Capacity is a major challenge in primary care. CVDACTION helps with capacity by making it easy to prioritise – stratifying indicators so that clinicians can easily see where need and impact are greatest and safely phase work overtime. The dashboards generate manageable lists of patients that can be matched to capacity and workflow.
As you agree your clinical priorities in CVDACTION, consider which members of the clinical team are best placed to:
- Call and recall patients, send messages and book appointments.
- Provide the clinical review, face to face or remotely, in order to optimise management.
- Offer wider proactive care consultations, with structured support for patient education, self management and behaviour change.
- Provide clinical and operational oversight and on the ground facilitation.
Some examples of roles and responsibilities include:
Prescribing pharmacists or nurses
With the appropriate competencies can take on the clinical reviews and treatment optimisation with oversight from a senior clinician.
Wider ARRS roles (e.g. physicians associate, health and wellbeing coach, social prescriber)
These roles can provide the broader proactive care consultation, supported by the great resources that are embedded in the CVDACTION dashboard and the Proactive Care Frameworks:
- Providing structured support for education, self-management and behaviour change
- Addressing patients’ wider concerns and signposting to social prescribers or other services
Escalating to relevant clinical staff where necessary, following appropriate red flag protocols.
Admin staff
Admin teams can organise call and recall, messaging to patients, and scheduling tests and appointments, with the appropriate training, templates and protocols, and oversight.
Operational Lead
The operational lead (e.g. a PCN Manager) can oversee implementation of CVDACTION across the participating practices, for example ensuring engagement sessions and access to clinical and proactive care resources for staff, organising training, ensuring technical support, trouble shooting, etc.
Clinical Lead
The clinical lead such as Clinical Director will provide overall programme leadership and oversight, supporting wide engagement, sharing the vision and ensuring that primary care teams feel supported to mobilise the wider workforce and transform pathways – both to improve care for patients and to free capacity through more proactive disease management.
CVDACTION Facilitator
This is a critical role to support practice teams in their day-to-day implementation of CVDACTION. See the CVDACTION Facilitator section for more detail.
Top tip: make a plan
Make a plan for rolling engagement/awareness sessions so that you include the wider team members who will have a part in delivering CVDACTION.
Find out more about workforce and pathway planning, explore these resources:
- Implementation workbooks designed to support new users implementing the Proactive Care Frameworks.
- Wider workforce webinar covering how the wider primary care workforce can be utilised to support the delivery of the Proactive Care Frameworks.
- Consultation guide for ARRS roles supporting patient education, self-management and behaviour change.