145,920 members

Skip to content. | Skip to navigation

Blog

So much more than an extra pair of hands

 

Blog headlines

  • So much more than an extra pair of hands
    14 January 2021

    The introduction of the additional roles reimbursement scheme for primary care networks has started to grow capacity in general practice to address the unsustainably high workload that has put so much pressure on GPs.

  • Primary Care Networks – how did we get here?
    7 January 2021

    This week we are sharing a blog by PCC’s chairman David Colin-Thomé.

  • A year like no other
    17 December 2020

    On 5 July 1948 the NHS was born, over the last 72 years challenges and changes have been remarkable but the service has probably never been tested as much as in the last nine months. There have previously been numerous re-organisations, multiple changes to hospitals, mental health services and a shift from the family doctor towards more integrated primary care services delivered by a range of professionals. However, rapid transformation of services to embrace digital technologies, and a shift change to work differently has been forced upon all areas of the health service this year.

  • Guest blog: David Hotchin
    11 December 2020

    This week we have a guest blog that was submitted to us by David Hotchin, written by a retired friend....obviously, he's used a little poetic licence.

  • What now for commissioning?
    3 December 2020

    By Professor David Colin-Thomé, OBE, chair of PCC and formerly a GP for 36 years, the National Clinical Director of Primary, Dept of Health England 2001- 10 and visiting Professor Manchester and Durham Universities.

  • What White people don’t see
    26 November 2020

    This year’s Black History Month (BHM) has, unfortunately, in its shadow another example of why campaigns like this exist.

  • Primary Care: Why don’t we talk about Racism?
    20 November 2020

    Rita Symons is an ex NHS leader who is now a leadership consultant, coach and facilitator. Her work is mainly in the NHS and she is an associate for PCC offering facilitation, coaching, strategy development and team development activities. She is a concerned but hopeful world citizen and combines work in the NHS with a board role in a non for profit organisation and an interest in writing.

  • Primary Care and the Health of the Public
    12 November 2020

    By Professor David Colin-Thomé, OBE, chair of PCC and formerly a GP for 36 years, the National Clinical Director of Primary, Dept of Health England 2001- 10 and visiting Professor Manchester and Durham Universities.

  • What now for primary care
    4 November 2020

    By Professor David Colin-Thomé, OBE, chair of PCC and formerly a GP for 36 years, the National Clinical Director of Primary, Dept of Health England 2001- 10 and visiting Professor Manchester and Durham Universities.

  • Boosting your resilience
    30 October 2020

    The last year has been a difficult one, who would have imagined last Christmas that we would have been in lockdown, with the NHS seriously tested by a global pandemic. So much change has happened and the resilience of people working in and with health and care services has been seriously tested. Resilience is our ability to deal with, find strengths in and/or recover from difficult situations. Its sometimes referred to as “bounceabiliy” – but bouncing in what way?

  • Link of the week: National Cholesterol Month
    23 October 2020

    Every month or week of the year seems to be an awareness week, October has more than its fair share.

  • New redeployment service offers talent pool of motivated, work-ready individuals
    15 October 2020

    People 1st International have shared some of the work they are doing to support people displaced from industries due to the Covid-19 pandemic. There is an opportunity for health and care services to benefit from this workforce.

  • Link of the week
    9 October 2020

    Article published in the BMJ looking at the ability of the health service to quickly bounce back to pre-Covid levels of activity and considers if it is desirable.

  • Virtual Consultations– the patient perspective
    2 October 2020

    This week Jessie Cunnett, director of health and social care at Transverse has shared this article.

  • Virtual Consultations– the patient perspective
    1 October 2020

    This week Jessie Cunnett, director of health and social care at Transverse has shared this article - Virtual Consultations– the patient perspective.

  • Celebrating innovation in eye research
    24 September 2020

    This week Julian Jackson from VisionBridge has shared a report on eye research.

  • Link of the week: Comprehensive Spending Review and Covid-19
    24 September 2020

    This week we are sharing a blog that outlines the funding pressures and uncertainties faced by the health and care system

  • Risk stratifying elective care patients
    10 September 2020

    This blog has been shared by MBI healthcare technologies. As services are starting to treat routine patients those on waiting lists are making enquiries as to where they are on the list, and if they are still on the list.

  • Link of the week
    4 September 2020

    This week the link we would like to share are reflections from physiotherapy students on placement at Alzheimer Scotland https://letstalkaboutdementia.wordpress.com/

  • Link of the week
    28 August 2020

    This week we would like to share a blog published on the Mind website about being a BAME health worker in the pandemic.

 
 
Thursday, 14 January 2021

So much more than an extra pair of hands

The introduction of the additional roles reimbursement scheme for primary care networks has started to grow capacity in general practice to address the unsustainably high workload that has put so much pressure on GPs.

Bringing in additional patient-facing clinicians, allied health care professionals and personalised care roles enables patients to see the right professional at the right time. The scheme brings specialist skills directly into practices along with general clinical knowledge and skills that can add capacity to practice GP and nursing teams. It increases choice for patients, who can be seen quicker and for longer, and allows GPs to focus on people with complex needs.

But that is not all; the advent of additional roles into general practice creates real opportunities for developing personalised care and tackling inequalities, particularly for those disproportionately affected by Covid-19. Already in the pandemic, the social prescribing link worker role has come into its own connecting people with essential community services and supporting psychological and social needs.

Several of the new roles bring knowledge and experience of providing personalised care that is responsive to the needs of individual patients. Allied professionals such as first contact physiotherapists, podiatrists and dieticians help create integrated and tailored care programmes for patients through multidisciplinary teams. They provide personalised specialist treatment and can facilitate behavioural change in patients through health education and self-management techniques for long-term conditions, preventing escalation of conditions and reducing hospital admissions. Along with social prescribing link workers and health and wellbeing coaches, they build care around each person using shared decision making processes.

Care coordinators help people with highly complex needs to manage all their health and care services. Co-ordination can eliminate unnecessary appointments, procedures and tests and patients feel more empowered and actively engaged in their treatment. Personalised care and the use of shared decision making techniques support the move towards people taking more responsibility for their own health and becoming less dependent on general practice.

Covid-19 has highlighted how economic and social disadvantage impacts directly on health and wellbeing. Tackling inequalities has become a priority and additional roles can play an important part in connecting practices to individuals, groups and potential partners in local communities. Social prescribers get to know local benefits and debt advice providers, food banks, employment projects and befriending services and occupational therapists link with housing providers, environmental services, transport providers, schools and employers. By providing community health monitoring, paramedics can connect with sheltered housing schemes for older people and supported housing for people with learning difficulties, or in drug and alcohol recovery, or homeless people. Dieticians can connect with schools and parents’ groups to provide health education or cooking classes, and provide support to weight loss groups. Health and wellbeing coaches link with physical activity providers, cultural and interest groups. The connections between practices and people in communities can grow and be strengthened when professionals understand the context of the local area and the wider social and economic issues that create barriers to people’s health and wellbeing.

PCC has training for social prescribers, care coordinators and health coaches and runs workshops to support the introduction of new roles in general practice and primary care networks. To talk through how our expert advisers can support you contact