2011 GP and Primary Care
Winner and Finalists
The winner in the GP and Primary Care category was Alan Rouane and his team from Priory Campus in Barnsley for the Fit Reds programme. Since October 2010, members of the Health Team have been part of a multi agency weight management project called Fit Reds. Criteria for enrolment include participants being male, aged over 35, consider themselves to be overweight and to be Barnsley residents!
The project is based at Barnsley football ground. It uses the 1st Team facilities including the indoor training facility, 1st Team Gym and dining room, which is a huge draw to getting the men to participate. The project is endorsed by Barnsley FC's longest serving player Bobby Hassell. Every Thursday evening over 8 weeks participants enjoy a mix of health advice and physical activity such as gym work & football sessions. Each week they fill in a food diary, are given feedback and weekly prizes. Up to date, the 50 men who have completed the Fit Reds course have lost a combined total of 36 stone 4lbs in weight and 93% of them have lowered their blood pressure as a direct result of Fit Reds.
The other finalists in the category were Sandra Sweeny and her team from NHS North Yorkshire and York, Dick Churchill from Chilwell Meadows Surgery, George Abouda and his team from Hull and East Yorkshire Hospitals NHS Trust and Kathryn Taylor from ResusPod Ltd.
Sandra Sweeny and her team have developed a series of training resources and audit tools for the safe handling of medicines in social care. For a number of years, Sandra and the team have been developing training materials and audit tools for traditional ‘face to face’ medication training courses for staff in Care Homes. However, when care staff get back to the day job it is sometimes difficult to put everything learned in to practise. So they have developed refresher modules that don’t require staff to be released from the workplace and can be safely delivered ‘in house’ by managers. The modules target areas that can lead to unacceptable levels of error in the medicines received by care home residents - seven out of ten residents experience at least one medication error on any given day.
Dick Churchill and his team from Chilwell Meadows Surgery has developed a "HEAR" (Helping Establish Adolescent Rapport) DVD. HEAR is an educational DVD for health professionals working with young people containing video excerpts of a series of GP consultations with 4 teenagers, presenting with different problems. However – and here comes the clever part - there are three versions of each consultation – one demonstrating a poor approach, the second illustrating improvement, and one highlighting good practise. Its purpose is to stimulate discussion about approaches rather than simply demonstrate a particular style. The original version of HEAR was produced with the benefit of a grant from the Teenage Pregnancy Unit and over 800 copies have been disseminated nationally. We are now looking at ‘HEAR 2’ - the sequel - looking at areas that young people and GPs find difficult such as mental health and sexual health problems.
George Abouda and his team from Hull and East Yorkshire Hospitals NHS Trust have developed a new integrated care pathway for community-based management of non-alcoholic fatty liver disease (NAFLD). Approximately 25% of the UK population is believed to have Non Alcoholic Fatty Liver Disease, rising to 90% in people who are obese. Worryingly, its prevalence is rising in children. Currently all cases are referred to a liver specialist. However, only about 3% of people will develop complications requiring a referral. Usually in less serious cases it can be managed if people follow healthy lifestyles. A new blood test involving biomarkers has been developed by the team to determine whether a patient can be managed in primary care or whether they should be referred to a specialist. The new testing procedure is undergoing a clinical trial and if successful it is hoped that it will become the national standard. It will reduce unnecessary referrals, avoid unwarranted invasive tests and should result in a saving of £750 per patient.
Kathryn Taylor and Julie Burke have developed ResusPod, an emergency medicine kit and training programme aimed at dentists. The number of medical emergencies in dental practice is increasing due to a growing elderly population and it is the responsibility of all dentists to be able to manage medical emergencies. Kate has delivered training courses for dentists on the management of medical emergencies for over 15 years. In that time she recognised there was a desperate need for a comprehensive medical emergency kit incorporating all of the equipment and drugs required by the Resuscitation Council (UK); frustratingly, there didn’t seem to be anything available. Well – don’t worry there is a solution - ResusPod. Kate & colleagues have developed a complete managed solution, including easy to follow special algorithms, a training manual, very realistic training and the Pod itself containing all the emergency medical equipment anyone is ever likely to need. In order to achieve all of this in a sensible timescale Kate was advised to set up ResusPod Ltd which has been able to attract additional expertise and resources.