Easing pressure on hospital and GP services is central to the work of the New Care Models Programme, with the prevention of ill-health top of the list. By Samantha Jones

Samantha Jones

Samantha Jones

Samantha Jones

For Principia Partners in Health vanguard (@PrincipiaMCP), a multispecialty community provider in Nottinghamshire, prevention is a vital part of their work, as is ensuring people are receiving care at the right time in the right place.  

These two aims come together perfectly for the work they have been doing to prevent hip fractures in older people.  

As well as having a significant impact on a person’s health and wellbeing, it is estimated that a hip fracture costs the NHS £20,000, including surgery and the time the patient spends recovering in hospital.

Osteoporosis is a leading cause of fractures and the condition is treated by patients taking tablets. However, the side effects can be unpleasant and they need to be taken weekly alongside a strict diet. Sadly, this means many people can stop using them.

The cost of buying and administering the drug is expected to save £73,000 a year – half of the money it cost the vanguard to train the staff and implement the new system.

As a result, the clinical commissioning group at Principia has commissioned a specialist nursing team to work in local GP surgeries to administer the medication intravenously.

This only needs to be done every 18 months and is much cheaper than pills.   

The vanguard said that robust clinical governance was the foundation of the innovative new service.

This was established through the involvement of primary and secondary care clinicians and liaison with appropriate advisory bodies and ensures quality and safety through explicitly defined operational guidelines and clinical competencies.

The cost of buying and administering the drug is expected to save £73,000 a year – half of the money it cost the vanguard to train the staff and implement the new system. And it won’t take many prevented hip fractures to cover the full cost of the new service.   

The scheme has been led by clinicians from across the programme partnership, which includes local GPs, Rushcliffe CCG, the county council, Nottinghamshire Healthcare Foundation Trust, Circle and Nottingham University Hospitals Trust.

The vanguard said that robust clinical governance was the foundation of the innovative new service

Principia and dozens of other vanguards played a key role at the Health and Care Innovation Expo 2016 in Manchester earlier this month.

Doctors, nurses, managers and other representatives from the 50 vanguards shared the learning from their work with thousands of delegates.  

People who were unable to attend can find out more via www.england.nhs.uk/vanguards – here you will find blogs from the vanguards, as well as links to presentations and other materials.

There is also information about future events we will be attending, including The Royal College of GPs’ annual conference in Harrogate in October and the NHS Providers annual conference and exhibition in Birmingham in November.  

Samantha Jones is director of the New Care Models Programme. @SamanthaJNHS

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