Improved access to COVID-19 therapeutic treatments for eligible patients in Leyland PCN.
Lancashire & South Cumbria ICS recognises that respiratory disease remains a priority for the ICS. It supports Primary Care Networks (PCNs) in the delivery of local projects that will deliver this agenda. 2022/23 project included the “Respiratory Wellness Over Winter” initiatives where PCNs were encouraged to refer high risk respiratory patients (defined by them as patients who haven’t had their pneumococcal or COVID-19 booster vaccinations) for a Social Prescribing Intervention and onward referral to appropriate services.
Leyland PCN are keen to continue supporting the patients with respiratory disease across their community, working with those patients eligible for COVID-19 therapeutics. The aim of this project would be to improve awareness & uptake of COVID-19 treatments, and as a result reduce COVID-19 related demands on the system. Currently communications to eligible patients are managed by NHS England & often only sent once, so there is a risk the communications are not getting through or being acted upon.
- To increase the number of eligible patients entering the local COVID-19 therapeutic pathway
- To increase the percentage of eligible patients receiving treatments at the right time and in the right way.
High level Project Plan:
- Data coded searches (IT) will be built by the PCN IT team to identify COVID-19 therapeutic eligible patients in Leyland PCN. Patients from the most deprived geographies within the PCN will be referred to the PCN Lifestyle Improvement Team (LIT). This team consists of the PCN’s Social Prescribers, Health and Wellbeing Coaches and Care Coordinators.
- Pfizer & Leyland PCN will collaborate to develop & roll out training to equip Leyland PCN’s Lifestyle Improvement Team (LIT) with:
- a high-level understanding of the eligibility criteria for COVID-19 therapeutics.
- the rationale for treatment of high-risk patient groups.
- the locally agreed COVID-19 treatment pathway.
- the process of engaging and educating patients in the COVID-19 therapeutics pathway
- The PCN LIT will proactively contact the patients identified & referred to them as a result of the IT searches and check that the information held on them is correct.
- The PCN LIT will utilise the training to advise eligible patients on what to do in the event of developing COVID-19 symptoms, including how to access Government funded lateral flow tests & the process to follow to access treatments.
- Increased awareness of eligibility amongst patients & knowledge of the COVID-19 treatment pathway will improve patient access to treatment & outcomes.
- Eligible patients will be better supported to understand the impact of COVID-19 on their underling condition and make informed decisions about their own care.
For the NHS:
- Effective and early access to COVID-19 treatments can help improve patient outcomes to help reduce pressures on medical & care systems. The project aligns to a key national initiative to Make Every Contact Count (MECC) to support efficient use of NHS resources.
- Supporting Leyland PCN in meeting standards of care set out in Commissioning Framework: COVID-19 Therapeutics for Non-Hospitalised Patients
- Education and support for the professional development of the PCNs LIT
For the pharmaceutical industry:
- Increased referrals of eligible patients to the local COVID-19 treatment pathway where an appropriate antiviral medicine (which may include a Pfizer medicine) may be prescribed in line with current national and local guidance.
- Increased understanding of how we improve access to COVID-19 antiviral medicines/therapeutics
- Increased understanding of the role & needs of Social Prescribers
- Report quantifying impact of project interventions to include impact on eligible patient awareness & engagement with Covid-19 treatment pathway
- Case study summary to be published by both Pfizer and Leyland PCN
Pfizer will provide £13,956 to fund additional capacity to develop, deliver and evaluate the success of the project which will enable outreach to the eligible patient cohort. In addition, 57 hours of Pfizer colleagues’ time will be provided to support the project through all stages of delivery (planning to evaluation). Leyland PCN will provide 149 hours of PCN time to the project, including the development of IT searches to identify & prioritise patients to be referred to the social prescribing team.