CYCLE OF DEMAND
Demand for GP consultations continues to rise. To address this the Prime Minister’s GP Access Fund has increased the number of appointments available, but this only addresses one side of the problem – the supply side – and does not consider the wider determinants of health, the impact of health inequalities, the importance of patient capabilities and the centrality of self-care and self-management – the demand side. The Cycle of Demand work aimed to discover examples across the borough of ways in which demand is being addressed, spread these new ways of working, and catalyse change. Read the full report here.
TOOLS TO BEGIN
We have gathered resources to inspire change, and offer practical steps to get started. Click each of the tabs below to explore how you can get started – from closer working between the voluntary sector and primary care, to learning from work already happening in local practices.
A MORE HOLISTIC WAY OF THINKING ABOUT HEALTH
Financial urgency and uncertainty for contracts call for radical action in response to imminent policy changes policy changes across the primary care landscape. In Tower Hamlets, there is an acute need to develop primary care in a way that truly meets the complex, diverse and changing needs of the population. These changes require a range of individuals outside of the NHS – communities themselves, voluntary sector organisations and those located in statutory organisations – to support others to live and sustain healthy lives. The elements of a more holistic model that could be imagined include thinking about Practice Capacity, Staff Well-Being, People’s Participation In Health, Whole Community Well-Being, Wider Determinants Of Health. We have collected incredible examples from across the borough that you can learn from and adapt to your own context to address the Cycle of Demand in primary care.
The Cycle of Demand Team consisting of Challenge Facilitators, Health Champions and Community Researchers were deployed to understand the perspective of local people, general practices, and community organisations across all of the themes. We set about exploring the ‘primary care’ landscape in the borough and unearthing examples of solutions to challenges born from rising demand.
We Can Work Together
What we have discovered is the start of a social movement of health in Tower Hamlets. People are already organising themselves to affect health in a different way. We conclude this work by suggesting building on the work of the GP Networks to affect:
- Population health
- Maximising the connections and networks of local people
- Focusing on healthy citizens
- Diversifying the workforce to draw on the skills and expertise of a range of people
Challenge FacilitatorCYCLE OF DEMAND TEAM
With Cycle of Demand we’re looking at an alternative way of working, so how do we start utilising the services we already have around us...That’s where the facilitating comes in, we find out stuff and we share it with our colleagues and the surgeries.
Health ProfessionalE1 NETWORKING BREAKFAST
The first Breakfast was amazing; I can’t wait to attend the next one. Harford Health has secured space for our staff exercise classes and presently discussing some shared work streams with others who attended and that’s from just one meeting! The possibilities are endless.
Community MemberFREEDOM PASSERS
I do believe in food… food to cheer us up or to reward us, so I thought about fish and chips as a thing that most people like, so I started talking to people, “if we were bringing fish and chips would you be interested?” Gradually we built up a list of about 50 people.
Community Group FounderThe HOTSPOTS
I decided, with the help of people in the practice, and with the support of the practice, to set up a group for women like me, cause I thought, there must be others out there... I set up the group, but the group has given me so much back in return as well.