To participate in the cervical Evaluation of programme has been shared with the cluster to screening programme network lead. improve uptake (subject to discussion, appropriate The University Practice has funding and available been advised to request resource) screening data from PHW in order to commence contacting non responders. 4 To increase To continue to prompt GP Practices March 2017 To ensure patients are Data has been shared with attendance of patients opportunistically reviewed and individual practices to diabetic managed effectively as demonstrate the number of retinopathy part of their diagnosis. referrals of newly diagnosed reviews patients into the diabetic retinopathy service during 2013/14 & 2014/15. Practices have been asked to note, understand the importance of each referral into the service and encourage patient attendance. Recent figures have been requested for sharing with practices and to compare referrals with previous years. 5 To introduce AF screening: Community pharmacists Ongoing AF screening: Opportunistic screening is opportunistic Utilise consultations and flu (for AF proposal) To reduce risk of being undertaken on an screening for: surgeries as opportunity to CVAs ongoing basis within practices opportunistically screen for In line with national AF AF using assessment of priority around AF and screening pulse CVA To purchase alivecor GP Practices November 2016 An ECG can be 100 alivecor monitors have monitors for GPs and Nurses Community Nurses been ordered for distribution emailed quickly to the which will allow a 30 second between the 8 practices. patients GP for ECG trace of a patient to be Monitors will also be provided diagnosis and if recorded. to the Bay health paramedic, necessary, referred to pharmacists and CCNs once
To participate in the cervical screening programme to improve uptake (subject to discussion, appropriate funding and available resource) Evaluation of programme has been shared with the cluster network lead. The University Practice has been advised to request screening data from PHW in order to commence contacting non responders. 4 To increase attendance of diabetic retinopathy reviews To continue to prompt patients opportunistically GP Practices March 2017 To ensure patients are reviewed and managed effectively as part of their diagnosis. Data has been shared with individual practices to demonstrate the number of referrals of newly diagnosed patients into the diabetic retinopathy service during 2013/14 & 2014/15. Practices have been asked to note, understand the importance of each referral into the service and encourage patient attendance. Recent figures have been requested for sharing with practices and to compare referrals with previous years. 5 To introduce opportunistic screening for: AF screening AF screening: Utilise consultations and flu surgeries as opportunity to opportunistically screen for AF using assessment of pulse To purchase alivecor monitors for GPs and Nurses which will allow a 30 second ECG trace of a patient to be recorded. Community pharmacists (for AF proposal) GP Practices Community Nurses Ongoing November 2016 AF screening: To reduce risk of CVAs In line with national priority around AF and CVA An ECG can be emailed quickly to the patients GP for diagnosis and if necessary, referred to Opportunistic screening is being undertaken on an ongoing basis within practices 100 alivecor monitors have been ordered for distribution between the 8 practices. Monitors will also be provided to the Bay health paramedic, pharmacists and CCNs once
Bay%20GP%20Cluster%20Network%20Action%20Plan%202016%20-%2018.01.2017.docx