The South Lincolnshire Rural PCN has made significant progress against some significant population health challenges when compared national and local Lincolnshire data and the future priorities for the PCN are all aimed at supporting residents and to improve these key areas, for example:
- The PCN has an older than average population in a highly rural area which and therefore the PCN will aim to support associated health challenges and social isolation.
- Compared to Lincolnshire as a whole overall deprivation levels are higher than average across the South Lincolnshire Rural PCN.
- The PCN will focus on reducing the emergency admission rate and improving prevalence rates of cancer, asthma, rheumatoid arthritis, depression, atrial fibrillation, heart failure, CHD and stroke which are historically higher than the Lincolnshire average.
- The PCN has embedded a team of care coordinators who are the heartbeat of the PCN activity and will be complimented over the year by further expansion of the Clinical Pharmacist team and first contact physiotherapists, social prescribing and health and wellbeing coaches.
During 20/21 the PCN is developing its strategy to support it local population though the immediate priority is the delivery of the requirements of the PCN DES. This means that initially the focus will be on the delivery of:
- Medicine management and optimization supported by our team of Clinical Pharmacists.
- Enhanced Health in Care Homes supported by our team of Clinical Pharmacists.
- Early Cancer Diagnosis and have established an in house ultrasound service that is available to all practices.
- Extended Hours delivery and preparation for a revised “access” model to improve access to General Practice.
This will be achieved through:
- The introduction of additional workforce including Clinical Pharmacists, First Contact Physiotherapists, and Social Prescribing Link Workers. This will build on the Care Coordinator model already established in the South of Lincolnshire to form a PCN workforce that is fully integrated into primary care.
- In addition the PCN has identified the need to Mental Health support and will be looking to accelerate recruitment into these roles prior to 2020/21.
- Continued emphasis on collaborative working across practices with the manager’s forum developing clear work streams for prioritisation.