Locally Commissioned Services Patient Information
1
Anticoagulation
2
Bowel Cancer Screening
3
Care Homes Specification
4
Childhood Immunisation
5
Commissioning
6
Complex Care (Frailty)
7
Drug Misuse
8
End of Life Care
This is a service for people who use anticoagulants
(drugs that thin your blood, like Warfarin). The level
of this drug needs to be monitored regularly to
ensure that it is safe. Where a Practice provides
this service, you can go to see your GP to ensure
that the dosage/level of drug is safe rather than
have this monitoring done at the hospital.
This is a national screening programme for those
aged 60 to 75 years to do a stool test every 6
years to identify early and treat those with possible
bowel cancer which affects 1 in 17 people in the
UK. This improves significantly patient outcomes.
GPs try to improve patient uptake of this screening
programme.
This is a service that GPs provide for residents in
care homes settings. GPs regularly visit the home
ensuring that the residents have easy access to
primary care, and it reduces their need to visit the
hospital.
This service allows children to be seen in the
surgery for their immunisation.
This LCS helps GPs review different aspects of
their referrals and patient management to ensure it
is appropriate. It involves clinical education across
Camden and developing pathways/systems to
improve patient care. Feedback on commissioned
services is also an integral part.
The Complex Care service is for patients who have
multiple health problems that are having an impact
on their independence and social wellbeing. Once
consent has been received from the patient the GP
discusses the case with a multidisciplinary team
who advise on how best to tailor care for the
patient. This care also includes nursing support,
should patients need this.
This service is for adult Camden residents who
misuse drugs to access care in a primary care
setting rather than a drug clinic. In addition to
prescribing interventions, the GP will also ensure
that the patients have regular screening for blood
borne viruses commonly associated with drug use.
This service encourages GPs to do more with
regards to end of life care for their patients. It
promotes discussing with patients who are at risk
of death (i.e. have a life threatening condition or
are terminally ill) to have their wishes about how
they would like to be treated during their last days
9
Health Checks
10
Homeless Adult Patients
11
Influenza
12
Intrauterine Contraceptive
Device (IUCD)
13
Long-term Conditions
14
Methotrexate
15
Sexual Health Specification
16
Smoking Cessation
to be recorded. This would include things like,
wanting to die at home, not being resuscitated etc.
After seeking consent, the GP will also add the
patient record to coordinate my care, a web service
that allows practitioners from different teams to
access the record.
Health checks are provided by practices for
patients who are at risk of developing long term
conditions. It allows early recognition of these
diseases and:
 informs patients of necessary lifestyle changes
that may reduce their chances of developing
the conditions
 allows GPs to start treatment of at the early
stages of the disease
This is a service for patients who are classified as
homeless to enable easy registration at a practice
and to improve access to health care including
regular review to try and improve the health of this
cohort of Camden’s population.
This service encourages the delivery of the
national flu campaign for patients who are at risk of
getting flu to get immunised at their practice and to
reach targets which has significant population
benefits.
This service allows women to have a coil or
implant fitted in their GP surgery rather than having
to go to a sexual health clinic.
This is a service for to identify people who are at
risk of, or already have long term conditions. The
service covers the 5 most common long term
conditions seen in Camden, namely:
 Diabetes
 Chronic Kidney Disease (CKD)
 Heart Failure
 Chronic Obstructive Pulmonary Disease
(COPD)
 Hypertension
This is a service for people who are prescribed
Methotrexate. The level of this drug needs to be
monitored regularly to ensure that it is safe. Where
a Practice provides this service, you can go to see
your GP for prescribing and monitoring of the drug
to ensure it is safe.
This service allows patients to have tests for
sexually transmitted diseases in the GP surgery
rather than having to go to a sexual health clinic
This service provides patients who smoke with
information about the harm smoking causes and
provides support to those people who want to quit
smoking.