housebound population in accessing healthcare, prevented admissions, and supported the Practices with providing community-based care services.
Collaborative Community and Primary Care Leg Ulcer Pilot
NNPC worked jointly with Norwich Community Health & Care (NCHC) to implement a pilot programme to bring leg ulcer management into Practices and the neighbouring communities – bringing the delivery of care closer to the patient. The pilot was funded by the North Norfolk Community Transformation Fund and was due to run for 12 weeks. The outcomes of the pilot were evaluated in relation to the impact of the changes implemented on training, waiting lists for clinics, and benefits for patient outcomes.
The first pilot clinics were commenced June 2022, which had the following outcomes:
• All staff involved felt the joint clinics were a positive experience. The sessions were informative, and the patients told the clinical team that their treatment was explained clearly, and it was a good experience. • The Practice nurses reported that the shadow shifts hosted by NCHC specialist nurses were beneficial, and they gained learning and a greater understanding of patient management. • Patients being managed in Practice, where appropriate, allowed urgent and more complex patients to be seen by NCHC in the community hospital setting. • NCHC to continue to support practices by offering joint Leg Ulcer Clinics. Patients who cause concern in the Practice setting can be seen jointly, which utilised the expertise of the specialist nursing team from NCHC. These can be tailored to the Practice requirements. • The joint clinics in Practices are continuing to run indefinitely beyond the pilot timeframe.
Prehabilitation – Knee Replacement Pathway Pilot
From October 2022, NNPC worked jointly with the Norfolk & Norwich University Hospitals NHS Foundation Trust (NNUH) and Pure Physiotherapy ’ s First Contact Physiotherapy (FCP) Services on a prehabilitation knee replacement pathway. This was a 12-month pilot for patients who were on a waiting list for knee replacement surgery for more than 78 weeks and supported the COVID-19 waiting list recovery plans, as the halt of elective surgery saw an increase in waiting times. The pilot was designed to work with the patient to provide them with the best possible support in achieving improvement or prevention of deterioration of function, pain, and confidence to optimise preparation for surgery. It was contract by the Norfolk & Waveney ICB with Community Transformation Funding for 12 months and will have outcome measures taken at 3-, 6- and 12- month intervals. The aim of the service was that patients currently on a waiting list for more than 78 weeks for a total knee replacement from the NNUH are reviewed in Primary Care for an assessment of current function and pain. From this, the goal was that a management plan will be created based on the patient’s presenting condition .
NNPC Quality Account 2022/23
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