Home Visiting Service – Gorleston Primary Care Network (PCN) From the 1 st July 2023 until 30 th November 2023, NNPC supported home visiting to 3 practices in the Gorleston PCN by delivering 2,121 visits to patients homes. This was a service which was commissioned by the practices directly with NNPC to support those patients who required a home visit. The service provided valuable support to deliver: • Urgent home visiting service to housebound patients • Routine housebound patient review • Chronic illness reviews and management plans • Acute illness exacerbation reviews and management plans Lower Gastrointestinal Support Service (LGISS) – Supporting the Norfolk and Norwich University Hospitals NHS Foundation Trust (NNUH) and the James Paget University Hospital NHS Foundation Trust (JPUH) NNPC continued to be commissioned until February 2024 by the Norfolk and Waveney ICB to provide the LGISS which has the aim of assisting the NNUH, and in addition from May 2023, the JPUH. This remote service supported the pathway for inappropriate / low risk 2 week wait (2WW) referrals that the Trusts received from Primary Care that fulfil the below criteria: 2WW GP referrals with negative FIT PLUS one or more of below symptoms: • Change of bowel habit • Abdominal pain • Weight loss • A raised platelet count Exclusion criteria: • Iron-deficiency Anaemia • Anal ulceration and/or mass • A palpable rectal or abdominal mass • Rectal bleeding The primary aim of the service is to exclude colorectal cancer. Secondary aims include: • Onward referral to Community Services as required. • Phlebotomy and other diagnostic investigation requesting • To give additional advice on likely diagnosis, further investigation and management option • To diagnose serious pathology in patients and to ensure that they are put on the correct cancer pathway • To give guidance on the management of symptoms of non- serious pathologies through a clinical history and a diagnostic process • To work with colleagues in general practice and secondary care to achieve the best possible care and outcome for the patient
North Norfolk Primary Care - Quality Account 2023/24
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