The FCP Physiotherapist aimed to:
• Perform a thorough assessment of the presenting patient’s strength, movement, function, well-being and pain. Documenting this and any reviews within the clinical system. • Formulate an evidence-based exercise plan for each individual patient based on the assessment. • Address any issues with exercise compliance. • Discuss the extent of knee replacement surgery with the patient to encourage adherence of self-management for improved post operative outcomes. • Support weight loss programmes, smoking cessation and healthy living, referring onto the in- house dietician or social prescribers as necessary. • Provide a holistic approach for self-management of the patient and referring into secondary care as necessary. • Communicate with patients that it is essential they discuss any changes with the FCP and attend their 6 weeks, 3-, 6- and 12-month reviews. • Work alongside the in-house pharmacist to review pain medication as required. • Communicate with the patient’s named GP as required.
As of March 2023, the pilot is still ongoing and has had the following outcomes, so far:
✓ On average pain scales have reduced. ✓ Some improvement on patient’s BMI but where there is no improvement or an increase , an onward referral to Slimming World has been made. ✓ On average Oxford Knee scores have improved. Some patients have seen a dramatic change – with one patient progressing from 12 to 35 in 6 weeks. This resulted in an improvement in the impact of the severity of the patient’s pain, mobility, and general wellbeing.
Enhanced Discharge Support Service – Primary Care
NNPC secured funds from both the 2022/23 ‘Community Transformation Fund’ and additional ‘Winter Resilience’ monies to develop and mobilise an Enhanced Discharge Support Service. Working together with a project manager team from within Practices, this service was implemented from June 2022 until March 2023. This service targeted patients being discharged from the Norfolk & Norwich Hospitals NHS Foundation Trust (NNUH) who required additional services when returning to their home (both social and health related).
The project aimed to ensure:
• Timely notification to Practice of all relevant patient discharges • Training and support for local care-coordinators to make welfare calls to patients discharged. • Escalation of problems or needs requiring support from health, social-care or VCSE partners.
NNPC Quality Account 2022/23
14 | Pa g e
Made with FlippingBook Digital Proposal Creator