Neighbourhood working

Overview of the programme of work

QHS member practices are divided into four geographical areas called neighbourhoods in Southwark, which are; Bermondsey, Rotherhithe, Borough and Walworth. Our neighbourhoods support delivery of our Local Care Networks (LCNs) which aims to join up care between GP practices, hospitals, community services, voluntary organisations and Southwark Council ensuring coordinated and improved quality of care for our population.


The purpose of the programme of work

Working in neighbourhoods ensures a focus on the local needs and priorities of our member practices and their local patients. It means local connections and relationships can be established across GP practices and sectors such as healthcare and the voluntary sector in a meaningful way. It means having a shared purpose and shared resources to deliver quality care and outcomes for our patients living in these neighbourhoods.

GP practices are working more closely than ever with our LCN partners including  Guy’s and St Thomas’ NHS Foundation Trust, South London and Maudsley, Southwark Council, Community Pharmacy, the Voluntary and community services including our local settlements; Bede House, (Bermondsey), Time and Talents,(Rotherhithe), Blackfriars Settlement (Borough) and Pembroke House (Walworth).


What has been done so far?

What positive outcomes have been achieved?

  • We have recruited two neighbourhood facilitators to support GP practices with this new way of working. One will work across Borough and Walworth and one will work across Bermondsey and Rotherhithe.
  • We have successfully secured money from NHS England to employ clinical pharmacists that will work within GP practices across each neighbourhoods.
  • We have met with key people from the four settlements and agreed to work together more closely. Our Primary Care Navigators, based in GP practices now have training at their local settlement and will refer patients who would benefit from services provided by the settlements.
  • One of our GPs has been working in Rotherhithe care homes to bring primary care services and health promotion to residents. We hope to roll this out wider in 2018.
  • We have been sharing best practice and new ways of working in primary care across GP practices as well as supporting GP practices with challenges they may be facing.


What are the plans for the future?

  • We are currently working with our member practices and partners across the system to produce neighbourhood development plans to outline the needs and priorities for each neighbourhood and their patients.
  • We will continue to build relationships and connections in neighbourhoods to strengthen what we offer to our patients and ensure care and support is as coordinated as it can be.
  • We will continue to provide training, share best practice and support and develop new ways of working across practices.


Further information

You can read further information regarding clinical pharmacists working in GP practices here.