Our Primary Care Network builds on the current primary care services and enables a greater provision of proactive, personalised and more integrated health and social care. We are supported by practitioners in additional roles who allow us to offer bespoke multi-disciplinary teams based on the needs of our local population. By working together with local community services, this allows us to make support available to people where it is most needed.
Our multi-disciplinary team
Care co-ordinators provide extra time, capacity, and expertise to support patients in preparing for clinical conversations or in follow-up discussions with primary care professionals. They work closely with the GPs and other primary care colleagues within the PCN to identify and manage a caseload of patients, making sure that support is made available to them and their carers (if appropriate), and ensuring that their changing needs are addressed. They focus on the delivery of personalised care to reflect local PCN priorities, health inequalities or at-risk groups of patients. They can also support PCNs in the delivery of Enhanced Health in Care Homes.
Our care co-ordinators are: Shannon Bridgland, Paloma Rojas (Children and Young People) and Kelly Douce (Link work coordinator).
Clinical pharmacists work in primary care as part of a multi-disciplinary team in a patient-facing role to clinically assess and treat patients using expert knowledge of medicines for specific disease areas. They work with, and alongside, the general practice team, taking responsibility for patients with chronic diseases and undertaking clinical medication reviews to proactively manage people with complex medication use, especially for the elderly, people in care homes and those with multiple conditions.
Our clinical pharmacists are: Reham Al-Shwaikh, Amina Begum, Monika Cunjamalay, Sana Ghafoor, Fatima Iqbal, Ashley Marks, Amber Sattar and Shyla Vijaykumar (senior)
Find out more about clinical pharmacists in general practice.
Digital and transformation co-ordinators support increased access to care for patients, through the adoption of new technology and other initiatives to improve the care offer. This enables PCN staff to work more effectively and improves the sustainability of general practice services.
They support the adoption of national and local initiatives, including integrated working at neighbourhood and place level to improve access to services for patients.
Our digital and transformation co-ordinator is: Melanie Hall
Health and wellbeing coaches (HWBCs) will predominantly use health coaching skills to support people to develop the knowledge, skills, and confidence to become active participants in their care so that they can reach their own health and wellbeing goals. They may also provide access to self-management education, peer support and social prescribing.
Health coaches will support people to self-identify existing issues and encourage proactive prevention of new and existing illnesses. This approach is based on using strong communication and negotiation skills and supports personal choice and positive risk taking.
They will work alongside people to coach and motivate them through multiple sessions, supporting them to identify their needs, set goals, and help them to implement their personalised health and care plan.
Our health and wellbeing coach is:Tracy Peters
Nursing associates deliver hands-on, person-centred care as part of the nursing team and support registered nurses to focus on the more complex clinical care. Nursing associate roles include performing and recording clinical observations (for example, blood pressure, temperature, respirations, and pulse), and performing clinical health checks.
Trainee nursing associates will develop the skills and knowledge, over the course of a two-year programme (for example, apprenticeship, foundation degree) to deliver high quality and compassionate care. They deliver specific clinical tasks and direct care to patients and families, under the direction of a registered nursing associate (or other registered care professional). Through their training they will develop an understanding of caring and supporting people with complex conditions such as dementia, mental health conditions, and learning disabilities. Trainee nursing associates upon completion of training can register as a nursing associate with The Nursing and Midwifery Council.
Our nurse associate is: Zambia Ashraf
Pharmacy technicians complement the work of clinical pharmacists, through utilisation of their technical skillset. Their deployment within primary care settings allows the application of their acquired pharmaceutical knowledge in tasks such as medicines reconciliation, audits, prescription management support, and where appropriate, advising patients and other members of the PCN workforce.
Our pharmacy technicians are: Tracey Gulliford and Wanzi Sakala-Watts.
Physician associates are healthcare professionals, with a generalist clinical education, who work alongside GPs to provide care as part of the multi-disciplinary team. They support patients from initial history taking and clinical assessment through to diagnosis, treatment, and evaluation. Whilst physician associates currently do not have prescribing rights, they can prepare prescriptions for GPs to sign.
– demonstrate critical thinking in the clinical decision-making process, including assessment and diagnostic skills, leading to the delivery of safe care for all patients
– work collaboratively with the practice team to meet the needs of the patients, supporting the delivery of policy and procedures
– provide a holistic and clinical service, with support from GPs as required, implementing agreed management plans, and following approved protocols as appropriate
Our physician associates are: Lucy Hudson, Desiree Kitsmiller, Thanosan Jeevaratnam, Rochelle Yung-Hoi and Samantha Hughes (senior).
Social prescribing link workers give people time and focus on what matters to the person as identified in their care and support plan. They connect people to community groups and agencies for practical and emotional support and offer a holistic approach to health and wellbeing, hence the name ‘social prescribing’.
Social prescribing enables patients referred by general practice, pharmacies, multi-disciplinary teams, hospital discharge teams, allied health professionals, fire service, police, job centres, social care services, housing associations and voluntary, community and social enterprise (VCSE) organisations to get the right care.
Link workers typically work with people over 6-12 contacts (including phone calls and face-to-face meetings) over a three-month period with a typical caseload of up to 250 people, depending on the complexity of people’s needs.
Our social prescribing link worker is: Emily Black
Find our more about social prescribing link workers.