Two NHS projects in Rushcliffe have been shortlisted for prestigious Health Service Journal (HSJ) 2018 awards.
The projects, ‘Community Care Pathways Redesign’ and ‘Primary Care Psychological Medicine’, have been shortlisted in the HSJ’s Acute or Specialist Services Redesign Award and Innovation in Mental Health Award categories respectively. The nominations recognise both projects as improving patient care, outcomes and experience, as well as providing value for money.
Both projects are managed by Principia, a NHS England Multi-Speciality Community Provider Vanguard site a partnership between PartnersHealth (Rushcliffe GP Practices), and Nottinghamshire Healthcare NHS Foundation Trust in collaboration with Rushcliffe Clinical Commissioning Group
Principia’s Primary Care Psychological Medicine (PCPM) is an innovative service providing psychiatric care for patients with persistent physical symptoms, seeing patients either in a GP surgery or at their home.
There is a close relationship between physical and mental health related matters and the PCPM service aims to help link the two and maximise health in both areas. The scheme provides active management of the patient in the community, delivering access to psychiatry support and resulting in a better experience and outcomes for patients.
Since the service began, over 200 patients, aged between 17 and 89, have been seen with the majority of patients demonstrating significant improvements as reported by both clinicians and patients themselves.
And as well as improving patient care, the project has also had a positive impact on hospital admissions, with early evaluation showing a 30 per cent reduction in A&E attendance a 38 per cent reduction in hospital admissions and a 32% reduction in outpatient appointments.
Dr Nick Page, Rushcliffe GP and Principia Mental Health Clinical Lead said: “I am absolutely delighted with the benefits this programme has brought to Rushcliffe patients with persistent physical and mental health symptoms, and that this has been recognised by making the shortlist for these national healthcare awards.
“This is an innovative scheme that brings together the physical and mental healthcare of patients with ongoing, chronic physical health symptoms. It’s a great example of integrated care, bringing together primary, hospital and community care, and the service helps us deliver a more holistic approach to patient care.”
Dr Chris Schofield , Consultant Psychiatrist, Nottinghamshire Healthcare NHS Foundation Trust, says:
“Working with the patients that we see and helping them get better is a real privilege. The whole team approach in integrating primary and tertiary services is very exciting. I hope this national recognition will further benefit our patients in improving the service we deliver.”
The other shortlisted project, the Elective Care Community Pathways Redesign Project, aims to provide more specialist care closer to home.
To this end, clinics that would previously have taken place in hospital are now provided at community settings in Rushcliffe, which means that patients who need access to dermatology, gynaecology, trauma and orthopaedics clinics can now do so at a location closer to home.
The benefits of these community clinics are threefold, resulting in reductions in hospital referrals, improved patient experience and strengthened clinician relationships across primary, community and secondary care. The success and learnings from this project have helped germinate the development of new elective care pathways across Greater Nottingham
A Rushcliffe patient at the community gynaecology clinic says: “It’s a very friendly, efficient service, so much better than going to hospital”
Dr Matt Jelpke, Principia Planned Care Clinical Lead said: “‘My thanks go to all the clinicians and managers who have made these changes possible and work tirelessly every day to bring about a better NHS for our patients. It’s good to know that this work has been recognised as it does have the potential to be replicated across Nottingham and the broader NHS.”
Rushcliffe CCG, Principia Clinical Lead and local GP Dr Stephen Shortt said: “There’s lots of innovative work happening in Rushcliffe, and these schemes are excellent examples of what can be achieved when primary care works together with secondary and community care and local people to shape services that are in the best interest of the patient.
“We look forward to continuing to build on this platform and working collaboratively with our colleagues in secondary and community care, and with our local communities, to improve health services, patient experience and outcomes while at the same time making sure that we use the resources we have as carefully as possible.”
Now the two projects have been shortlisted, the Principia team have been invited to deliver a presentation to the HSJ Judging Panel in October on why they should win the Awards.
The Awards ceremony will take place on 21 November in London when the winners will be announced