The Focused Care model is the only service we know that has the central aim of making the invisible patient visible. This long-term resource is now becoming available to GP teams working with the most vulnerable and hard to engage households across GM.
Focused Care equips us to find those patients most in need and then help them access appropriate care via their Primary Care and Community teams. The Focused Care worker embodies the culture of ‘Unrelenting Kindness’ that we all know is so effective in bringing change into entrenched situations.
Since we started this approach, we have realised that Focused Care workers not only support GP teams with their more anxiety-inducing complex cases but the data also records patients with less unnecessary hospital attendances, less missed appointments and better access to relevant services. Across the population engaged in this way Public Health outcomes improve and disease prevalence rises. The added safeguarding net for the Practice has also been seen as a great professional bonus. This model provides the chance for the whole surgery team to regularly meet to discuss their vulnerable patients; sharing expertise, care plans and success stories.
Vulnerable Patients are visibly helped and this stands very well with the patient community, the practice team, commissioners and the Care Quality Commission. Seven years on from our first cases we are now in the exciting position to share this model and experience with other GP teams working in areas of deprivation.
We welcome you to join our Focused Care approach.
Dr John Patterson
Focused Care founders and CIC Board members