Primary care development

Our aim is to reduce unwarranted variation and improve the quality of the management of long term conditions (LTC) in primary care.

The team has a key role in the transformation of unscheduled care in Sheffield through supporting the proactive management of patients at high risk of admission and also improving the quality of their care to prevent their condition from escalating.

We have a key role in supporting a more generic approach to chronic disease management in the community whilst maintaining a specialist nursing skill set. The team also has a role in influencing local commissioning policies in regard to local need, the evidence base, provide value for money, and reduce health inequalities.

Delivering results

The results speak for themselves:

  • Increased awareness in practices of available services to support the management of patients with LTC
  • Increased referrals to Active Programmes, including cardiac and pulmonary rehabilitation
  • Improvements in specific areas, including appropriate exception reporting – for example, glycaemic control; stroke prevention in atrial fibrillation
  • Support for the development of community services based in primary care – for example, community COPD clinic; angina plan; Active Programmes
  • Support for the implementation of national guidelines
  • Reduction in overall cost of providing home oxygen
Primary care development

Working together

Many patients with long term conditions (LTCs) are high users of unscheduled care. Proactive management of these patients combined with improved quality of care via specialist nursing skills and input into local commissioning policies can help to transform urgent care, as well as giving LTC patients a better quality of life.

Innovative solution

As well as supporting individual GP practices, our team of primary care development nurses works closely with different localities to help increase their understanding of evidence-based guidelines, and how to implement them.

The team’s specialist clinical skills and knowledge around LTCs means they are able to advise commissioners and providers - particularly primary care clinicians and managers - where improvements to LTC services can be made. They can also provide direct input, including education, to support development and change.

The most important result is the improved quality of life and a decrease in complications for local people with a long-term condition, in particular those with respiratory conditions, diabetes and cardio-vascular disease. This, combined with the decrease in hospital attendances – both outpatients and emergency admissions – is making a real, sustained difference to unscheduled care locally.

West and South Yorkshire and Bassetlaw Commissioning Support Unit

West Yorkshire office:
Douglas Mill
Bowling Old Lane
Bradford
West Yorkshire
BD5 7JR

Tel: 0845 1115000

South Yorkshire and Bassetlaw office:
722 Prince of Wales Road
Darnall
Sheffield
South Yorkshire
S9 4EU

Tel: 0114 3051000

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