Forming Integrated Neighbourhood Teams (INTs) around ‘natural’ communities – the Dorset approach
Our work in Dorset was initially focused on older people but quite quickly it became apparent that there was a desire to adopt this as an all-age approach. This emerged from an extensive listening exercise between May and August 2023 involving around 150 people from across the
Community Health and Wellbeing Workers (CHWW)
CHWWs visit households within defined areas so people receive tailored and holistic health and wellbeing support to address health inequalities.
West Yorkshire ICS
Focussing on a population health approach to develop clinical visions and a plan for future estate needs.
Viso or H+
Supporting patients to monitor their blood pressure in the home and drive improvements in medicine management.
The Impact of Early Frailty Support – Ageing Well Programme in Calderdale, West Yorkshire
Proactively supporting an Ageing Well Frailty nurse to measure the impact on both patients and wider NHS demand from 2020 to 2022.
Coaching advice to support people at risk of diabetes
Improving the control of pre- diabetes for patients with simple telephone based advice on diet and lifestyle.
Digital self care advice to support people with long term conditions
Supporting people with diabetes through regular text messaging demonstrates greater glucose control.
Redesigning care pathways for people with long term conditions
Reducing the frequency of appointments for people with multi morbidities through extending appointment duration.
Improving the wellbeing of nurses in primary care
Improving the well being of practices nurses by ringfencing protected time during the working day.