Member Practices
Our member practices care for a population of approximately 20,000 patients. Services include:
Extended Access Service
This service is provided on our behalf by GP Health Partners Ltd or download our patient information leaflet by clicking here.
Social Prescribing Service
We have a full time Social Prescriber who connects people to community-based support, including activities and services that meet practical, social, and emotional needs that affect their health and wellbeing. This includes connecting people to statutory services for example housing, financial and welfare advice.
Social prescribing works particularly well for people with low level mental health needs, who feel lonely or isolated, with long term conditions and complex social needs.
Social prescribing link workers work collaboratively across the health and care system, targeting populations with greatest need and risk of health inequalities. They collaborate with partners to identify gaps in provision and support community offers to be accessible and sustainable.
Our Social prescriber works across the network and is based mainly in our practices but also holds clinics at Cobham Community Centre. Click here to view our Social Prescribing Patient Information Leaflet.
Clinical Pharmacy Team
Our Pharmacy team consists of a Clinical Pharmacist and Pharmacy Technician working across the network with combined background experience throughout the sector. They have a range of skills in medication safety and medicines optimisation to support and promote the safe and appropriate use of medicines across our area.
They work alongside primary care teams to review repeat prescriptions, answer patient queries, action clinical letters and carry out medicine reconciliation following hospital discharges. They also liaise with specialist hospital teams when needed and action safety alerts. They manage various long-term conditions from hypertension, diabetes and asthma as well as complex polypharmacy and chronic pain reviews. Some of the team are Independent Prescribers who use this skill in their specialist clinics.
Some of the clinical pharmacists work with a multidisciplinary team of clinicians where unique skill sets are used to provide holistic domiciliary /remote reviews including optimising the management of long-term or acute chronic conditions, the patient’s current living arrangements to reduce the risk of falls / hospital admissions and even re-housing where required via the social and care coordinators.
The team also support care practice teams on QOF initiatives.
Paramedic Service
We have a Paramedic Practitioner who provides vital support to practices visiting housebound patients both in their own home as well in residential and nursing homes. She is highly skilled and able to arrange hospital admission for patients if required as well as working with GP’s to manage patients appropriately. She also connects with a variety of other healthcare professionals such as community matrons and district nurses to ensure that patients receive the best possible care. She is also able to consult with non housebound patients at our practices, both diagnosing and treating acute illnesses.
Care Home and Residential
Providing proactive enhanced care to patients living in care homes and residential homes.
GPimhs
What is the GP integrated mental health service?
GPimhs brings expert advice and guidance for people experiencing a wide and potentially complex range of mental health & emotional wellbeing issues into your GP practice, working to understand your needs and connect you with services to provide the support you need in the community.
We all experience difficulties in life. Sometimes we need more help in understanding and coping with these difficulties, especially when they begin to affect our general wellbeing, level of everyday activity and personal relationships.
Who is it for?
Patients aged 18 years of age with significant mental health concerns, including people over the age of 65.
Click here for more information.