North and West Primary Care Network

Supporting patients registered with practices in North and West Herefordshire: Kington, Weobley and Staunton, Mortimer (Leominster), Ryeland Surgery and Tenbury

Population: 51,227

...of Whom 23% are over 70

Practice staff: 95.87 WTE
PCN Team: 23 WTE

Covers: 430 sq miles

Carehomes: 18
435 beds

Major achievements during 2022/23

The North and West PCN has invested One Herefordshire funding to employ a full time Care Home Lead Co-Ordinator, who will support the delivery of the Enhanced Health in Care Homes contract. Supported by our PCN Care Co-Ordinator, they will be the first point of contact for the care homes linked to our Practices, work closely with the Care Home Leads of each Practice, supporting the ward rounds and MDT meetings. We have also employed a part time Dietetic Assistant Practitioner, who is providing nutritional advice to homes, and has held training sessions with home baked goodies which has been a great success

The Wellbeing Team has continued to deliver group consultations to support patients with fibromyalgia to feel more confident to manage their own wellbeing and are progressing the setting up of a Peer Support Group, which through the sessions has been identified as a gap in provision in our area. 

The PCN has invested in their home visiting Paramedics service, which is providing additional resilience to our Practices by delivering on the day visits, where a GP would ordinarily attend.

 

The PCN has continued to provide Covid Vaccinations through the autumn and spring to their population at their Practice sites and at Earl Mortimer School in Leominster.

Key focus areas for the next year:

Further develop and deliver on the Health Inequalities Programme for the PCN with the Wellbeing Team, designing and delivering group consultations for a cohort of patients. The Team has already delivered this on a face-to-face and virtual basis, which has proved successful. Further sessions are being planned for Autumn 2023

Work collaboratively with Wye Valley Trust to look at how the District Nursing Team and our home visiting Paramedics could complement each other, making every contact count and avoiding duplication of visits to our patients.

 

Further develop and deliver on the Health Inequalities Programme for the PCN with the Wellbeing Team, designing and delivering group consultations for a cohort of patients. The Team has already delivered this on a face-to-face and virtual basis, which has proved successful. Further sessions are being planned for Spring 2023. One of the outcomes from the sessions to date is the establishment of a local group for the cohort of patients, supported initially by our Social Prescribers.

Key People:

Dr Edward Conquest 
PCN Clinical Director

Hannah Hope
PCN Development Manager