Castleman Healthcare has been operating as a successful and sustainable business, providing GP practices in Dorset with business management support since 2015. This includes programme management at all levels, finance, communications, HR and legal support.
When the practices who own Castleman formed three primary care networks in 2019, we took on greater a role which includes leading on a number of initiatives. Together these result in a more joined-up approach to care for patients.
Our focus is on:
Managing key stakeholder meetings and governance support for clinical directors.
Representing the PCNs at Dorset Clinical Commissioning Group (CCG) and other stakeholder meetings to inform decisions which will impact the PCNs and their patients.
Recruiting and implementing specialist roles on behalf of the PCNs – pharmacists, social prescribers, teenage counsellors, care coordinators and physiotherapists among others.
Providing specialist finance, legal and HR support and guidance including through contractual arrangements with external specialists.
We find that by working collectively in this way Castleman Healthcare, the PCNs and practices are better able to:
Develop and share information about the health requirements of the local population so that services can be carefully matched to these needs.
Help clinicians connect with each other and with colleagues in our local hospitals, community services, social care and the voluntary sector.
Pioneer new ways of working to deliver new models of care so patients can access integrated care services closer to home.
Develop a stronger voice locally, especially on service planning to improve the patient journey.
Castleman Healthcare manages and delivers several contracts for Public Health Dorset. These services include:
NHS Health Checks - a health check-up for adults in England aged 40 to 74, designed to spot early signs of stroke, kidney disease, heart disease, type 2 diabetes or dementia. This was paused during the pandemic and will restart in 2021.
LARC – a full range of contraception fitting services.
Smoke Stop – a smoking cessation programme which helps patients through nicotine withdrawal and to maintain a new healthy lifestyle.
Needle exchange and supervised consumption in Cranborne.
Integrated Community & Primary Care Services
The Integrated Community & Primary Care Services (ICPCS) contract has been managed by Castleman Healthcare and our partner Dorset HealthCare since 2017.
This is delivered primarily through an ICPCS hub team in St Leonards which provides home visits for frail patients, support with discharge from hospital, advice on admissions avoidance and dedicated support to care homes in Wimborne & Ferndown and Crane Valley. Additional support for Network Poole North is also provided via the Poole hub from Alderney Hospital.
This multi-disciplinary team is made up of two GPs employed by Castleman Healthcare and Advanced Nurse Practitioners and Allied Health Professionals employed by Dorset HealthCare.
Castleman has also employed Diabetes and Respiratory nurse specialists who focus on support with long-term conditions for all patients who work directly within primary care. They are able to access support from other healthcare professionals such as dieticians and podiatrists to assist with the management of long-term conditions.
During the pandemic, the team used the myCOPD App to provide remote monitoring and support to patients. They were also involved in home visiting and support to the care homes as well as setting up a Covid Red Site at Wimborne Hospital where Covid patients could be seen safely by local primary care practitioners, relieving the pressure on practices in Poole North and Wimborne and Ferndown areas. This enabled practice staff to focus on providing business-as-usual care for patients without Covid.
PCN-wide roles providing specialist care
The Additional Roles Reimbursement Scheme (ARRS) provides us with the opportunity to develop an increasing number of new healthcare professional roles in primary care to build an effective multi-disciplinary team. This supports multiple practices and PCNs so patients can access the specialist support they need and also relieving the pressure on practice staff. In addition Castleman Healthcare funds number of roles to support PCNs and practices.
A team of four Social Prescribers signpost patients to connect people to local non-clinical services. This includes services provided by local agencies and voluntary groups. Find out more about this service.
The service is for people with one or more long-term health condition; who frequently attend primary care or secondary care; who have or are shielding during the pandemic and are lonely or isolated, and patients with complex social needs. The service offers appointments for anyone 13+.
We employ on behalf of the PCNs a number of Pharmacists and Pharmacy Technicians who work with practices to help deliver medicine optimisation and to meet the contract outcomes of the ICPCS.
We have a number of Care Coordinators who support people with multiple long-term conditions helping to coordinate the care they receive from different health and care professionals. This includes developing care plans and keeping in touch with patients.
Two Teenage Counsellors who work to help address the health needs of teenagers across all three PCNs. Read more about our Teenage Counsellors in this article.
Individual PCNs have made the decision to recruit specific roles which help meet the need of patients in the practices in their area. This includes First Contact Practitioners, a Podiatrist in Poole North and Paramedics in Wimborne & Ferndown and Crane Valley.