Primary Care Networks

The Alliance of Sutton Practices (ASP)  

Includes three practices: 

1. Ashfield Surgery
2. Hawthorne’s Surgery
3. The Manor Practice

Clinical Director: Dr Fraser Hewett

PCN Management Lead: Leanne Hoye

PCN ARR Staff: 

PCN Lead Pharmacist: Santokh Sohal

Pharmacists: Sumeet Matharu, Helena Pickin, Hardip Kalirai, Humaira Satvilker

Pharmacy Technician: Emma Simpson, Leah Downing

Physician Associate: Iffat Naeemah, Smera Hussain, Victoria George

First Contact Physiotherapist: Joanne Leach

Care Coordinator: Natalie Pettitt

Social Prescribing Link Worker: Phyllis Minto and Camillia Rhoden

Care Homes Supported:

1. Abbeyfield House (Res)*
2. Francis House (Res)*
3. Green Lanes (Res)*
4. Greenacres – Care Home with Nursing 
5. Hafod Nursing Home
6. Hafod Residential Home (Res)*
7. Lonsdale Midlands Ltd – Walmley Road (Res)*
8. Marian House Nursing Home
9. Mr Adrian Lyttle – Sutton Coldfield (Res)*
10. Roxton Nursing Home
11. The Gables (Res)*
12. Sutton  Park Grange
13. Lisieux House (Res)

Kingstanding, Erdington and Nechells (KEN)

Includes eight practices:

1. Dove Medical Practice
2. Kingsbury Road Surgery
3. Bloomsbury Medical Centre
4. The Nechells Practice
5. Cotmore Surgery
6. The Oaks Medical Centre
7. College Road Surgery
8. Small Heath Medical Practice

Clinical Director: Dr Jawahir Naik

Deputy CD: Dr Steve Gibbins

PCN Management Leads: John Hood and Donna Cattell

PCN ARR Staff: 

PCN Lead Pharmacist: Jaspal Johal

Pharmacists: Suj Johal, Baljeet Randhawa.

First Contact Physiotherapist: Karandeep Virdee

Paramedic: Barry Timms

Dietitian: Melania Cox and Jessica Foss

Care Coordinator: Kaye Williams.

Social Prescribing Link Worker: Adrianne Lindsay, Francillia Martin, Jasmine Heir and Gita Joshi

Care Homes Supported:

1. Hurstway Care Home
2. Liberty House Care homes Ltd (Res)*
3. Manor House (Res)*
4. Perry Tree Centre (Res)*
5. SENSE – 296-298 Warren Farm Road (Res)*
6. SENSE-Hawthorn Road

Shard Ends & Kitts Green (SEKG)

Includes seven Practices:

1. Harlequin Surgery
2. Mirfield Practice
3. Church Road Surgery
4. Hodgehill Practice
5. Eden Court Medical Practice
6. Schoolacre Surgery
7. The Firs

Clinical Director: Dr Rajesh Pankhania

Deputy CD: Dr Richard Edwards

PCN Management Lead: Jennifer Fullford

PCN ARR Staff: 

PCN Lead Pharmacist: Damien Tang

Pharmacists: Avais Makhmood, Amritraj Uppal, Lilly Boloursaz-Mashhady, Benjamin Gee

Pharmacy Technician: Katey McCorkell

Physician Associate: Shareen Bibi

First Contact Physiotherapist: Sanjay Dahiya

Paramedic: Thomas Latham

Care Coordinator: Philippa Conran and Lisa Hall

Social Prescribing Link Worker: Shazia Malik and Sharon Mullard

Care Homes Supported:

1. 306-308 Packington Avenue (Res)*
2. Accord Housing AssociationLimited – 1a West Avenue
3. Aran Court Care Home
4. Autumn Leaf House (Res)*
5. Briarscroft Residential Care Home (Res)
6. Greswold House (Res)*
7. St Giles Care Home
8. The Orchards nursing home
9. Westley Brook Close (Res)*
10. Bromford Apartments
11. Berwood Court Care Home
12. Hodge Hill Grange
13. The Ridings Care Home

Moseley, Billesley & Yardley Wood (MOBY) 

Includes six practices:

1. Yardley Wood Health Centre
2. Wake Green Surgery
3. Greenridge Surgery
4. Baldwins Lane Surgery
5. Poplar Road Surgery
6. Victoria Road Surgery

Clinical Director: Dr Matthew Jordan

Deputy CD: Dr Amanda Gough

PCN Management Leads: Sophia Raja and Gemma Mooney

PCN ARR Staff: 

PCN Lead Pharmacist: Arfaan Sultan

Pharmacists: Waseem Khan, Sukaina Bandali, Sadia Ahmed, Davan Eustace

Physician Associate: Nurjahan Akthar, Caitlin Lahive

First Contact Physiotherapist: Dimitrios Tsimpolis

Paramedic: Christopher Harte

Care Coordinator: Nicholas Valente and Uzma Zaman

Social Prescribing Link Worker: Tanwir Akhtar and Lauren Dooley

Dietitian: Siema Ali and Jessica Foss

Care Homes Supported:

1. 23 Trittiford Road (Res)*
2. Anita Stone Court
3. Ashley Lodge RH Limited (Res)*
4. Barkat House Residential Home (Res)*
5. Bramley Court Care Home
6. Bramley Grove Care Home
7. Chesterwood (Res)*
8. Cole Valley
9. Prospect House 
10. Evergreen (Res)*
11. Forest Grange (Res)*
12. Highbury Nursing Home
13. Keo Lodge (Res)*
14. Maycroft (Res)*
15. Otterburn
16. (94) Sandford Road (Res)
17. (38) St Alban’s (Res)*
18. Strensham Hill Care Home (Res)*
19. Westholme (Res)*
20. Newday Nursing Home 
21. Victoria Lodge Care Home (Res) 

Bournville and Northfield (B&NF)

Includes Three Practices:

1. College Green Medical Practice
2. St Heliers
3. Wychall Lane Surgery

Clinical Director: Dr Barbara King

PCN Management Lead: Daniel Hill

PCN ARR Staff: 

PCN Lead Pharmacist: Ashvin Aggarwal

Pharmacists: Catherine Dewes, Anne Watson, Laith Kamel, Harry Ogunnaike

Pharmacy Technician: Laura Mitchell, Patricia Broders

First Contact Physiotherapist: Tomas Keefe

Paramedic: Suzanne Mallin

Care Coordinator: Sabiul Hoque and Claire Byrne

Social Prescribing Link Worker: Naeed Akhtar

Care Homes Supported:

1. Bourn View (Res)*
2. Bournville Grange Limited (Res)
3. Brain Injury Rehabilitation Trust – Bristol Road (Res)*
4. Hasbury Care Home (Res)
5. Ivybank Care Home (Nursing home)
6. Lucton House (Res)*
7. Selly Wood House (Nursing Home)
8. SENSE The Old Coach House (Res)*
9. Stennards Leisure Retirement Home (Frankly Beeches) (Res) *
10. Stennards Leisure Retirement Home (KN) (Res)
11. Trescott Road (Res)*

Weoley and Rubery (W&R) 

Includes six Practices:

1. Millennium Medical Centre
2. Bartley Green Medical Centre
3. Woodgate Valley Health Centre
4. Jiggins Lane Medical Centre
5. Weoley Park Surgery
6. Leach Heath Medical Centre

Clinical Director: Dr Peter Arora

PCN Management Lead: Nicola Butler

PCN ARR Staff: 

PCN Lead Pharmacist: Parveen Ahmed

Pharmacists: Raj Sangha, Almas Rehman, Ross McGill

Pharmacy Technician: Emma Davies

Physician Associate: Masrufa Miah, Alireza Mamdani,  Grace Ipanga

Care Coordinator: Hayley Evetts, Tina McCaugherty, and Nicola Butler

Social Prescribing Link Worker: Fatema Shareen and Catherine O’Farrell

Care Homes Supported:

1. Bartley Green Lodge (Res)
2. Greenlands View (Res)* LD
3. Lonsdale – Bushwood Road (Res)* LD
4. Ludford Road Residential Care (Res)* LD
5. Oakview Care Home (Res/nursing)
6. Redwoods (Res)* LD
7. Sparrowfields (Res)* LD
8. Tulip Gardens (Res) LD

Quinton and Harborne (Q&H)

Includes two practices:

1. Lordswood Medical Practice
2. Ridgacre House Surgery

Clinical Director: Dr Philip Saunders

PCN Management Leads: Angie Newton and Ian Middlemis

PCN ARR Staff: 

PCN Lead Pharmacist: Parbir Jagpal

Pharmacists: Sharonjit Joall, Elaine Povey, Faiza Yahya, Julie Brooks, Ross McGill

Pharmacy Technician: Colleen Lewis

First Contact Physiotherapist: Divya Shetty

Paramedic: Carly Jones 

Care Coordinator: Damien Phillips

Health and Wellbeing Coach: Alison Emeny

Social Prescribing Link Worker: Jeneitha Hall and Mundev Kaur

Care Homes Supported:

1. Dimmingsdale Bank (Res)*
2. Harborne House (Res)*
3. Hightrees (Res)*
4. St Joseph’s Home – Birmingham

South Birmingham Alliance (SBA)

Includes six practices:

1. Frankley Health Centre
2. Northwood medical Centre
3. Cofton Medical Centre
4. Keynell Covert Surgery
5. Kings Norton Surgery
6. Ley Hill Surgery

Clinical Director: Dr Mukesh Bhardwaj

South West Shropshire (SWS)

Includes six practices:

1. Church Stretton
2. The Meadows
3. Bishops Castle
4. Craven Arms
5. Portcullis
6. Station Drive

Clinical Director: Dr Finola Lynch

PCN Management Lead: Peter Allen

PCN ARR Staff: 

Pharmacists: Catherine Dewes and Philip Bates

Pharmacy Technician: Julie Bates

Physician Associate: Susan Singleton

Health and Wellbeing Coach: Jaz Sandhu and Elwyn Jones

Social Prescribing Link Worker: Sharon Cochrane, Helen Wootton, Jaz Sandhu, and Lisa Noonan

South East Shropshire (SES)

Includes 8 practices:

1. Albrighton Medical Practice
2. Alveley Medical Practice
3. Bridgnorth Medical Practice
4. Brown Clee Medical Practice
5. Cleobury Mortimer Medical Practice
6. Highley Medical Centre
7. Much Wenlock and Cressage Medical Practice
8. Ironbridge Medical Practice

Clinical Director: Dr Jessica Harvey

PCN Management Lead: Ella Butterworth

PCN ARR Staff: 

PCN Lead Pharmacists: Toyin Olajide Olukemi, Mei Kee Kok

Pharmacists: Nour Morjan

Physician Associate: Megan Chowns, Ali Mohamed

Care Coordinator: Louise Linning

Health and Wellbeing Coach: Joe Cunliffe and Wendy Harris

Social Prescribing Link Worker: Joanne Aston, Rebecca Jennings, Abi Lowe-Werrell, Julie Gildie, Jaine Kular-Hanratty

• Each care home registered with each practice will receive a weekly check in call.
• The purpose of this initially is to establish if there are any issues (including those relating to medicines and End of Life care (EoL)), new diagnoses of COVID and to identify patients requiring urgent clinical input.
• Where issues are identified these are will be dealt with through the existing systems and processes.

It is important to note that there should already be systems in place for managing medicines related queries and issues. We have summarised these along with ongoing work on improvements below:

• We now have clinical pharmacists in every PCN (group of practices)  who can support existing practice teams with medicines and prescribing related queries, this is already happening to some extent, we are working with the CCG to formalise communication channels.
• The PCN Lead pharmacists will work with their clinical colleagues in the Practices to ensure these systems to support medicines access and good medicines practice are in place.
• The Local Pharmaceutical Committee has shared details of each PCN Lead Community Pharmacist who can support us with relevant prescribing and medicines issues (including access).
• There is national ask for all prescribing where possible to be completed electronically and where appropriate to be converted to Repeat Dispensing.
• Implementation of guidance on medicines reuse in care homes provided where appropriate.

It is important to note that there should already be systems in place for personalised care planning and this remains the responsibility of the individual patients GP.

The Active Wellbeing Society (TAWS) is a community benefit society and cooperative, working to develop healthy, happy communities living active and connected lives.

By working collaboratively with Our Health Partnership on our social prescribing programme, they bring about sustainable change on a social, environmental and economic level to our patients; to do the social knitting required to create stronger and more resilient communities and to support communities to identify, mitigate and remove the barriers that prevent them from living active and connected lives.

Once referred to them either by the surgeries or as a self-referral TAWS Social Prescribers will empower our patients to gain the capacity, resources and skills by working one to one or in a group carrying out indoor or outdoor activities, or by talking and befriending via phone calls.

If you are interested in this type of support, then please either ask when you are next in surgery or complete the attached Form to self-refer.

You are eligible if you are:

• Over the age of 16
• Need some support, guidance and encouragement to    improve your mental or physical health and wellbeing –
• A patient at an Our Health Partnership GP Practice

First specialist social prescribing team in the UK based in Birmingham

Doctors across parts of Birmingham are able to direct patients who otherwise struggle to access support to a range of health-enabling activities such as art classes instead of medication in a partnership launched with health and social care organisation Turning Point.

The initiative is a UK first and will involve 25 GP practices managed by Our Health Partnership (OHP), one of the biggest GP partnerships in England, and a specialist social prescribing team run by Turning Point.

The aim of social prescribing on the NHS is to offer non-clinical alternatives in the community that can support health and wellbeing such as gardening, cookery, and volunteering to patients.

The Birmingham scheme will also relieve pressure on doctors who have been overwhelmed during Covid and now face a backlog of patients whose health issues may have worsened over lockdowns. 

Patients will be referred to social prescribers – known as link workers – to help them improve their health, wellbeing, and social welfare. 

What’s new about the Birmingham programme is the team of five link workers, managed by Turning Point, with a range of experiences in their respective fields will provide a significantly higher level of support than seen anywhere else before in the UK.

Each worker has specialist knowledge of how to support patients from specific backgrounds such as those with a learning disability, mental health problem, drug, and alcohol issue – or a combination of such challenges.  

The multidisciplinary team will work together with existing link workers, local services and voluntary, community and social enterprise organisations across Birmingham. 

This is to ensure people are supported to break down barriers, including stigma, in accessing whatever help they need. The joint working reflects the fact that health and wellbeing outcomes are influenced by a range of factors beyond clinical factors, from housing and job status to race and gender. 

The service is part of an innovative approach to social prescribing and will work in partnership with The Active Wellbeing who already offer a universal social prescribing programme to patients across Birmingham. 

OHP identified that they wanted something different to meet the unmet needs of their patient population. They have utilised the experience of Turning Point as a leading health and social care organisation with over 50 years’ experience.

Amy Stephenson, Head of Health and Wellbeing at Turning Point, said: “Having a personalised approach can have better results for groups that typically have poor health outcomes.

“Someone who has multiple health needs, such as drug problems as well as for those with a learning disability, may not realise their goals in life without the support that looks at the bigger picture of their health and wellbeing.

Many are passed between multiple agencies and services, each one only addressing a specific issue. Specialist link workers will be able to help people consider multiple issues, join the dots between existing support provision and provide a higher intensity, bespoke level of support.

“We’re really excited to be able to work with OHP and The Active Wellbeing Society in offering this specialist service and look forward to building on solid foundations.”

Dr Vish Ratnasuriya MBE and Chair of OHP said: “Prior to the pandemic, OHP wanted to start work towards addressing health inequalities further by creating a new role that reaches out and build relationships with people who struggle to access traditional care or fall between gaps in services.

“We are really pleased to launch our partnership with Turning Point in creating this specialist link worker role using their breadth of expertise. I look forward to seeing the impact on lives when specialist link workers connect, and build trust and relationships, and to begin meaningfully to address what matters to each person they see.”

Michelle Howard, Director of Healthy Communities, said: “We are excited to be collaborating with Turning Point and OHP, to provide practices and patients with a truly unique programme of support. In light of the past year, this has never been needed more and together we’re developing and delivering a new model of targeted patient support services”.

Turning Point is a social enterprise which has over 50 years’ experience of providing support for people affected by drug and alcohol problems, mental health issues, offending behaviours, unemployment, health and wellbeing social issues, and those with a learning disability to discover new possibilities in their lives. For more information, please visit www.turning-point.co.uk.

Social Prescribing in Shropshire

Shropshire Council provide the Social Prescribing Services to our South West and South East Shropshire PCNs. Details can be found on their website.

https://www.shropshire.gov.uk