Lakeside Healthcare (Northamptonshire)

The vanguard and the people it serves

Lakeside Healthcare, the largest GP-led single ‘super-practice’ in the NHS, wants to take responsibility for the health of its local population in a way that has not been done before. It aims to develop closer working relationships with both hospital and community services to deliver a better patient experience; a better working environment for staff; and better value for money.

Lakeside Healthcare has a registered patient list of more than 100,000 people, with several branch surgeries and community clinics, overseen by 60 general partners. It plans to increase its patient list to 300,000 people by 2017 and currently operates in Northamptonshire, North Cambridgeshire, South Lincolnshire, Rutland and East Leicestershire.

The vanguard partners include:

  • Kettering General Hospital
  • Northampton General Hospital
  • Peterborough and Stamford Hospital
  • Northamptonshire Healthcare Foundation Trust
  • Corby, Nene and South Lincolnshire clinical commissioning groups
  • Corby Borough Council
  • Northamptonshire County Council
  • various third sector partners and other GP partnerships/federations across Northamptonshire, North Cambridgeshire and South Lincolnshire

What is changing?

Lakeside Healthcare believes that primary (GP-led) care should be at the heart of plans to deliver low cost, high-quality medical services, because evidence shows that healthcare systems with a greater focus on primary care are more likely to keep people healthier for longer, offer better patient satisfaction and reduce hospital admissions and visits to Accident and Emergency (A&E) departments.

The Lakeside Healthcare model is simple: primary care should be delivered by larger providers that can offer a range of extended services, such as diagnostics (tests), urgent care, minor surgery and out-patient appointments, seven days a week.

Care is delivered by staff with skills and experience across a wider and more diverse range of areas, with less emphasis on the GP, and more use of modern technology, particularly in the way that patients and clinicians talk to each other (for example, offering consultations over Skype).

Patients will also be supported to manage their own health better, improving their health and wellbeing and delivering savings for the NHS.

Lakeside Healthcare is using its vanguard programme to deliver a number of new patient-focused service improvements:

  • Lakeside extensivist services – for the most vulnerable patients, including the frail and elderly and those with multiple long-term conditions (diabetes, heart problems etc);
  • Lakeside enhanced primary care – for complex patients with a single long-term condition;
  • Lakeside ambulatory surgical centres – offering greater access to minor and same day surgery in community settings; and
  • Linking with Lakeside Plus to deliver a nationally acknowledged urgent care service, for example: running the ‘front door’ at the country’s busiest A&E department, Leicester Royal Infirmary and also an award winning service out of our purpose built specialist centres, such as the Corby Urgent Care Centre.

Prof. Robert Harris, chief executive officer and partner at Lakeside Healthcare Group said: “General practice needs to play a far wider role in any new healthcare model.

“Lakeside Healthcare is providing a new model of care that is attracting staff at all levels who want to work at Lakeside and be part of a success story and who want to provide and manage the whole care package for the people they care for.”

“Fundamentally, our approach represents a shift in the delivery of primary care to a system that’s built around the needs of the patient, rather than the GP.”

Key benefits

  • Better access to specialised and routine care closer to home will reduce unnecessary hospital admissions
  • Joined up services will improve support for patients and offer better value for money for the NHS
  • More career options will help the vanguard attract and keep the best staff and enable the service to be offered to more patients.

Contact Lakeside Healthcare

Email: samclarke@nhs.net

Case studies

New service to support the most vulnerable patients

The most vulnerable seven per cent of patients – who use health care services extensively – are to be provided with ‘extensivist primary care services’.

Patients benefitting from this service are being offered longer, more in-depth consultations with staff from Lakeside Healthcare to discuss their health needs and, where possible, their care will be provided by the same staff.

The Lakeside team is working with hospital consultants across the region to provide better access to specialist care, often delivered in more accessible community settings. Key specialties include: ophthalmology, dermatology, urology, certain orthopaedic services, minor surgery, urgent care, chronic heart failure and chronic kidney disease.

Extensivist primary care services will be available to vulnerable patients such as frail and elderly patients with health problems such as high blood pressure and high risk of falls.

The Lakeside practice will also link up other services to help patients manage their health conditions better and provide more rounded support to keep them safe at home, supported by technology.

This improved support at home, led by the GP practice, will help reduce unnecessary hospital admissions and visits to A&E for these vulnerable patients.