Case studies

• Clinical Director and Lead Pharmacist led engagement with practice teams.

• Specialist secondary care pharmacist delivered treatment optimisation and support for PCN pharmacists.

• ARRS roles provided holistic proactive care appointments.

• Facilitator provided structured support to practices with workforce mapping and training, pathway adaptation, ensuring access to the data, socialising proactive care resources for staff and developing scripts and templates. 

• Early prioritisation of patients from black and minority ethnic communities and over 65s.
• Patients recruited to provide insights and inform pathways – including group consults and patient video based on patient feedback to support self management in high blood pressure.

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• Clinical Director led engagement with clinical and operational teams across practices.

• PCN pharmacists delivered treatment optimisation.

• ARRS roles provided holistic proactive care appointments.

• Admin team managed call/recall.

• Workforce support – training, structured oversight, templates.
• Health inequalities – targeted deprived populations, used community health champions to engage with communities, persistent contacts to encourage people to attend appointments, longer consultations with clinicians and ARRS roles.

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• Clinical Director and operational lead led engagement/coordination with practice teams.

• Centralised call/recall and pharmacist led clinics in central hub for clinical optimisation.

• Comprehensive workforce development – with scripts, training and oversight for non-clinical staff to improve communication and maximise support for patients.

• ARRS roles provided holistic proactive care appointments, including focus on wider patient needs and signposting to social prescribing and lifestyle services.
• Structured patient engagement to inform pathway design.

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