About The Cluster
The cluster lead is Dr Matthews at PHP and the GP Collaborative lead is Dr Shanmugaratnam at PHP.
General Practices Eastern Vale Cluster:
The Eastern Vale Cluster is currently made up of 3 GP practices with a combined cluster population of 37,332.
Individual Cluster Plans and Reports
The Eastern Vale Cluster is in the process of developing its plan for 2024-25. It is based on the local population needs assessment, plus the emerging priorities identified by members of the cluster.
Eastern Vale Cluster Network Action Plan 2017/20
What are we working on?
They are developing projects to support its local population.
What we have already done
Eastern Vale has the second-highest percentage of elderly patients, and is striving to keep patients well at home instead of spending periods of time in hospital. To achieve this, they have an enhanced care at home programme plus a multidisciplinary team working together to support this cohort of patients. In addition, the cluster has a Frailty Nurse who undertakes comprehensive reviews, falls assessments, future care planning and admission avoidance. There is also a housebound influenza service to provide timely vaccines for housebound patients. A Cluster Pharmacist has been employed to provide additional capacity to meet the medication needs of patients.
Future Priorities for the Cluster
They are working on new initiatives to address some of the cluster emerging priorities. These include pre-diabetes interventions, lifestyle choices and mental health.
