What is a Primary Care Network?
Current national guidance issued by NHS England (Five Year Forward View) and subsequently the GP Forward View, urges GP Practices to work collaboratively within geographical Locality Care Hubs defined by their natural communities, and use existing working relationships to integrate with Health & Social Care partners locally to improve health outcomes for our patients, drawing from strong clinical leadership.
This MOU therefore asks all participating Practices and their representatives to agree a set of principles founded on collaboration, co-operation, openness, trust, good communication, focus on results and improving health outcomes for our patients.
Aims
- Establish an agreement regarding locality boundaries, (in this case, Practices with a combined population of 61041) and the membership of the Primary Care Network (PCN) within that population and boundaries.
- Agree priorities for local health need improvements in order to focus the work of the PCN.
- A willingness to adapt and adopt to change and explore areas for partnership-working.
- Alignment of the work of the PCN to the emerging Primary Care Strategy locally and nationally.
- A forum for regular discussions and communication with wider stakeholders.
- A PCN Board alongside named Practice GP representatives.
- A collective commitment to contribute to PCN projects and attend relevant meetings, as and when agreed.
GP Practices provide an extensive range of health and social care services. Through the MOU, you agree in principle to explore ways in which collaboration can improve not only patient facing services but also for example, back office functions with the intention that the PCN may be successful in realising the following aims:
- achieving service sustainability for patients;
- improving productivity in clinical support services;
- improving clinical outcomes and patient experience;
- jointly exploring opportunities for competing for commissioned contracts, and
- improving productivity in back office services;
Meet Our Team
Board of Directors
Dr Umesh Agarwal
Dr Syed Fahad Kazim Ali
Dr Hirendra Narayan Choudhary
Dr Puneet Dubb
Dr Rashi Gulati
Dr Parvin Kumar Jalota
Dr Jyothi Kaluvakolanu Bipin Chandra
Dr Win Nilar
Dr Muhammad Sagheer Rana
Dr Arun Sinha
Dr Anna Onabolu
Cannock Villages Primary Care Network
Dr Hirendra Choudhary – Clinical Lead
Dr Sunil Adams – Clinical Lead
Management Team
Carl Bradley – Business Manager & Digital and Transformation Lead
Mental Health Team
Mrs Zoe Maunders
Mrs Becky Quinn
Jodie Hayward
Mental health practitioners support adults whose needs cannot be met by local talking therapies, but who may not need ongoing care from secondary mental health services. They will act as bridge between primary care and secondary mental health services and can facilitate onward referral to a range of services to meet patients’ needs. The PCN mental health team are also supported by a Support Time and Recovery Worker (STR Worker).
You can access this services by requesting a referral directly with your practice reception
Dietician
Wendy Ballad
Dietitians diagnose and treat diet and nutritional problems, both at an individual patient and wider public health level. Working in a variety of settings with patients of all ages, dietitians support changes to food intake to address diabetes, food allergies, coeliac disease, and metabolic diseases. Dietitians also translate public health and scientific research on food, health, and disease into practical guidance to enable people to make appropriate lifestyle and food choices.
You can access this services by requesting a referral directly with your practice reception
Pharmacist Team
Mr Kikiowo Tunde
Hema Kaur
Gurpreet Bassi
Hayleigh Sidhu
Shalini Madhara
Rebecca Wall
Claire Merrick
Clinical Pharmacists
Clinical pharmacists work in primary care in a patient facing role to clinically assess and treat patients using their expert knowledge of medicines. They work with and alongside the general practice team, taking responsibility for patients with chronic diseases and undertaking structured medication reviews to proactively manage people with complex polypharmacy, especially for the elderly, people in care homes and those with multiple comorbidities.
Pharmacy Technicians
Pharmacy technicians complement the work of clinical pharmacists, through utilisation of their technical skillset.
First Contact Physio’s
Jasmine Mangat
Amin Rao
Litty Lukose
Manoj Patibandla
First contact physiotherapists are qualified autonomous clinical practitioners who can assess, diagnose, treat, and manage musculoskeletal problems and undifferentiated conditions. First contact practitioner physiotherapists working in this role can be accessed directly by patients, or via referral from other members of staff. They can establish a rapid and accurate diagnosis and management plan to streamline pathways of care. Paramedics A paramedic in primary care can provide support to patients with minor injuries and minor illness. They can also support patients who require wound care, have fallen, have musculoskeletal problems, and have urinary tract or respiratory infections. Paramedics can support PCNs in responding to on the day demand by offering telephone triage or undertaking home visiting. They can also support PCNs to improve access to care by managing minor ailments and seeing patients in care homes.
You can access this services by requesting a referral directly with your practice reception
Paramedics
Nicola Owen
Ellie Sherwin
Rebecca Evans
Sneeta Silverstone
Social Prescribers
Caroline Bradford
Jill Davies
Amanda Teale
Social prescribing link workers help people focus on what matters to them as identified in their care and support plan. They connect people to community groups and agencies for practical and emotional support. Social Prescribing can help with things that cannot be fixed by doctors and medicine alone. If a problem is highlighted that is not medical, social prescribing can be a way of helping patients connect to the most appropriate support. As well as helping patients find ways to feel more in control and find solutions alongside clinical support. Health And Wellbeing Coaches Health and wellbeing coaches will predominately use health coaching skills to support people to develop the knowledge, skills, and confidence to become active participants in their care so that they can reach their own health and wellbeing goals. They may also provide access to self-management education, peer support and social prescribing.
You can access this services by requesting a referral directly with your practice reception
General Practice Assistant
Liam Bradley
Care Coordinators
Amy Smith
Paige Molloy
Simone Leahing-Johnson
Claire Cooke
Care Coordinators are personalised care professionals who help to provide capacity, and expertise to support patients in preparing for or following up clinical conversations with clinical teams. They work closely with the GPs and other primary care professionals within the PCN to identify and manage a caseload of identified patients. Together they make sure that appropriate support is made available to the patient and their carers and ensure that their changing needs are addressed. Care Coordinators focus on delivery of personalised care to reflect local PCN priorities, health inequalities or groups of patients identified through risk stratification.
Cannock Villages Clinical Pharmacy and Medicines Management Team
Your Friendly Pharmacy Team here at Cannock Villages PCN support our Patients and Practice Teams in different work streams like
- Doing Medication Reviews
- Support Smooth Transfer of Care from Hospital
- Doing Prescribing Safety Audits- To make sure your use of medicines is safe
- Ensuring smooth running of Covid Vaccination Clinics
- Repeat Prescribing of Regular Medicines
- Ensuring Patients get alternative Medicines that are out of stock
- Working with your local community pharmacists
- Helping our Care Home Patients with their Medicines Use
We ensure our patients have satisfactory clinical outcomes from the ordering and use of their medicines and devices.