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​Our 4 clinical priorities

GPs and practice staff from across Lewisham at PLT.jpgOn Tuesday 5 February, over 60 GPs and practice staff from across Lewisham joined us at The Bromley Court Hotel to participate in discussions around our four clinical priorities:
  • Respiratory
  • Mental health (community)
  • Diabetes
  • Frailty
Dr Faruk Majid, Chair, NHS Lewisham CCG, opened the event with an introduction into the recently published NHS Long Term Plan and what this means for Lewisham and its patients. He followed this with an overview of how we compare to surrounding CCGs across our four clinical priorities.

Dr Jacky Mcleod, Senior Clinical Director, NHS Lewisham CCG gave a summary of some key updates to practices in Lewisham, including new and updated services and apps to support GPs and their patients.  

Ahead of the table discussions, Dr Charles Gostling, Senior Clinical Director, NHS Lewisham CCG provided a background into how the clinical proprieties were reached and the work to date; he asked the focus groups to consider whether these are the right priorities for Lewisham, the role of the GP and how we ensure patient and public feedback is embedded?

Each of the eight focus groups focussed on one of the clinical priorities. All of the focus group members agreed that the four clinical priorities are the right ones for Lewisham for the next five years. There was a recognition that Lewisham CCG also needs to think further ahead than five years and that the gap in these priorities is children and young people.  

Other points raised in the discussion were:
  • Working better community based services, more integrated
  • GP practices should be at the centre of every decision – need the time to do this work + integrated IT system
  • More resourcing of specialist mental health staff in primary care would be really beneficial as would better support around healthy lifestyles – social prescribing etc.
  • Reduce the engagement ladder with better integrated working – more coordination, less hoops for GPs and patients to jump through
  • Aim to reduce complications – better for people and costs less. Access to specialisms in primary care
  • Can be time-lag between info reaching GPs following discharge
  • Partnership approach key – welfare and housing
Key themes from all of the groups were:
  • Prevention 
  • Integration
  • Not trying to do everything at once. 
  • Communication and digital communication.
The full notes from the day are being pulled together into a report which will be shared with GPs soon and will also be fed into the 4 groups working on the clinical priorities.