Transforming Primary Care Proactive Care 13 th April 2016 01 - - PowerPoint PPT Presentation

Transforming Primary Care Proactive Care 13th April 2016

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Transforming London’s health and care together

Welcome and Introduction

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WELCOME AND INTRODUCTION

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Liz Wise, Director of Primary Care Commissioning & Programme Director, Transforming Primary Care, Healthy London Partnership Dr Tim Spicer, GP & Chair of Hammersmith and Fulham Clinical Commissioning Group

Session Host

THE TRANSFORMING PRIMARY CARE PROGRAMME

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• The Healthy London Partnerships is a

joint venture between NHS England and the London CCGs

• The Strategic Commissioning

Framework was published in March 2015

• Following consultation with over 1,500

patients, clinicians, commissioners and others, this sets out a new vision for Primary Care in London

• This has been supported by all CCGs

across London, and the focus is now on how it is delivered…

WELCOME AND INTRODUCTION

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#HealthyLDN @HealthyLDN

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How many GP consultations are made in a year within England?

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• A. 100 million
• B. 60 million
• C. 340 million
• D. 10 million

(BMA, General practice in the UK, 2014)

To Register your vote 1. Go to Programme 2. In the agenda click Welcome and Introductions 3. Click the voting button

Agenda for today

12:45 WEL WELCOM COME E AND AND INT INTRODUCTIO DUCTIONS S  Objectives of the day Jane Lindo Dr Tim Spicer 13:00 SE SESS SSION ION O ONE  London’s Health Needs  ‘Proactive Care, not Reactive Care’: The Strategic Commissioning Framework  Table discussion: Patient Lens Dr Shahed Ahmad Dr Raj Karsandas 13:50 SESSION TWO  Primary Care and Co-production: The Bromley by Bow Experience  Pro-active care planning : NWL Whole systems Integrated Care Dan Hopewell Caroline Morison 14:20 BREAK 14:35  Family Action Social Prescribing  What is the value of Social Prescribing? Jayne Stokes Dr Richard Kimberlee 15:00 PANEL DISCUSSION 16:25 SESSION THREE  Saving Lives Saving Money: How Homeless Health Peer Advocacy Reduces Health Inequalities  Made in London: New Approaches to Self-Care for Young Adults  The Role Of General Practice In Improving Cancer Screening Uptake  ‘Somewhere to go, Something to do’: Mind Mental Health Day Hub Kate Bowgett Samira Ben Osasi Dr Josephine Ruwende/ Julia Ozdilli Jacqui Dyce 16:45 SESSION FOUR  Next Steps  Closing Summary Dr Tim Spicer Dr Raj Karsandas

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Transforming London’s health and care together

SES SESSION SION ONE ONE

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LONDON’S HEALTH NEEDS

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Dr Shahed Ahmad, Director of Public Health for Enfield Council

Proactive primary care and London’s health needs

Dr Shahed Ahmad Director of Public Health London Borough of Enfield

www.enfield.gov.uk

Striving for excellence

• Thanks to colleagues at PHE and NHS

Rightcare

• What are our big challenges at the moment

and in the future?

• Rightcare
• Proactive primary care: We already do

proactive primary care and there are lots of examples of excellence

• Highlight some opportunities

Population of London

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• London’s population is 8,759,000

which is expected to rise to over 10 million by 2030 (an increase of 15%)

• The biggest increase in London is in

the 65+ age group (39%).

• Unlike England there is a large

increase in the 45-64 age group (22%) in London

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Ethnic Composition

• According to the 2011 Census, 44.9% of London’s population is White

British, compared with 79.8% of the England population

• The largest percentage point differences in the ethnic composition of

populations in London compared with England are in the White Other , Black African , Indian , Other Asian and Black Caribbean groups.

Ethnic Composition Change

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• According to the GLA, the largest proportional increases will be in the non-

White groups of the population

• However, the largest actual population increase will be in the White

population, accounting for 26% of the growth

People in London are living longer, but many are in health; years of life lost have declined dramatically, but years lived with disability are now higher than years of life lost.

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All risk factors Behavioural risk factors 36.7% of DALYS can be attributed to risk factors; 25.7% of DALYs can be specifically attributed to behaviours

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• 2.5
• 2.0
• 1.5
• 1.0
• 0.5

0.0 0.5 1.0 1.5 North East England North West England Yorkshire and the Humber West Midlands East Midlands East of England London South East England South West England Change in gap (years) Male Female

* Deprivation quintiles were defined by area of residence ranked at national level by index of multiple deprivation score 2010

Change in life expectancy gap between most and least deprived quintiles*, by region, 1990 compared to 2013

Male Female North East England 6.7 4.8 North West England 6.2 4.4 Yorkshire and the Humber 6.2 4.3 West Midlands 6.3 4.5 East Midlands 6.3 4.4 East of England 6.0 4.3 London 7.0 4.9 South East England 6.3 4.2 South West England 5.6 4.1

Increase in life expectancy at birth (in years) by region, 1990 to 2013 The change in the life expectancy gap (1990 to 2013) between the most and least deprived shows London has narrowed this gap by over 1 year for both men and women. West Midlands also narrowed the gap by more than 1 year for

• women. Other areas have

seen less change, with an increase in the South West

Main causes of DALYs

• Back and neck pain
• Heart disease

Main Causes of Premature Death

• Heart disease
• Stroke
• Lung cancer
• COPD

Top 5 causes of DALYs by deprivation level in London.

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Smoking, High body-mass index, High blood pressure, high fasting plasma glucose and alcohol use make up the top 5 causes.

London Assembly Health Committee: Blood Sugar Rush Diabetes time bomb in London

“In London, there are an estimated 475,000 people diagnosed with the condition. Up to a further 200,000 people could be living with diabetes by 2025”

Hypertension in London

Almost 2M people estimated to have hypertension

810,000 people diagnosed and controlled 210,000 people diagnosed but not controlled 940,000 people undiagnosed Source: Hypertension profiles for local authorities, PHE

• If London detected and managed

hypertension as well as Canada, over 5 years we would

• Prevent 5000 strokes
• Prevent 2300 heart attacks
• Save £137million
• Savings from RRT in the same order

Detection rate by London CCGs

Detection rate of hypertension varied between 38.6% in Westminster to 58.4% in Greenwich.

Hypertension: blood pressure management across London

Note: Denominator includes exceptions Source: QOF 2014/15 HYP006

Variation in hypertension management by practice witin a CCG

Note: Denominator includes exceptions Source: QOF 2014/15 HYP006

Diabetes: Blood glucose management in patients with diabetes across London

Note: Denominator includes exceptions Source: QOF 2014/15 DM009

Diabetes: Blood pressure management in patients with diabetes across London

Note: Denominator includes exceptions Source: QOF 2014/15 DM002

Diabetes: Cholesterol management in patients with diabetes across London

Note: Denominator includes exceptions Source: QOF 2014/15 DM004

Hypertension management best practice newsletter

Breast cancer screening in London (2015)

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London coverage 68.3% England coverage 75.4% In London, a total of 474,914 women aged 53-70 were screened from an eligible population of 695,475 meaning 220,561 women went unscreened

Sources: Public Health Profiles, PHE. Indicator number 2.20i ‘% of eligible women screened adequately within the previous 3 years on 31st March’: http://www.phoutcomes.info/search/breast%20cancer%20screening#page/6/gid/1/pat/15/par/E92000001/ati/6/are/E12000007/iid/22001/age/225/sex/2 Original data from the Health and Social Care Information Centre (Open Exeter)

MMR, two doses by 5th birthday in London (2014/15)

London coverage 81.1%

Sources: Public Health Profiles, PHE. Indicator number CI.10 ‘MMR vaccination coverage for two doses (5 years old)’: http://fingertips.phe.org.uk/search/MMR#page/6/gid/1/pat/15/par/E92000001/ati/6/are/E12000004/iid/30311/age/34/sex/4

England coverage 88.6%

• In London, a total of 104,368 children from a cohort of 128,688 had received

two doses of MMR before their fifth birthday, meaning 24,320 children had not received two doses

• Both the London and England rate were below the Department of Health’s

benchmark of 90% coverage

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Flu vaccination for the over 65’s in London (2014/15)

London coverage 69.2%

Sources: Public Health Profiles, PHE. Indicator number 3.03xiv ‘% of eligible adults aged 65+ who have received the flu vaccine’: http://fingertips.phe.org.uk/search/flu#page/6/gid/1/pat/15/par/E92000001/ati/6/are/E12000007/iid/30314/age/27/sex/4 Original date from the ImmForm website Notes: The London value has been aggregated from all known lower geography values

England coverage 72.7%

In London, a total of 713,161 adults aged 65 and over, from a cohort of 1,030,027 had received the flu vaccine, meaning 316,866 individuals had not been vaccinated

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PROACTIVE CARE OVERVIEW

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Dr Raj Karsandas, GP and Clinic Lead for Transforming Primary Care- Healthy London Partnership

What does the specification say?

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P1: Co-design – primary care teams will work with their local communities to design approaches to improve the health and wellbeing of the local population (for example engage young people, schools and youth workers to design new ways of communicating with young people living with a long term condition) P2: Developing assets and resources for improving health and wellbeing – work with local community resources to help empower people to remain healthy – for example building a map

• f local charity and community projects which patients could be advised to use.

P3: Personal conversations focussed on an individuals health goals – part of routine interactions with general practice will include discussions about wellbeing and health goals. P4: Health and Wellbeing liaison and information – general practice will extend into schools, workplaces and other community settings acting as an advice and liaison service. P5: Patients not currently accessing primary care services – general practice will find ways

• f reaching patients who do not routinely access their services (homeless, travellers, recent

prison releases). They will also design ways to proactively follow up patients who do not attend – for example those who do not respond to screening or immunisation invites or recall sessions for chronic disease management and self care.

PROACTIVE CARE

PROACTIVE CARE OVERVIEW

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TABLE DISCUSSION

Don’t forget to tweet us at @HealthyLDN #HealthyLDN

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Transforming London’s health and care together

SES SESSION SION TW TWO

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PRIMARY CARE AND CO-PRODUCTION

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Dan Hopewell, Director of Knowledge and Innovation, Bromley by Bow Centre

Primary Care and Co-production The Bromley by Bow experience

• ur mission is to enable people to

be well and live life to the full in a vibrant, resourceful, community

75% of health and wellbeing

• utcomes are

attributable to the wider determinants

• f health

Health Centre

General Practice, Community Health Services Social Prescribing Supports access to all Centre services

Social Enterprise

Supports establishment of new social enterprises, creates service provision and employment.

Employment Service

Careers advice. Extensive employer relationships, work experience placements, and support in applying for jobs.

Health and social care

Healthy lifestyles promotion, weight management, mental health projects, social care brokerage, carers support, disability sports. Social Prescribing Receives referrals and supports those referred

Connection Zone

A warm welcome with engagement staff, tea and coffee. A place to meet, make friends and build social

• networks. Group activities, internet

café with digital inclusion support, homework club, informal learning and family learning. Time Banking, Community Grants for small projects.

Welfare, Debt, Legal Advice, Financial Capability

Social welfare and legal advice

• n benefits, housing, debt.

Money management and fuel poverty programmes. Promotion

• f Credit Union.

Social Care and arts space

Social care, inclusive arts space and programmes, including for elders and carers. Artists’ studios.

Vocational Learning

A range of learning options for young people and adults, including traineeships and apprenticeships

Café

Provides training and volunteering

• pportunities

Growing spaces

Social and therapeutic horticulture, food growing

Park and playground

Managed by the Centre. Recreational space, children’s playground, sporting events, summer fairs

Church / Nursery

Childcare provision, community celebration space

Children’s Centre activities Activities

for parents and children

Our view of primary care

Primary care

Health is contextual Health is relational Health is holistic We are in the public health business

Co-production

DIY Health

Co-producing solutions for managing minor ailments in children under 5 years old

A community based learning model which empowers parents and carers with the knowledge, skills and confidence to manage minor ailments in children under the age of 5. Co-delivered by, local parents, a Health Visitor, an adult learning specialist with Children’s Centre Play and Learning Workers

Measures of success

Dan Hopewell

Director of Knowledge and Innovation School of Integrated Solutions Bromley by Bow Centre Website www.bbbc.org.uk Email danhopewell@bbbc.org.uk Twitter @hopewelldan @SoIS_BbBC @bromley_by_bow

PROACTIVE CARE PLANNING

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Caroline Morison, Deputy Director NWL Collaboration of CCG

Pro-active care planning in North West London

Caroline Morison – Deputy Director, NWL Collaboration of CCGs

HLP proactive care seminar – April 13th 2016

It’s a complex system…

Improve health and wellbeing Improve care and quality Improve finance and sustainability …facing a comprehensive set of challenges…

What is the vision? “To improve the quality of care for individuals, carers and families, empowering and supporting people to maintain independence and to lead full lives as active participants in their community” What are the three guiding principles? What will it be like when care is integrated?

We will work together to provide care Care will be

• rganised

around people’s needs The way services are paid for will be joined up

Empowerment Co-ordination Integration

1 2 3

…and our vision for integration, based on 3 principles, is part of the solution

Oct 2013 – Feb 2014 Initial co-design stage Mar 2014 – May 2014 Agree what the priorities should be in each borough May 2014 – Oct 2014 Plan for local changes Oct 2014 – Mar 2015 Prepare to make real changes to care Apr 2015 – Apr 2016 Changes put in place to improve the patient journey Apr 2016 – Apr 2018 Make further improvements to care for other groups of people Where we are today Apr 2018 onwards Integrated care expands to other population groups

P H A S I N G

Whole Systems Integrated Care ‘Toolkit’ co- produced Health and care hub

• pens in Kensington

& Chelsea offering longer appointments to people with complex needs Boroughs start to shape and recruit new roles to support person- centred care Local areas start to design new models

• f care and ways of

working Care is ‘person- centred’ for all population groups, in every borough

We are at an exciting point in the journey, where we are starting to implement change

• n the ground…

We co-designed a set of principles for self-care and self- management between the organisations in the eight boroughs in North West London and lay partners In the future we aim to provide: 1) A menu of self- care programmes 2) Staff training around self-care 3) Good quality, accessible information 4) Activation tool, used to find out more about a person’s ability to self-manage 5) Empowering the third sector to provide self care

Outcomes

The aim is to measure the things that matter to patients and to use these measures to inform the way we manage services Achievements since the previous Lay Partner Forum: 1) Outcomes with 16 metrics have been agreed by seven of the eight Early Adopters 2) Started pilot of professional experience survey which aims to ask health and care professionals how they think services are performing

Self-Care

We have made substantial progress in a number of key areas…

We have made substantial progress in a number of key areas…

Accountable Care Partnerships‘ is a term we use to describe

• rganisations in NWL taking joint accountability for all parts
• f a person’s care, rather than each organisation only being

accountable for the parts they deliver directly E.g. Hillingdon ACP

▪

Healthcare organisations are jointly improving to care in the borough for older people and people with long term conditions

▪

The partnership has put in place a new way of delivering care in the north of the borough called the Care Connection Team

▪

This aims to bring together health and care professionals to provide holistic care for people with high levels of need

Information sharing

Information sharing is key to the development of integrated care as it will help health and care professionals keep track of a person’s journey. Tools have been developed called ‘dashboards’ that will display a person’s care information Progress:

▪

Information is being shared securely between health and social care teams in local areas

▪

Posters and leaflets are being distributed to inform people about how their information is being used

▪

Tools have been developed to help care professionals make more informed decisions about a person’s care

▪

240/402 GP practices have signed the Information Sharing Agreement which is the legal basis for sharing information

Accountable Care Partnerships (ACPs)

GP Care co-

• rdination

Nurse Voluntary sector

• Multi-disciplinary team writes, co-ordinates and delivers care plan

Social worker Comm-unity pharma-cist Community capital

One, collaborative multidisciplinary team

Specialist, e.g., geria- trician Carer

3 2 1 4

Single shared care plan

Mental health worker Empowered and co- developed self care

The models of proactive care that have been developed all have similar core components….

…which have been adopted and adapted at local levels

` Patient selection

1

Care planning and case management

2

“High” package of services

4

“Low” package of services

3

MDT process and evaluation

6

“Grey box” extended services

5

Model of care

We have co-produced care planning ‘standards’

What?

Single patient viewable care plan with an assigned named person bringing all health and social care views together which is universally owned and accessible across all settings. Concise and up to date. Care plan, as a minimum, to contain;

• Contact information of services users’ human connections.
• Diagnosis and medication.
• Clear, achievable, and measurable goals which are meaningful to the service user and owned by named

people, e.g. I can walk to the shops three times a week.

• Crisis plan understood by service user.
• Agreed review dates.
• Supporting information e.g. Carer role (formal and informal), recently bereaved.

Where?

The most appropriate setting for the service user, this includes options for house visits and remote access (Skype/telephone) while acknowledging majority of planning will suit a formal environment.

Who?

Care planning to be service user centred and providing options to involve family and carers. Care planning should be a team process, with professionals working at top of their skill level. GP’s role is to lead the care plan, with support staff bringing it together; e.g. care coordinator, practice nurse, administrators.

When?

Care plans reviewed within a minimum 12 month period with agreed triggers within this period;

• Change to package of care.
• Non-elective admission.
• Change of circumstances e.g. carer deceased.
• Flag from care professional.
• Service user trigger.
• Telephone touch point after care plan session to check on progress.

This will be supported with integrated informatics

• The Care Information Exchange will

help to break down the barriers between the different care settings.

• The individual will share their care

information with professionals, if they choose to.

• Secure messaging and shared care

planning will support coordination and integrated care.

WSIC dashboards

Further information can be found on the WSIC website: http://integration.healthiernorthwestlondon.nhs.uk/

Transforming London’s health and care together

BREAK 10 min

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SOCIAL PRESCRIBING

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Jayne Stokes, Director of Development and External Affairs, Family Action

Family Action Social Prescribing Service

Jayne Stokes

Director of Development and External Affairs

13 April 2016

We provide effective and innovative services that have a positive, empowering impact on people’s lives.

Our work is wide-ranging and includes help for parents-to-be, the provision of Children’s Centres in local communities, intensive family support, emotional health and wellbeing services, counselling, mediation and therapies, support in schools, financial grants programmes, and training and consultancy services.

What is Social Prescribing?

Social Prescribing supports health and wellbeing through non- medical interventions within the community. Research into Social Prescribing reports benefits in key areas:

• Improving mental health outcomes
• Improving community wellbeing
• Reducing social isolation

‘Social prescribing is about expanding the range of options available to GP and patient as they grapple with a problem…options that make available new life opportunities that can add meaning, form new relationships, or give the patient a chance to take responsibility or be creative.’ Brandling J, House W, BJGP 2009

How does it work?

Referral from GP Assessment with Wellbeing Coordinator Activity/ Community Engagemen t (Volunteer support if needed)

Follow up Continued Community Engagement Final Follow up

Brief intervention (6-8 sessions)

Target groups in City & Hackney Pilot

Pilot in 3 consortia with the following target population:

• Well (50 – 75 years not currently receiving social care)
• Rainbow and Sunshine (Type 2 Diabetes)
• Southwest (50 - 75 years not currently receiving social care)

Referral Criteria

• Socially isolated
• Presenting with a social problem
• Struggling and not coping but do not require crisis intervention

(may have noticed an increase in GP visits)

• Mild to moderate mental health issues
• Frequent GP/A&E attender
• Asking for “low-level”, non clinical activities to feel better

Outcomes

Qualitative Data

• 25% reduction in A&E attendance
• Improvement in at least one Well-being Star domain for 96% of

patients Quantitative Data

• Increased involvement/interaction with local community and

reconnecting with the world

• Renewed hope for the future
• Movement into voluntary work and/or preparation for employment

“You feel able to offload if you need to, discuss your fears - it’s about not being so hard on myself and validating myself.”

Learning from City and Hackney SP

Strengths/enablers

• Support from wide range of groups including health

professionals and community partners

• Activities are easily accessible and wide ranging
• Important role of the WB coordinator: extended time available

with clients, appropriate referrals, strong links into community services, good engagement with volunteers and clinical teams

• Structure of service (including quarterly steering groups)

enables sharing of learning

“It’s done me a world of good, taken me out of the house, given me a routine and given me a sense of purpose and…hope. It’s given me back my confidence”

City and Hackney plans for the future

• To extend pilot period and cover the whole of City and

Hackney to allow control comparison - from 1st April 2016

• Achieve 800 referrals to improve evaluation data set
• Link in with the new A & E WellFamily Pilot and WellFamily

Plus regarding reducing attendance at A & E and GP

“That gave me the motivation to think ‘I think I might be ready to go back to work.’ It helped me deal with my depression, prepared me to go back to work and made me feel useful.”

SOCIAL PRESCRIBING

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Dr Richard Kimberlee, Senior Research Fellow, University of West of England

What is the value of social prescribing?

Dr Richard Kimberlee Senior Research Fellow University of the West of England, Bristol

WHY SOCIAL PRESCRIBING NOW

What is social prescribing?

• A means of enabling primary care services to refer patients with social, emotional
• r practical needs to a range of local, non-clinical services, often provided by the

voluntary and community sector (Newcastle Council for Voluntary Service, 2011)

• Social prescribing provides a pathway to refer clients to non-clinical services,

linking clients to support from within the community to promote their wellbeing, to encourage social inclusion, to promote self-care where appropriate and to build resilience within the community and for the individual (Social Prescribing in Bristol Working Group, 2012).

• Social prescribing creates a formal means of enabling primary care services to

refer patients with social, emotional or practical needs to a variety of holistic, local non-Clinical services (Brandling and House, 2007).

Services of Support

Social Prescribing Network of United Kingdom and Ireland

Who funds social prescribing?

Predominant Funder (n=107)

• No. of Projects

Example CCG 22 Gloucestershire, Rotherham, Bradford. CCG/PH 12 Liverpool, Sheffield, Keynsham. CCG/PH/Private 1 Not Known. CCG/Third sector 2 East London, Hackney, Newham. CCG/Network 3 CCG/Network/Third Sector/Private 1 Tower Hamlets. CCG/Big Lottery 3 Lewisham. CCG/NHS England 1 North Hampshire CCG/Third Sector/Government 1 Penwith Third sector 10 Wakefield Local Authority/Third Sector 2 Cornwall, Nationwide. Local Authority 6 Bristol, Dacorum, Local Authority/Big Lottery 1 Big Lottery 3 5 LAs in North England, Bristol. NHS 2 NHS/Grant 2 NHS/Third sector 2 North Somerset. Public Health England 1 DoH 1 Devon Government Dep’ts 4 Ireland. Mixed/Complex 2 London, Newcastle. Private 1 Westminster Indeterminable 3 None 8 Loughborough, Ireland, East London.

Cost effective

• RCT - Amalthea Project
• Rotherham study
• Social Return on Investment: £1.20 - £3.10

PANEL DISCUSSION

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Q&A Host Don’t forget to tweet us at @HealthyLDN #HealthyLDN

Dr Shahed Ahmad, Director of Public Health for Enfield Council Dan Hopewell, Director of Knowledge and Innovation, Bromley by Bow Centre Caroline Morison, Deputy Director NWL Collaboration of CCG Jayne Stokes, Director of Development and External Affairs, Family Action Dr Richard Kimberlee, Senior Research Fellow, University of West of England Angeleca Silversides, Patient Representative Dr Tim Spicer, GP & Chair of Hammersmith and Fulham Clinical Commissioning Group

04

Transforming London’s health and care together

SESSION THREE

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BREAKOUT SESSIONS ON PROACTIVE CARE

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1 After the coffee break please move to your first session You will have 20 minutes to hear about this area and ask questions 3 The alarm will ring a third time, as a signal to move back to your tables in the main room 20 minutes later… The alarm will ring again, and please move to your next breakout 2

BREAKOUT ROOMS

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Saving Lives Saving Money: How Homeless Health Peer Advocacy Reduces Health Inequalities

Box 52/53 Upstairs 3rd floor Speaker: Kate Bowgett

The Role Of General Practice In Improving Cancer Screening Uptake

Pakistan Suite (to right of current floor) Speaker: Dr Josephine Ruwende & Allison Ferdinand

Somewhere to go, Something to do: Mind Mental Health Day Hub

Debenture Lounge (to left of current floor) Speaker: Jacqui Dyce

Made in London: New Approaches to Self-Care for Young Adults

Box 56/57 Upstairs 3rd floor Speaker: Samira Ben Omar Don’t forget to tweet us at @HealthyLDN #HealthyLDN

Transforming London’s health and care together

Summary and Close

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NEXT STEPS

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• Attendees to share any good practice case studies or models of delivering

proactive care already in place with the Programme Team. Please email at us at england.londonprimarycaretransformation@nhs.net

• Programme Team will undertake analysis and share emerging common

themes across London with you

• Programme Team will work with key partners across health and social care

including other HLP programmes to develop:

• Operating model/tools (e.g. social prescribing) that will allow proactive care

specifications to be delivered across population

• High Level Monitoring and Evaluation framework for proactive care

specifications, building on existing data sources

Thank You

england.londonprimarycaretransformation@nhs.net