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Primary Care Development
Learn more about our primary care development
Through the Primary Care Development Programme we work directly with all our practices to support the delivery of high quality care, implementation of new ways of working and spread of proven innovations.
What does Camden Health Evolution (CHE)’s current scope of work include?
"Releasing Time for Care":
- Productive General Practice (PGP) programme. Through the PGP Quick Start Programme, practices have completed modules designed to release time for care and build improvement capability. Practices have identified examples of good practice to support a common approach across the federation and have reduced time spent on both clinical and administrative duties. Through ‘Train the Trainer’ workshops practices will be supported to develop a local practice champion.
- Workforce development. We have invested in developing and upskilling the existing workforce to standardise care and enable economies of scale to share back office functions. We are committed to facilitating training for clerical and administrative staff to help upskill existing staff and release GP time.
- Workforce optimisation through EZ Doc training. Delivery of ‘leadership’ and ‘admin’ workshops to change the way clinical correspondence is managed in practices in order to release GP administrative time.
- Information technology and digital innovations programme. We are working with practices to ensure they are embedding technology solutions that help manage workload, increase patient convenient and enable patients to take a more active role in their own health and care.
- Developing QI expertise. We are developing our business intelligence capability through analytical resource to help drive quality improvements within our practices.
- Estates strategy and place plan to help with integration and provision of community services where there is a need for care closer to home.
What are Camden Health Evolution (CHE)’s future initiatives?
- Active signposting. Identification of local services available and what their access criteria is to ensure patients are signposted to the most appropriate source of help or service and ensure the patient sees the ‘right person, first time’. Training will be provided to receptionists to help improve patient signposting in order to reduce patient wait times and GP appointments.
- CQC compliance. Development of a standardised suite of documents, policies, systems and pathways to assist practices with CQC inspections.
- Practice resilience. Identification of opportunities for improving resilience and sustainability in practices.
- PCN development and support. Understanding around the maturity of PCNs and readiness to work at scale. Tailored PCN support based on development needs.
Productive General Practice (PGP)
Aim
Introduce new communication methods for consultations, improve patient continuity & convenience, & reduce clinical contact time using PQP Quick Start: Time for Care Programme
Background
- PGP delivery support from Qualitas:
- 6 half-day practice visits & 4 group-based learning over 3 months
- Delivered in 12 out of 16 GP Practices
- 2 modules delivered in each GP Practice
Outcomes from the GP practices
Key learning
- Ensure collaborative team working & communication between all staff members
- Regularly evaluate processes & efficiencies using PDSA cycles
Next steps
- Delivery of further modules at PCN level
- Train the Trainer – to enable sustainability
Act
- Undertake 3 month follow-up
- Baseline data comparison
- Patient satisfaction
- Improve collaborative team working
- Meetings that involve both non-clinical & clinical staff
- Efficient management systems
- Review systems & protocols using PDSA cycles
- Training for relevant staff
Study
- Admin & clinical staff time savings
- Up to 673 hours saved per practice, per year
- Cost savings – GP sessions, admin hours, paper, printer toner
- Improved communication & teamwork
"You've really helped us to bring the whole team together & work through a new way of working we hadn't anticipated" Bloomsbury Surgery
Plan
- Appropriate appointments
- Ensure the patient sees the 'right person, first time'
- Reduce number of unnecessary GP appts & save clinical time
- Improve workload processes
- Redesign processes to reduce the number of admin tasks & save admin time
- Efficient working environment
Do
- Telephone triage system – patient speaks to GP/Nurse Practitioner before face-to-face appt is booked
- AccuRx - text messages sent instead of the creation of admin tasks
- Prescriptions protocol & document workflow – management process mapped & improved
- 'Protected time' for admin tasks