Collaborative Working Improves Chronic Disease Management

Organisation: North Tyneside PCT
Contact: This e-mail address is being protected from spambots. You need JavaScript enabled to view it

Ten North Tyneside GP practices, covering 87,928 patients, are taking part in the National Primary Care Collaborative programme to improve chronic disease management.

The focus is to improve diabetic care and the management of patients with Chronic  Obstructive Pulmonary Disease (COPD) and the programme is already showing significant  results.

GP practices worked with Northumbria Healthcare NHS Trust, people with experience of diabetes or COPD, PCT staff and the national and regional Primary Care Development team to share learning and test new ideas to improve the outcomes for patients through the better management of their condition.

In less than a year GP practices have seen a 131% improvement in the number of patients diagnosed with COPD. There are also improved administration systems to log patients with long term conditions and practices actively seek to involve at risk patients in a structured care programme.

Developments also include better education and information for patients to empower them to manage their own care with the support of primary care professionals.

For further information please contact Lyn Dixon, Chief OperatingOfficer/ Director of 
Nursing on 0191 291 9313 or This e-mail address is being protected from spambots. You need JavaScript enabled to view it

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