Primary Care Navigators PLUS (PCN+) for Diabetes and Associated Long Term Conditions

 

Our first year of Primary Care Navigator (PCN) work centred on helping people with Dementia and their carers. For this, our fourth Practice Innovation Network (PIN) Project, we are focusing on doing the same for people with Diabetes located in Lambeth.  Commissioned by Health Education South London (HESL), training is beiong delivered by the NAPC working with 20 PCNs based in GP Practices and Pharmacies across Lambeth.

Supporting and guiding as a PCN isn't about the focusing on the disease, it's about the people, the skill set of a PCN can be applied to all long term conditions.

 

 

What the PCN role is (and what it isn't)

The PCN's job is to focus on helping the person they're talking to and those who care for him or her. The evidence is that empowering people to help themselves increases their wellbeing, thus saving money and resources spent on health and care.

Our PCNs learn how to actively listen. This enables them to really hear what patients and carers are trying to say and to know how to help them say it, without pushing their own ideas, thoughts and judgements.

As it is in the title, the PCN's main purpose is to navigate people to the sources of help and support they need. It is not to fix their problems. The PCN will not duplicate the function of other navigators, champions or agencies. Their role is to direct people to them.

 

Prevention, crisis prevention and wellbeing

The PCN's goal will be to guide people to those who can help them to:

  • Prevent diabetes and at the same time reduce their risk of heart conditions, stroke, dementias and other related conditions
  • Prevent crisis including hospital emergency trips and frightening complications
  • Increase wellbeing and quality of life which has been proved regardless of the condition

 

Why this matters?

Every success will help:

  • reduce suffering
  • reduce the strain on the NHS and social care
  • benefit the GP Practice and Pharmacy
  • help primary care to increasing wellness, not just fix illness

 

Timeline

April/May - Baseline of data collection

22nd May - e-Learning begins

23rd June - interactive workshop for PCN trainees

15th September - evening workshop for PCNs and Supervisors

10th November - evening workshop for PCNs and Supervisors

19th January - evening workshop for PCNs and Supervisors

February 2016 - end of project data collection

 
 

Who is involved

This project is commissioned by Health Education South London in collaboration with the NAPC. The vision of HESL is, with its members, to design, develop and deliver a workforce that will lead to sustainable improvements in the health and wellbeing of the population of South London.

 

Local Care Networks and health and social care organisations throughout Lambeth, including the CCG and GP Federations.

 

Support from Southwark and Lambeth Integrated Care (SLIC).

 

The PCNs and Supervisors and their Pharmacy and Practices. These are the most important partners proving the value of this service delivered on the frontline.