With the physical building in place to allow different staff teams and community groups to work more closely together, they began a unique approach to reducing hospital admissions for elderly and more vulnerable patients.
Using the building to help build their huge network
Involving everyone from administrators to clinicians to district nursing, social care, community support services and local charities, they identified patients who could, with the right help and support, stay at home rather than ending up in hospital.
By making time for the many different professionals, people and teams to be part of multidisciplinary meetings and planning work - looking in the round at the individual things that would help each individual patient to stay away from hospital, from prescriptions to occupational therapy, walking groups or a regular cuppa and chat - they achieved a significant fall in emergency admissions to hospital. Their innovation is such that it's hit the headlines and won an award from the Prime Minister.
Source: Dr Helen Kingston, Frome Medical Practice 2018
The joint approach of integration of services, a community development focus, systematic identification of those patients at risk through a whole team approach focusing on this and proactive support has enabled us to reduce emergency admissions by 21%. For every £1 spent on our Frome Model of Enhanced Primary Care, the NHS has saved £6. The facilities of the Health Park here at Frome have been key in bringing us together to enable this.
Dr Helen Kingston, Frome Medical Practice