Transforming health care in nursing homes. An evaluation of a dedicated primary care
service in outer east London | Nuffield Trust
The Nuffield Trust was commissioned by the Barking and Dagenham, Havering and Redbridge Clinical Commissioning Groups to evaluate a new primary care service that was being piloted in four nursing homes in the London Borough of Havering that had previously had difficulty accessing GP services.
The service’s main features were the assignment of a single GP practice to all residents; access to health care professionals with expertise in caring for older people with complex needs; extended access beyond normal GP hours; care guidance to nursing home staff; improved medicines management; and new approaches for managing people who are at the end of life.
The evaluation suggests that there are benefits in providing proactive primary care for nursing homes, delivered by a consistent GP within a service that specialises in older people with complex care needs.
This report assesses the impact of the new service on hospital attendance, and details the experiences and views of staff in the nursing homes and health care professionals delivering the new service.
This related article from the Guardian reports on the success of the £400,000 pilot scheme in which a dedicated primary care practice provides 431 residents of care homes with 8am to 8pm, seven-days-a-week GP support.