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New multimorbidity clinics ‘Your Health Clinic’ – Transforming care for patients with long term conditions in Hillingdon

The Hillingdon Clinical Commissioning Group is launching the ‘Your Health Clinic’ to help transform the way care is delivered for people with two or more long term conditions, otherwise known as multimorbidity.

The first Your Health Clinic (multimorbidity clinic) went live on the 15 November 2019 at Cedars Medical Centre, Hillingdon (which is part of MetroCare Primary Care Network). The clinic will aim to treat 12 patients over a period of five weeks to ensure their health and social care needs are managed within primary care. Each patient will be provided with person-centred care and supported through a range of clinicians working in together in a team; including GPs, pharmacists, nurses, mental health support and healthcare assistants.

This model is the first of its kind in Hillingdon and is based on strengthening the ‘Care Planning Approach’ to ensure all relevant services work together to provide care based on a patient’s physical and mental health needs. Other key benefits of a Your Health Clinic include:

 

  • patients will get the right support to better manage their long term conditions within the primary care setting
  • patients will have a better experience of using primary care health services
  • a team of health professionals will work together in a multidisciplinary setting to provide care that meets the individual needs of each patient

 

The team made up of health care professionals will also have access to range of services which patients can benefit from depending on their physical and mental health needs and can, where appropriate, re-direct them to other support services.

Dr Ian Goodman, Chair of Hillingdon CCG and local GP, said: “People with several long term conditions are more likely to end up at hospital when their care is not planned. It is important to spend time planning what type of care is most suitable within primary care settings. This is what we are doing with the ‘Your Health Clinics’, which are the first of their kind in Hillingdon and across North West London. By working together as part of a multidisciplinary team, we are able to provide patients with care that fits their needs and will improve their health and well-being so that they can have good quality of life.”

Dr Ritu Prasad, GP at Cedars Medical Centre, said: “The development of Your Health Clinics has been challenging but rewarding. It requires robust coordination and a willingness to adapt clinical approaches to Care Planning.  It has especially strengthened primary care links with talking therapies (IAPT) services. We are pleased to see this service mobilised and look forward to benefitting patients in Hillingdon once these clinics are set up across the borough within the primary care networks (PCNs).”

For further queries, please contact the North West London Clinical Commissioning Groups Media Team on

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Notes to Editor

Multimorbidity is defined as having 2 or more long term conditions where one of them is a physical health condition.

A long term health condition can include:

•           Defined health condition like Diabetes or Schizophrenia

•           Ongoing condition such as learning disability

•           Symptom complexes like frailty or chronic pain

•           Sensory impairment such as sight or hearing loss

•           Alcohol or substance misuse

 

Primary care services provide the first point of contact in the healthcare system, acting as the ‘front door’ of the NHS. Primary care includes general practice, community pharmacy, dental, and optometry (eye health) services.

A Primary Care Network (PCNs) consist of groups of general practices working together with a range of local providers, including across primary care, community services, social care and the voluntary sector, to offer more personalised, coordinated health and social care to their local populations.

Networks would normally be based around natural local communities typically serving populations of at least 30,000 and not tending to exceed 50,000. They should be small enough to maintain the traditional strengths of general practice but at the same time large enough to provide resilience and support the development of integrated teams.