NPC Annual Quality Account 2024-2025 FINAL DRAFT for BOARD

Additionally, IPAC advice and support has been provided to our membership practices by the undertaking of audits and risk assessments in individual practices. Home Visiting Service – Norwich NPC commenced the home visiting service on 1 st April 2024 on behalf of 17 practices across three of the Norwich PCN’s. This service is commissioned by the practices directly with NPC via the Proactive Healthcare funding, which provides vital home visiting support to housebound patients and runs Monday to Friday from 9:00 – 17:00 hours.

The team consists of a care co-ordinator, two part-time GP’s (joint clinical leads), four experienced nurses, and one paramedic. The service provides: 1. Same/Next day requests for home visit for adult housebound patients who have need for urgent care or assessment 2. Patients who need same day assessment to have onward referral to another agency 3. Patients who need same day assessment to remain safely at home

4. Long-term condition reviews for housebound patients, when capacity allows, including diabetic reviews, dementia reviews, and learning disabilities annual health assessments This is with the aim of: 1. Reducing the number of Emergency Department attendances and admissions 2. Reduce pressure on individual general practices 3. Provide holistic, integrated packages of personalised care to patients in their own home Throughout the 2024/25 period, we have successfully seen the team of clinicians meet the aims of the service by providing care at home to 7,584 patients. Through collaboration with the practice, community, voluntary, and social care teams, the home visiting service has successfully prevented 7,105 hospital admissions, representing 94% of the total patients seen. The holistic approach to patient care from the team promotes good communication, which is centred around the care of the patient, with 94% of patients saying that their care was ‘excellent’ and 98% saying that they would recommend the service to their family and friends over the 2024/25 period.

Norfolk Primary Care - Quality Account 2024/25

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