We offer services over and above those normally delivered within GP Practices:
ADVANCED NURSE PRACTITIONER SERVICE
Durham Dales Easington and Sedgefield Clinical Commissioning Group (DDES CCG) have commissioned this services to support delivery of the local and national strategy for frail elderly people. By supporting older people to understand and manage their long-term conditions, they are less likely to require urgent care and experience harm. Our service particularly focuses on providing additional resource for elderly people in care homes and residential homes and we also see patients in their own homes to deliver a service which addresses social as well as medical needs.
An Advanced Practice Nurse (ANP) is a registered nurse who has the expert knowledge and clinical competencies needed for complex decision making. 17 ANPs work with the patient's GP and practice to improve care, and to ensure that admission to hospital is made only where it is the best option for the patient. This also reduces pressure on GPs freeing them for complex work in the practice. These services (also known as “Vulnerable Adult Wrap Around Services”) are now provided 7 days a week and complement other services commissioned both locally and nationally to ensure the best possible care and care planning for this group of patients.
An anticoagulation therapy management service for patients receiving warfarin therapy is delivered in a GP practices and, when needed, at home for patients registered to GP practices in Easington, giving people choice of the type and location of treatment. South Durham Health holds the contract for this service on behalf of thirteen practices, and two more practices within the South Durham Health federation (Ferryhill and Chilton Medical Practice and Bewick Crescent Surgery) also provide the service.
The South Durham practices providing this service are:
Blackhall and Peterlee Practice
Silverdale Family Practice
Shotton Medical Practice
Murton Medical Group
Avenue Family Practice
Deneside Medical Centre
Horden Group Practice
Shinwell Medical Centre
Peaseway Medical Centre
Skerne Medical Group
Bishop’s Close Medical Practice
St Andrews Medical Practice
Ferryhill and Chilton Medical Practice
Bewick Crescent Surgery
PRIMARY CARE MENTAL HEALTH SERVICE
Durham Dales Easington and Sedgefield Clinical Commissioning Group have commissioned us to work with Tees Esk and Wear Valley NHS Foundation Trust and the Intrahealth Federation to provide a practice based Primary Care Mental Health Service. This is delivered by Community Psychiatric nurses with Nurse Practitioner status within all 22 South Durham Health GP practices and 4 Intrahealth practices. This service offers support to adults in the Sedgefield and Easington localities. The service aims to provide excellent local access to patients and to increase the range of support, knowledge and advice available to general practices to care for patients with mental health needs.
We are working with County Durham and Darlington NHS Foundation Trust, North Tees and Hartlepool NHS Foundation Trust and City Hospitals Sunderland Foundation Trust to implement a new way of delivering diabetes services which means that more patients will receive their care via their GP surgery. Specialists from the Trusts are working with General Practitioners and nurses in each Practice. Groups of doctors and nurses working together in Easington and Sedgefield to identify training and education needs and assess what support individual practices need to take on more specialist roles using funding made available through Durham Dales, Easington and Sedgefield CCG.
PRIMARY CARE SERVICE
South Durham Health has worked with Practices to develop a response to a specification for a primary care minor ailment service issued by Durham Dales and Easington CCG. From 1st April 2017 South Durham Health is providing same day appointments with a health professional for residents of DDES CCG who need to be seen urgently. Appointments must be booked through NHS 111 who will direct patients to the appropriate service. South Durham Health (working with local GP practices) offers the Primary Care Service in Newton Aycliffe, Sedgefield and Spennymoor 6pm to 8pm weekdays and 8am to 1pm at weekends and bank holidays and 8am to 8pm weekdays and 8am to 1pm at weekends in Peterlee and Seaham. Services are also offered by other providers in Easington, Barnard Castle, Bishop Auckland and Stanhope.
We held an induction morning for the new staff along with Practice Managers and Federation staff on Friday 31st March 2017 at the South Durham Health offices.
South Durham Health works as part of an alliance of GP federations across County Durham to deliver a contract on behalf of the County Council of Durham for NHS Health Checks.
NHS Health Checks is a national risk assessment and management programme for those aged 40 to 74, who do not have an existing cardiovascular disease (CVD), and who are not currently being treated for CVD risk factors. It is a rolling programme offering everyone in the target group an NHS Health Check every 5 years.
The programme aims to prevent heart disease, stroke, diabetes and kidney disease, and raise awareness of dementia both across the population and within high risk and vulnerable groups. Every year, the national NHS Health Check programme is expected to help save 650 lives; prevent 1,600 heart attacks and strokes; prevent 4,000 people from developing type 2 diabetes; detect at least 20,000 cases of Type 2 diabetes or kidney disease earlier.
All 22 practices in South Durham invite eligible patients, to attend their practice for the check and offer information about the level of risk of CVD and the benefits and harms of an intervention. Practices offer lifestyle information and advice to support individuals to manage their levels of CVD and Diabetes risk, for example taking regular exercise, eating a healthy diet, reducing their calorie and alcohol intake as a way of managing their weight and stopping smoking and where necessary direct individual to appropriate services.
CLINICAL PHARMACISTS IN GENERAL PRACTICE
South Durham Health is one of 93 sites nationally which secured funding in 2015 to support the employment of Clinical Pharmacists working in General Practice. With support from this programme we have three Clinical Pharmacists working as part of practice teams with work plans in place which support the needs of practices, the CCG's goals to make the most effective and efficient use of the medicines and the aims of the NHS England pilot which are strongly focused on improved patient experience and freeing up GPs to deal with those elements of Practice workload which only they are equipped to undertake
TRAINING AND EDUCATION
SDH also plays a role in the training and education for General Practice staff. We provide regular training events attended by all practices which include two clinical streams one for General Practitioners and one for senior nurses plus general training for nurses and Health Care Assistants and non-clinical education.
You can read more about the work of South Durham Health CIC by reading our Annual Report- Please click the link here.