Group Clinics
What Are Group Clinics?
Group Clinics (GCs) are a transformative way of delivering planned care and supporting people to take control and manage their health issues. They work especially well for people who live with long-term conditions such as:
- Diabetes
- COPD
- Asthma
These conditions account for the bulk of primary care’s chronic disease management workload and require mandatory QOF reviews.
GCs build a sense of community and facilitate peer support, while enabling health and care teams to stay connected in supporting those with long term conditions. Group consultations and clinics can be delivered in a single session or as part of an extended programme of care and support.
Lincolnshire Training Hub has secured funded training for Lincolnshire practices and PCNs looking to implement either video or face-to-face group clinics. For further details of the training package, please see below.
What Are the Benefits of GCs?
- Significant clinician time savings. Clinicians report that clinical reviews in GCs take around 5 minutes per patient compared to 15-25 minutes when delivered one to one. Clinicians usually review 6-8 patients in 30 minutes, representing a 60-80% time efficiency gain[1].
- Quality and QOF improvement. A GP practice that adopted group clinics as their first point of contact for people living with diabetes saw a 18% uplift in QOF in its first year, with a further uplift in year two.
- Improved experience of care: Clinicians report that group clinics restore joy to both remote and face to face consultations. Patients report extremely high levels of satisfaction with their group clinic experiences too.
- Sustainable delivery of personalised care: The group clinic process mirrors care and support planning because patients see their results and decide their questions before the clinician joins. Then after their consultation with the clinician, they are supported to set goals. GCs will help you deliver the Year of Care.
- Better outcomes in diabetes: There is Level One (randomised controlled trial) evidence that group clinics improve HbA1c and blood pressure in diabetes compared to one-to-one appointments [2].
How Do GCs Work?
This five-minute video provides a brief introduction to GCs and brings the process to life:
What About the Admin Time?
This webinar produced by Redmoor ELC provides tips on how to minimise admin:
https://www.redmoorelc.co.uk/aiovg_videos/webinar-on-reducing-the-admin-burden-of-vgcs/
Patient Facing Animations
The following videos are designed to be shared with patients.
What are GCs and what benefits do they bring?
An explanation of the GC consent process:
Although new to Lincolnshire, GCs have already been implemented successfully in many areas of the UK. The following case studies tell the story of practices that have successfully introduced GCs across a broad spectrum of patients.
Case Study – Adults living with asthma in Lancashire
Case Study – Managing acute and chronic back pain at Frome Medical Practice
FAQs
Yes, GCs have already been successfully implemented in many areas of the UK. Please see the Case Studies section for success stories from practices around the country.
If your patients are not able to participate in video group clinics, an alternative option is to run face-to-face group clinics. Please contact us for further details.
The E-learning for Health module under Training on this page provides comprehensive information on clinician/patient confidentiality and consent issues you may encounter when setting up GCs.
- Computer with webcam: A computer with a webcam is needed so you can see your patients and they can see you.
- Headphones: A set of headphones with a built-in microphone will minimise any background noise for you and the other participants.
- Second screen: Ideally, the clinician should have a second screen (or a second computer) so he or she can refer to patient records as needed. This information should not be visible to any of the participants.
Training
Who needs to be trained?
This short video walks you through choosing your GC delivery team:
Best practice in GC spread shows that a minimum of 4 people must be trained to build a successful GC team. The people who need to be trained include:
- Administrators who will be supporting GC scheduling, patient recruitment
- Clinicians who will be consulting in GCs e.g. practice nurses, GPs, clinical pharmacists
- People who will act as GC facilitatorsg. health care assistants, general practice assistants, care co-ordinators, social prescribing link workers, health and wellbeing coaches, experienced receptionists or administrators keen to take on this new role as part of their personal and professional development
How much time will it take?
Like any change, in the early days it takes time to introduce new processes and prepare. If you plan this change to become a regular part of your clinic delivery model from the start, you will realise the benefits described within 3 months. Once you see clinician time-savings and the positive impact on QOF, making this change will save time and improve quality and QOF payments.
Lincolnshire Training Hub is pleased to offer the following support package in conjunction with Redmoor ELC:
| Support | Description |
| Practice based intensive support for your initial pioneer practice |
This intensive support programme will make it really easy for your pioneer practice to get going with GCs. The package will be flexible and respond to your team’s need and includes: · A practice level planning and co-design workshop (1 hour video session) · Facilitation of 3 GCs (3 x 2.5 hours of support on three separate days) · Handover and celebration session (1 hour video session) · Co-creating a case study that summarises your GC work so you can easily share it with your peers As soon as you register, we will connect you with your GC coach who will deliver this package |
| Group coaching for your PCN implementation lead to replicate intensive support in a second practice | You will nominate a PCN implementation lead. They will observe the intensive support programme being run by GC personal trainers and will be supported with 5 group coaching sessions so that they can replicate and cascade the intensive support programme with a second practice within your PCN |
| GC learning sessions for ten people |
A highly interactive 2.5 hour action learning session for those who will be delivering GCs (clinicians, facilitators and clinic co-ordinators) Delivered as an interactive webinar, every PCN has a maximum of 10 training places There is a national schedule, with training sessions at twice a month. Your team will be able to access training over at least 12 months through a voucher system. In this way, train up your GC team over several weeks, which will make it easier to release staff At least 4 people in the pioneer practice need to be trained prior to your first GC being scheduled to assure success. The remaining six places can be used within this practice or to support PCN workforce development e.g. PCN clinical pharmacist, social prescribers, care co-ordinators, health and wellbeing coaches, physicians’ associates, first contact physiotherapists. New to practice GP fellows can also be trained via this quota. |
| Webinars to share best practice |
Every month there will be a webinar showcasing best practice in GC, which are open to everyone in the PCN Book webinars at: www.redmoorelc.co.uk |
Registering for the intensive support programme
Your next step is to register so that you can be sure of getting this support.
To register your team on the programme, please contact: ruth.pollock@nhs.net
Link to free e-learning:
There are two free modules of e-learning available via E-Learning for Health. Click on the link below to access this training:
https://www.e-lfh.org.uk/programmes/video-group-clinics/
Further Resources
An illustrated guide for NHS trusts and foundation trusts on video consultations in the NHS:
C0638-nhs-vc-info-for-nhs-trusts.pdf (england.nhs.uk)
An illustrated guide for NHS staff on video consultations in the NHS.
