Brownlow Health in Liverpool provides pro-active primary care to intermediate care sites in the city.
GPs from the practice visit each site three times a week in order to pre-empt medical problems from escalating, reduce re-admission rates and improve confidence and communication between care staff and the medical team.
GP partner Dr Ian Pawson presented the results of this work as a poster at this year's RCGP annual conference, which he explains below.
The service now covers 100 in-patient intermediate care beds across four sites and has in excess of 45-50 patients admitted per month.
The practice has introduced a pharmacist and prescribing clerks/administrative support, as well as introducing new pathways and remote technology.
As a result of the scheme there has been:
- Significant improvement in number of patients having admission letters sent out to GP (52% to 92%)
- Improved number of pharmacist-led medication reviews on admission (37% to 96%)
- Maintaining high standards of record keeping for risk areas such as transmission of prescriptions between practice and pharmacy.