Presented by: Helen Kingston, Jenny Hartnoll
Frome Medical Practice provides care for the 29,000 residents of Frome and the surrounding area. Since 2014, the practice has combined a community development service with an internal hub in the GP practice which identifies those in need of support. The community development service fulfills 2 functions; enhancing the naturally occurring supportive networks that surround people and connecting people into community resource. If the resource needed creating, the community development service helped this process, creating new groups according to community requests.
The outcomes have had a significant impact in a wide variety of areas. Whereas Somerset county has seen a rise of 32% in emergency hospital admissions in the last 3 years, this remained stable in Frome. For those with 3 or more long term conditions, there has been a 30% drop in admissions. A compassionate communities programme focused on people at end of life is showing a marked increase in home death rates. Patient qualitative outcomes show improved quality of life in a number of areas. Working lives of the health professionals involved in the project also improved. The presentation will describe the model and give details of the outcomes, which are continuing to improve. We will also describe how components of the model can be adapted to local circumstances, with the use of Institute of Healthcare Improvement quality improvement methodology as the main tool of change management.