Nursing in Primary Care


NHS England and Newcastle GP Services: Nurses On Tour: student-led health roadshows

An innovative placement model was developed in which student nurses would be taken ‘on tour’ in primary care to raise its profile among pre-registration students and demonstrate to primary care practices the benefits of hosting student placements. Groups of student nurses were taken to 10 GP practices and a roadshow ofering health checks for patients was set up. More than 40 students from adult, children’s, mental health and learning disability fields provided health checks to 738 patients, 60% of whom required follow-up by their practice.

Students could see the importance of health promotion and the positive outcomes of their interventions. As a result, similar projects have been developed elsewhere.


Health Board: Spirometry diagnostic hubs in primary care

Two spirometry diagnostic hubs were developed to relieve increased pressure on secondary care after more than 300 patients with a new suspected respiratory condition or a confirmed diagnosis of asthma, bronchiectasis or chronic obstructive pulmonary disease and worsening symptoms were referred for testing. In total, 347 risk stratified patients were reviewed.

Central London Community Healthcare NHS Trust: Digital frailty MDT channel

The channel aimed to connect GPs, Age UK health and social coordinators, case managers, pharmacists and consultant geriatricians in a virtual multidisciplinary team to discuss frail patients and develop a sustainable care pathway that improves their overall care and step- down interface from acute hospitals. Benefits were reported by its users.

Health Care First: Paediatric nurses in general practice

Two whole-time equivalent paediatric nurses were recruited to assess sick children in primary care. By providing additional capacity, a bespoke service and access for under-16s, in one month they managed 500 appointments that previously would have been conducted by a GP or advanced care practitioner. Patient feedback was very positive and the nurses became integral to the team.

Newham Vicarage Practice: Increasing student nurse placements in primary care

Students were offered a non-assessment placement in primary care to gain much-needed exposure to practice nursing. As a result, more final-year students are getting 1-2-week elective placement experience of GP nursing and many are considering it as a career.

NHS Gloucestershire ICB: Improving health inequalities for those with learning disabilities

To improve uptake of health checks and vaccinations for people with a learning disability, video and face-to-face appointments were offered, along with home visits. Health-check uptake improved to 76% in the initiative’s first year and 100% in its second.

North Staffordshire GP Federation: Staffordshire Trainee Nursing Associate Programme

This initiative aimed to bring together local general practices and healthcare providers to integrate trainee nursing associates into primary care. It involved apprenticeship levy gifting, placement facilitation, peer support networking and bi-monthly clinical supervision. Host practices reported seeing the value in the role.

The Royal Wolverhampton NHS Trust: Improving primary care access

Healthcare staff were hired and upskilled, care home staff received training and support, and new initiatives were launched to improve health visiting, sexual health, mental health and older people’s care. Access to services increased, as did patient satisfaction.

Southport and Formby Health: Sefton training hub: Improving care for mental health patients and those with learning difficulties in primary care

A pathway was designed to introduce primary care placements for students of mental health and learning disability nursing so patients could benefit from students’ specialist training and students might be more likely to consider a career in primary care. Patient–clinician relationships became stronger as a result.

Spectrum Community Health CIC: Improving outcomes for long-term conditions

A structured plan was created to boost screening rates for long-term conditions (LTCs) and the number of LTC clinics available, reduce wait times, and ensure all patients with an LTC had a detailed care plan and experienced improved outcomes. Improvements were seen after just three months.

University Hospitals Birmingham NHS Foundation Trust: West Midlands Familial Hypercholesterolaemia Service

This nurse-led genetic testing and assessment service delivered in primary care aimed to improve identification of familial hypercholesterolaemia (FH), and ensure patients across the region received equitable and robust cascade screening. In excess of 1,400 new cases of FH were identified.