Our Primary Care Network

We are proud to be part of South Central Ealing PCN, which brings together local GP practices to provide proactive, personalised, and coordinated care for our community, closer to home.

By working together and in partnership with community services, mental health teams, social care, pharmacies, and local voluntary organisations, we help ensure our patients get the right care and support, when and where they need it.

Our collaboration also focuses on increasing resilience and sharing best practices among practices to improve quality and deliver more effective care by working at scale.

See below all the bullet points and the disclaimer to be published in our websites.  It is important that we have this published by the end of next week. 

– PCN Access, Triage, and Continuity of Care Model

All patient requests, online, by phone, or in person are systematically reviewed using digital tools (AccuRx, eConsult, AskMyGP) and clinician oversight to ensure timely, safe, and appropriate booking with the right clinician or referral to Pharmacy First, NHS 111, community pharmacies, or self-care resources. By effectively signposting and navigating care effectively, GP appointments are reserved for those who truly need medical intervention, helping to prioritise urgent cases and support continuity of care. We will enhance continuity by implementing a risk stratification tool to identify at least 2% of high-need patients and flag them for personalised, continuous care pathways, supported by dedicated multidisciplinary teams (MDTs) delivering coordinated, consistent care. This approach respects patient continuity preferences in triage and booking wherever clinically appropriate, addresses local population needs, maintains equity and accessibility, optimises demand management, and promotes proactive, sustainable care with ongoing quality improvements.

– Training and Supporting Our Staff, Promoting Digital Access

We are continuing to upskill GP Assistants with regular training focused on triage and care navigation, helping them play a vital role in managing patient requests. Alongside this, we are launching targeted campaigns to boost NHS App registrations, making it easier for patients to access services digitally, reduce call volumes, and manage appointments and prescriptions conveniently online.

– Enhanced Support for Vulnerable and Housebound Patients

Our dedicated home visiting service, staffed by paramedics and healthcare professionals, provides comprehensive care for patients who are unable to attend surgeries due to mobility, frailty, or chronic conditions. This service not only improves access and equity for vulnerable groups but also frees up clinical time in practices, allowing more focus on patients requiring face-to-face consultations.

– Inclusive and Accessible Digital Patient Support

We are expanding the use of multilingual, easy-to-use tools like the Surgery Assist chatbot to help all patients, Including those who prefer to communicate in other languages or have lower digital confidence – access the right care quickly and easily. These tools offer personalised guidance, help patients complete online consultation forms, and direct them to the most appropriate service, whether that’s a GP, Pharmacy First, NHS 111, or self-care options. This approach makes it simpler for everyone to manage their care needs independently while enabling GPs to focus on patients with more complex needs.

– Patient Engagement and Feedback

We will strengthen patient engagement through regular Patient Participation Group (PPG) meetings, annual surveys, Friends and Family Test analysis, and both online and in-person events—designed to be more appealing and accessible—so that we can gather meaningful feedback, co-design services with our patients, and ensure our improvements truly reflect the needs and voices of our diverse population.