Higher percentage of older people and lower deprivation indicators than the Lincolnshire average. The leading cause of disability is musculoskeletal disorders followed by mental health.
HomeHealth Care Home service, in partnership with LCHS and Lincolnshire CCG, has been operational since December 2017. A dedicated team of ANPs and an OT provide care for the majority of our care home residents, with the support of the registered GP.
Primary Care Occupational Therapy – an OT and student OT working directly with two out of seven practices (a pilot scheme funded by HEE), showing benefits for practices and patients.
Social prescriber – has been actively supporting patients in our area in response to referrals from practices, the Neighbourhood Team and other community staff. The social prescriber, along with our Neighbourhood Lead and the OT have been supporting extremely vulnerable patients during the coronavirus pandemic.
Improved Access – working together to provide evening and weekend appointments, with any patient across the 7 practices being able to book into appointments provided by other practices.
ECGs, ambulatory BPs and ear irrigation – allowing patients to access these services at practices rather than having to attend hospital services.
The coronavirus pandemic saw the PCN rising to the challenge of working collaboratively to support each other and ensure our population’s needs were met during this challenging time.
Our Therapy Team - The team will aim to provide both proactive and swift reactive care for our older frailer patients who are at risk of falls and admissions, including admission and discharge tracking and coordination of care. Identifying those at risk of frailty and providing interventions early to prevent progression will be a priority.
Clinical Pharmacists – recruitment to this role using the ARRS to support medicines management and structured medication reviews, providing expert medicines advice to patients and freeing up GP time.
First Contact Practitioners – recruitment to this role using the ARRS to provide expert advice to patients with musculoskeletal conditions at first presentation.
HomeHealth Service – continue to develop the service by forming a wider MDT with other community services in line with the PCN EHCH DES.
Collaborative working – We plan to build on the work already started with GP Resilience Funding to enhance collaborative working between practices.
Medicspot remote consultation kit – originally obtained for use in our COVID hot clinic, this is now due to be trialled in a branch site of one of our practices. This will allow patients to attend their preferred site and have a consultation with a clinician at another site, via a video link, with basic examination kit available for the patient to use guided by the clinician. This will be used by nurses doing long term condition/contraception reviews and by ANPs and GPs for consultations.