Place Category: Health & Social Care
We are a Community Interest Company, made up of the 26 GP Practices in Warrington. By working together, we believe we can transform our services to benefit patients today and in the future.
Social Impact Declaration: Social-Impact-Declaration_Warrington-Health-Plus.pdf
Social Impact Statements:
Social Impact Statements
The Social Enterprise Mark criteria includes a requirement that the applicant can demonstrate that social and/or environmental objectives are being achieved.
In support of this, new applicants and renewing Mark holders must submit Social Impact Statements that summarise their headline activities and achievements, helping show how they are striving to make a difference and stand up to scrutiny of purpose as a social enterprise.
1) Social Inputs
We have delivered a range of clinical projects to test out new ways of working to improve residents’ health and wellbeing. These include the following:
- Creating clusters of GP practices to enable practices to collaborate to provide a greater range of services. In this way, we have helped make primary care more sustainable for the future, safeguarding general practice for future generations
- Working with partners to wrap community, social care, mental health and third sector services around our GP practice clusters to deliver care closer to home in a joined up way
- Keeping vulnerable care home residents of care homes well and comfortable, living in their usual place of residence, by offering choices, working collectively and planning care to prevent crises. GPs, nurses and pharmacists have made regular visits to care homes to provide proactive and reactive care
- Improving access to routine bookable appointments across Warrington to make it easier for patients to get an appointment when they need one. Appointments are available in the evenings and weekends, especially useful for people with work or caring commitments in usual practice opening hours
- Offering residents with complex needs a holistic assessment either in their own homes or at the practice by a care coordination nurse who could provide information and refer them to the appropriate services for their needs
- Offering patients with suspected heart failure the opportunity to be examined in a community setting by a specialist GP, making it easier for them to access services
- Children with minor illnesses being seen more quickly by a dedicated Advanced Paediatric Nurse Practitioner (APNP) within a general practice setting. Plus a Family Nurse Practitioner supporting families that need more support than a one-off GP appointment
- Offering patients with two or more long term conditions a combined holistic annual assessment of their medical, social and psychological care needs, working in partnership with public health to help patients manage their own conditions where this is possible
- Investment in information management and technology to improve patient care and patient information
2) Social Outputs
We have worked extensively with a range of stakeholders across the town to design, develop, deliver and evaluate the services we have provided.
Many of our services provide care and support to older people and we have worked closely with the Warrington Older People’s Engagement Group, that comprises representatives from older people’s groups across the town, with some really useful and lively sessions.
We have contributed to the local Healthwatch engagement events, presented to Neighbourhood Boards and attended GP Practice Patient Participation Group meetings.
Our projects have resulted in:
- An extra 1000 GP appointments a month via the Extended Access Service
- 500+ vulnerable patients assessed (initial and follow up appointments) by the Care Co-ordination service with over 25% referred to other agencies for support to promote independence & wellbeing
- Over 50 ECGs undertaken in cluster practices using a new remote ECG interpretation service
- 400+ extra appointments a month for children within one of our GP clusters
- 16 GP practices have new social care roles in practice at some point during the week to provide social care advice and support to GP practice patients
- 700+ vulnerable care home residents assessed
- More care home residents have increased choice at end of life
- 106 Pharmacy reviews undertaken for care home residents – saving £17,919 of drugs costs so far ad making their medicines safer and more effective
- The clusters of GP practices we have created, in partnership with our health and social care colleagues, are forming the foundation of the wider health and social care system transformation
3) Social outcomes
All our projects have been, or are being, evaluated to demonstrate their effectiveness and to assist future service commissioning decisions. Legacy reports have been developed for each project that provide an overview of the project, the challenges and benefits. These are available on our website.
The care home project has resulted in a wide range of benefits, outlined within the qualitative evaluation report. These include residents feeling valued; improved continuity of care; safer use of medicines; more choice at end of life; and life in the care home being less disrupted. Quotes from relatives and colleagues include:
“Residents feel more confident and enjoy seeing the same GP.”
“We noticed a big difference in the care our residents receive with the new system as it provides the consistency and continuity to the care.”
“The key benefit is simply the time I have to spend in the home – as this supports the weekly proactive monitoring and review which I have been able to provide, which in turn has meant that I have been able to really get to know my patients, their relatives and the care home staff.”
The care co-ordination service has improved access to and links with various third sector agencies that provide services to Warrington residents. “Warrington Home Improvement Agency has had many referrals from the Care Coordination team and we’ve been able to help in a number of ways. We’ve helped those with mobility needs to move round their homes more safely, we’ve tidied up gardens, fitted energy saving light bulbs and even helped with applications for funding towards new furniture. Working together in this coordinated way has benefits for those Warrington residents with greater care needs and we hope we can continue to work so closely in the future.”
98% of those using the children’s care closer to home service would highly recommend it to friends and family.
The evaluation report for the Community Cardiology service is expected by Mid April which will include feedback from patients who have attended the clinic. Initial feedback from the Friends and Family Test comments is positive with comments including:
“Reassured and impressed by the doctor, who was able to relay other results I was waiting for.”
“Good service, seen quickly, I was put at ease, it was local so no travel - very pleased - nothing could be better!”
98% of patients would recommend the extended access service to their friends and family.
Investment in information management and technology means that GPs and other health professionals can now have access to patient records outside the surgery, helping make best use of their time, improve communication between health professionals and improve patient safety.