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GP example: Supporting people to live healthier lives

  • Organisations we regulate

Key question: effective?

Raising awareness of strokes in the local community

A suburban practice with 3,800 registered patients.

The practice nurses organised an annual stroke awareness clinic at a local supermarket for the whole community and had been doing this for the last five years. This example is outstanding because the practice is proactively reaching out to the community and working constructively with other organisations.

Read our full inspection report (Irlam Medical Practice 2)

Proactive care for students

An urban practice in a relatively deprived area with 5,000 registered patients.

The practice was linked with the local university. Practice staff attended ‘freshers week’ at the campus, where they offered health assessments and health information packs to students. The practice also took part in health and well-being events at the university throughout the year, and worked in conjunction with the university counselling service.

Read our full inspection report (Belgrave Surgery)

Identifying older patients at risk in the home

A suburban practice with 12,700 registered patients.

The practice identified patients who were aged 75 or over and vulnerable, and was involved in a partnership agreement between the regional fire service and the local integrated neighbourhood teams. These organisations cooperated to identify patients at risk of a home fire and to mitigate those risks as far as possible by offering a free home fire risk assessment. The practice was proactive in its approach to this scheme and the fire service community safety manager reported that the practice had achieved the highest take-up in the borough.

Read our full inspection report (Dr Munro and Partners)

Encouraging men to see their GP

A large urban with over 25,000 registered patients.

The practice was proactive in reaching out to patients who were reluctant to attend the surgery. The practice ran a health and wellbeing campaign which encouraged men to see a GP or nurse about any health issues, or lifestyle changes. This resulted in an additional 286 men attending the practice between June to August 2014 compared to the same period for the previous year. As a result of this success, the campaign was being re-run.

Read our full inspection report (The Park Medical Practice)

Targeted information for the local community

An urban practice with 9,200 registered patients.

The practice is proactive in managing, monitoring and improving outcomes for patients. For example, one of the GPs worked with a local charity and diabetes centre to ensure that information about preventing and managing diabetes was available to patients in minority ethnic communities. The practice also identified that a specific group of male patients (taxi drivers from south Asian communities) were hard to reach. They worked in partnership with the charity to produce an information leaflet about diabetes, specifically for this group of patients. The leaflet was distributed via the local Bangladeshi taxi union and was included in the practice’s own newsletter.

Read our full inspection report (West Road Medical Centre)

Hospital gym for all

A semi-rural practice with almost 18,000 registered patients.

The practice provided patients and staff with a fully equipped gym. This equipment included a number of cardiovascular machines and various forms of resistance tools and weights. Qualified gym instructors supported the patients in improving their mobility, managing body weight and maintaining a healthy lifestyle. The gym was accessible after usual surgery hours for those patients who worked during the day.

Read our full inspection report (Stowhealth)

Healthy initiatives

A practice in a semi-rural area with 8,500 registered patients.

The practice had a strong focus on health promotion and self-care. The practice produced a detailed booklet describing a number of health promotion initiatives including ‘Health Walks’, ‘Green Gym’ (a gardening and conservation project) and a cycling club. ‘Health Walks’ had been pioneered by a founding partner of the practice and had developed nationally and internationally. The focus on encouraging and actively supporting patients to adopt exercise had continued with other initiatives such as the cycling club, which was led by the senior GP partner. The practice is also one of the sponsors of an annual local cycling event which attracted over 500 riders in the 2014 event.

Read our full inspection report (Dr GAM Burnett and Partners)

Raising health awareness

A suburban practice with over 8,000 registered patients.

This practice had run several events to raise awareness of health conditions and promote good health. For example, a talk was given to patients about mammography screening and an evening was held for male patients to access a range of health checks and listen to a presentation about the risks of prostate cancer. This event was well attended and helped to identify several patients who required a follow-up appointment.

In 2015, the practice introduced a campaign to increase the cardiovascular screening of patients aged 18 and over. In the last 12 months the practice had completed 478 health checks compared with 253 the previous year.

Staff were committed to supporting people to live healthier lives. They were actively engaged in activities to monitor and improve quality and outcomes, and this had been recognised by credible external bodies.

Read our full inspection report (Brookvale Practice)

Holistic approach to care

A town centre practice with approximately 17,000 patients.

There was a truly holistic approach to assessing, planning and delivering care and treatment to patients who used the service.

Nurses considered the emotional wellbeing of those with long-term conditions - initially to engage them to be proactive and motivated to manage their own conditions before discussing how to solve problems with them. This had led to good outcomes for patients including an increase in egagement with lifestyle advice.

The practice held a young person’s sexual health clinic. Young people did not need to be registered with the practice to be able to use this scheme. A young person with a sexual health need would always be seen on the same day. The proactive engagement of the practice with this service had contributed to the overall teenage pregnancy rate for the area being reduced by 50% since the service began 10 years ago.

The practice received awards from the Primary Care Respiratory Society recognising the care it delivered to respiratory patients and from the local public health department for achieving the highest stop smoking rate in the county.

Read our full inspection report (Lovemead Group Practice)

Cycle scheme and walking group

A semi-rural practice with nearly 9,000 patients covering 40 small villages.

The practice demonstrated a commitment to health promotion, particularly in encouraging patients to participate in physical exercise.

  • One GP partner, with the support of the local authority, introduced a 'Bicycles for exercise programme'. The practice purchased 13 electric bicycles which it loaned to patients who had been identified as being 'at-risk', for example, patients with cardiovascular disease, to encourage them to become more physically active. The practice used its medicine delivery service to deliver the bicycles to patients. The feedback from this project was very favourable and encouraged patients to go on to continue to cycle and become physically fitter.
  • With support from local agencies, the practice had also developed local walking groups. These were initially based at the surgery but had now become autonomous and self-sustaining under the “Walk for Life” scheme. The success of this programme was validated through independent university research.

These groups were promoted through the practice website, information in the waiting rooms and through Patient Group newsletters.

Read our full inspection report (Caythorpe & Ancaster Medical Practice)


Last updated:
10 August 2017