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Primary Care Networks

Out of Hospital Teams have been replaced by Primary Care Networks

Great Yarmouth and Waveney Clinical Commissioning Group have commissioned four Primary Care Networks for:

  • South Waveney
  • Gorleston
  • Great Yarmouth and Northern Villages
  • Lowestoft

This will enable teams of NHS community health service clinicians such as community nurses, physiotherapists and occupational therapists to operate alongside GP practice staff to provide better coordinated, more integrated health and social care while making it easier for people to access the right service to meet their needs, closer to home. Different organisations will share information more effectively, which means that patients will only need to tell their story once rather than repeating it every time they see someone new.

Working in networks also gives us the chance to tailor the services we provide so that they better meet the health needs of local people, working with GP networks to better understand the health needs of each population and re-engineering services to be able to meet those needs. We have already started this work e.g. introducing ”one-stop shops” for diabetes checks so that patients can be seen by a number of professionals in one visit including retinal screening, blood tests, urine tests, smoking cessation and lifestyle advice. This new way of working will also make it easier to signpost people to local support, such as groups for carers or those which aim to tackle social isolation.

The team of community staff in each network includes:

  • Frailty champions
  • Community matrons
  • Nurses
  • Physiotherapists
  • Occupational therapists
  • Healthcare assistants
  • Pharmacists
  • Phlebotomists
  • Clinical care coordinators
  • Rehab support workers
  • Assistant Practitioners
  • Diabetes nurses
  • Social workers

Patients also continue to receive proactive help to look after themselves and their families, as well as support to self-manage long-term conditions so that they can stay well for longer. 

Read the Primary Care Network briefing issued in August 2019 to find out more.