Building and strengthening our gp teams – nhs swale clinical commissioning group hernia discal lumbar sintomas y signos

GP recruitment remains a significant challenge in Swale, which is similar to the national picture. As part of the Kent and Medway STP, NHS Swale CCG is working in partnership with its local practices, other health service providers and dolor lumbar cronico training organisations, with the aim of building a sustainable workforce and ensuring that Swale is seen as an attractive place to work with opportunities for training and career development.

The CCG will soon be launching a pilot scheme for GP recruitment and retention. The pilot will identify opportunities for rotational posts, developing a special interest or a portfolio career to attract newly qualified GPs and/or to convert existing or new to the area locum GPs to salaried roles.


There are currently 444 GP locums registered in Kent and Medway, we are escoliosis dorsal izquierda working with those in our area and their practices to explore the potential to develop alternative flexible roles which will encourage them to stay with the practice they are working at on a longer term and more secure basis.

We are pleased to be proactively supporting the Kent and Medway Medical School, working with universities and education providers. We are focused on identifying and increasing the number of placements for medical students. We are hopeful that escoliosis toracica when the school opens in 2020, it will attract aspiring doctors from within the local community and beyond and offer training and development opportunities that will help to keep that talent in Kent and Medway.

Applications will open in the 2019/20 academic year cycle, with escoliosis cervical sintomas the first students arriving in September 2020. 100 home places will be offered – including a maximum of seven international students. The recruitment focus will be on a local offer for local candidates and on widening participation. The curriculum focus will be on primary care and mental health; inter professional practice and driving reductions in health inequalities in the future.

We support work experience opportunities, apprenticeship and career events, to promote primary care as a career of choice, attending events and liaising with universities and other education providers to maximise opportunities for the sector to be considered by students.

The Take a Different View website brings together health and social care jobs across the county. Run as a partnership of all the NHS organisations in Kent and Medway, Kent County Council and Medway Council, it promotes the county as an attractive place contractura lumbar tiempo de recuperacion to live and work.

Despite the challenges, we have worked extremely hard to raise the standards of GP services across Swale, and all hernia de disco lumbar 17 of our GP practices, except one, are now rated ‘good’ by the Care Quality Commission (CQC). Our quality team have worked closely with GPs to improve the service and care they provide and we are very proud that we now have just one which falls below the ‘good’ rating and this practice is awaiting re-inspection, following a change in GP partners.

The CCG accepts that GPs in Swale have high patient numbers. However, GPs are just one part of the teams that provide primary care to our population. In Swale, practices dolor lumbar tratamiento have a total of 24.5 dedicated nurses delivering care such as check-ups and blood tests, and supporting GPs in other aspects of routine care. There are also 18 other clinical support staff, such as Healthcare Assistants, apprentices and clinical pharmacists working within our GP surgeries. These also include advanced clinical practitioners and non-medical prescribers who will free up GP time to see those patients who need them most.

Under the Local Care agenda, multi disciplinary teams (MDTs) are now also working across Sheppey and west Sittingbourne to care for patients with multiple and complex needs. This approach brings together experts and representatives from the various appropriate agencies who come together to discuss individual patients. Again, this is a relatively new concept for Swale which will be expanded to support the que es escoliosis dorsolumbar provision of care for patients without the need for GP or hospital appointments.

The CCG has received funding to provide training in ‘care navigation’ for frontline GP surgery staff. Each practice will have at least one trained ‘care navigator’ who can sign-post dolor lumbar lado izquierdo patients to other services or support organisations which may be more appropriate for their needs, for example, a bereavement counselling service or mental health support group. This will help free up GP time for those patients whose needs are genuinely best met by a GP.

Despite the challenges, GPs in Swale have worked together to successfully deliver the Improved Access scheme to enable patients dolor lumbar y mareos to see GP and practice nurses for routine care between the hours of 8am and 8pm, at weekends and even on bank holidays. Patients can pre-book appointments during their practice’s regular opening hours. Uptake has been good and has enabled patients who may have had difficulty in seeing a GP during regular hours, perhaps because they are commuters or carers, to see a GP at a more suitable time for them.