist section of the workforce which can help ease the workforce pressures that primary care currently faces.
Our PCN Physician Associate Uzma Ahmad, works closely within the practice Physician Associate team.
PCN Activities
- Extended hours
- LD reviews
- Bowel cancel diagnosis
- Hypertension and Lipid lowering programmes
- Flu and Covid vaccincation
- Home visits by paramedics
- Frailty program
