Meet the Team
Meet the teams that help provide our our PCN services
Clinical PCN Teams
Clinical Pharmacists
- Hypertension and Lipid Management clinic
- Safe prescribing of medicines
- Structured Medication Reviews with the focus on reducing problematic polypharmacy and waste
- Annual Long term condition Virtual Reviews (Hypertension, Stroke/TIA, CKD, AF, CHD, Asthma)
- Hypothyroidism management
- Spirometry
- Dispensary standard operating procedures review and update
- MHRA Drug Alerts
- Hypertension and Lipid Management clinic – Follow-up with patients with elevated BP and not on Hypertension register.
- Safe prescribing of medicines through review of Eclipse alerts – enables practice to achieve payments for KPIs.
- Structured Medication Reviews with the focus on reducing problematic polypharmacy and waste – links with Enhanced health in care homes framework
- Annual LTC Virtual Reviews (Hypertension, Stroke/TIA, CKD, AF, CHD, Asthma) – Help to meet QOF targets.
- Hypothyroidism management – Make contact regarding deranged TSH/T4, adjust levothyroxine dose and arrange FU bloods.
- Spirometry – ARTP certified (Maggie)
- Dispensary SOP review and update – Improve workflow and safety in dispensary – Support DSQS Audits
- MHRA Drug Alerts – Run search to identify affected patients and make contact when necessary
- Docman – post hospital – discharge / clinical letters – Medicine reconciliation
- Denosumab active register – Ensure safe prescribing of denosumab -Recalls for blood test, prescription requests and recalls for next injections
- Bisphosphonate project · Ran search to identify patients on bisphosphonates >5y
Physician Associate
Appointments
I have 15-minute appointment slots and I see a variety of patients in my clinics – ranging from acute on-the-day presentations to chronic disease and I have taken on the learning disability reviews at Broseley. I always have a GP supervisor at hand if need
Referrals & Results
I action tasks, blood test/microbiology results and can refer my patients to other specialities.
Care Homes
I also do a weekly ‘ward round’ with one of the doctors at one of nursing homes that Albrighton covers and every fortnight I do a solo ‘ward round’ at one of the local residential care homes. As a result, I have been involved in vaccinations.
Audits
Pharmacy Technician
My main focus initially will be patient safety – drug interactions/appropriate dosing/drug monitoring etc. To do this I am using Ardens CQC searches medication monitoring and safety alerts.
DOAC/CQC searches that I undertake includes checking that the patients medication is still clinically indicated and is at the appropriate dose for the patient.
I review out of stock medication, I look to provide practices with a weekly bulletin with information about current out of date stock, anticipated return dates and available alternatives.
Dietician
– Deliver Nutrition Support and screening training to Care Home staff.
– Deliver 1:1 support for Care Home residents
– Provide dietetic advice to adult patients (over 16 years old) at GP practices within the PCN
– Frailty
– Health Living and Weight Management
– Provide dietetic advice to adult patients (over 16 years old) at GP practices within the PCN
– Programme, support individuals with a diagnosis of T2D.
– Gastroenterology (IBD, IBS, Coeliac Disease, Diverticular disease etc)
Mental Health Practitioner
Julie May Griffiths is the Mental Health Practitioner who attends most surgeries every 2 weeks. The mental health practitioner can provide brief interventions and discuss onward referrals to psychology/talking therapies and other services which may be required.
The mental health practitioner can see any patients who are experiencing low mood/depression, anxiety, intrusive thoughts, whether they have a diagnosis or not.
Anyone who would benefit from short interventions and gaining/providing them with education around coping skills that would assist their mental health.
Booking exclusion criteria:
- Anyone under the age of 18.
- Anyone already actively being seen by a mental health service.
- Anyone enquiring primarily for a fit note or purely a medication need or enquiry.
First Contact Physiotherapists
FCPs provide safe, high-quality assessment, diagnosis, and self-care advice +/- first line management and onward referrals to related specialist services as appropriate, at the start of the patient pathway with appropriate management of red flags and underlying serious pathology.
- Inclusion criteria – Musculoskeletal (MSK) conditions including: All soft tissue injuries, sprains, strains or sports injuries
- Arthritis – any joint
- Possible problems with muscles, ligaments, tendons or bone (e.g. tennis elbow, carpal tunnel syndrome, ankle sprains)
- Spinal pain including lower back pain, mid-back pain and neck pain
- Spinal-related pain in arms or legs, including nerve symptoms (e.g. pins and needles or numbness)
- Changes to walkiing
Non Clinical PCN Teams
Health and Wellbeing Team Lead
As part of the PCN management team, my role supports the work of the PCN’s Executive Team, performing administrative and data analysis duties as required
Care Coordinators work closely with Practice teams and other care professionals within a network, to identify and manage a caseload of patients.
The role of a care coordinator is to provide support to identified patient groups, signposting to appropriate community services and other healthcare professionals to improve patient health and wellbeing.
Care Coordinator
My role is to support practices with their Enhanced Health in Care Homes and to support the PCN Cancer Care work.
I work closely with Care home managers and staff to add patients to the care home ward round list and check for new residents and any discharges from hospital. I ensure patients have up to date care plans and support the care homes with access to additional support and link with the ACP (advanced care planning) team book SMRs with our PCN Clinical Pharmacists.
I also support our PCN and Cancer Care Lead on projects surrounding early diagnosis and non responders to screening.
Care Coordinator
Dementia
My role is to support dementia link workers in their interactions with service users, I am creating a directory of Dementia Friendly community groups in SES and will provide link workers with direct access to this. It will enable us to deliver a consistent service, allowing us to signpost and refer service users directly into the community.
Service users should be able to move fluidly between services but not be deferred from one service to another needlessly.
Health and Wellbeing Coach
Mental Health
As a Health & Wellbeing Coach I support patients to make positive changes to their mental health & overall wellbeing
I work with patients for up to 3 months in areas such as motivation, goal setting, coping strategies & changing negative thought patterns
Having the luxury of longer appointments means I can really get to know patients; listening to their needs and allowing them time to talk & offload. My work helps support the mental health practitioner’s role and I also work closely with the social prescribers.
Healthy Lifes Advisors - Adult
Social Prescribers and Health Coaches
The Healthy Lives Advisor offers 3 months of non-medical support to patients, this enables them to access services and support in their local area. The Advisors help people to understand their health and wellbeing needs and supports them in setting realistic goals via an agreed action plan.
Healthy Lives Advisors have the time set aside to discuss with patients what really matters to them and can see the patient regularly during the period of support.
Many people can benefit from social prescribing, this includes,
- caring for someone
- living with a long-term condition
- wanting to make lifestyle changes around quitting smoking or losing weight.
- Feeling anxious or worried
- Feeling socially isolated.
- Frequent Attender
Healthy Lives Advisors
Child and Young People
Social Prescribers and Health Coaches
- For those in Year 7 and above Those with low level challenges
- By providing support at this early stage, we hope to reduce the pressures on other services
- Primarily seen in the school
- Social prescribing is a programme for young people to have time and space to talk about what matters to them in terms of their health and wellbeing
- It might involve linking them up with other organisations and services It could involve referring and signposting to a range of opportunities such as arts, sports and music
- It could be looking at coping strategies and tools for example breathing techniques, grounding, self soothe box
Sharing expertise and resources, to develop new services.
The PCN
Information
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