Models of Care – A South West eHealth Story

An exciting new web platform to support primary care workforce sustainability has been brought to life by Cornish Tech company BSpokeIT, after stepping into the breach 2 years ago to provide their expert skills to boost the functionality of the project, which has been commissioned and led by NHS England South, South West and the South West Academic Health Science Network (SW AHSN).

The idea behind the portal was to provide a unique online resource to be available across the NHS to aid learning, share tools and the achievements of health organisations within the South West of England, with the aim to roll this out to the rest of the country in 2019/20.

EPIC is particularly interested in this collaboration as it demonstrates success for small Cornish businesses in working with the public sector, in particular the NHS itself – and highlights promise for the future.

The Models of Care platform will no doubt be a useful tool for healthcare practitioners as it contains a wealth of information that will help them access a series of resilience tools, introductions to new initiatives, and a safe and secure forum to collaborate with like-minded professionals.

Each section within the Models of Care Portal has been carefully populated and structured for ease. The main features of the portal are:

  • Case Studies – searchable by using the 10 GPV points, explained in more detail below, and include examples of initiatives and news ways of working which is great to look at what has already been done and their impact.
  • Resources –Structured again by GPV point, this section includes a wealth of information such as pilot toolkits/support packs, digital roadmaps and details of new funding programmes.
  • Digital platforms – including the following: Workforce Analysis Tool (WAT), Practice Resilience Assessment Questionnaire (PRAQ), Merger Toolkit (for practices) and the Health Education England (HEE) Star Tool to support workforce transformation.
  • Collaboration Space – provides a secure, safe space for private discussion between groups or individuals which is supported by document sharing and editing features.
  • Directory  – includes links to the Community Education Provider Network (CEPNs) in the region, South West Practice Nursing and HEE, Local Medical Committees and more.
  • Map – which can be overlaid with the Clinical Commissioning Groups and Sustainability and Transformation Partnerships, and can be filtered by healthcare provider/organisation.

Within the development of the platform, the 10 high impact actions to release time for care from the General Practice View (GPV) have been carefully incorporated into the way the platform is structured and can be navigated around. Courtesy of these are:

  1. Active signposting: Provides patients with a first point of contact which directs them to the most appropriate source of help. Web and app-based portals can provide self-help and self-management resources as well as signposting to the most appropriate professional.
  2. New consultation types: Introduce new communication methods for some consultations, such as phone and email, improving continuity and convenience for the patient, and reducing clinical contact time
  3. Reduce Did Not Attend (DNAs): Maximise the use of appointment slots and improve continuity by reducing DNAs. Changes may include redesigning the appointment system, encouraging patients to write appointment cards themselves, issuing appointment reminders by text message, and making it quick for patients to cancel or rearrange an appointment.
  4. Develop the team: Broaden the workforce in order to reduce demand for GP time and connect the patient directly with the most appropriate professional.
  5. Productive work flows: Introduce new ways of working which enable staff to work smarter, not harder.
  6. Personal productivity: Support staff to develop their personal resilience and learn specific skills that enable them to work in the most efficient way possible.
  7. Partnership working: Create partnerships and collaborations with other practices and providers in the local health and social care system.
  8. Social prescribing: Use referral and signposting to non-medical services in the community that increase wellbeing and independence.
  9. Support self care: Take every opportunity to support people to play a greater role in their own health and care with methods of signposting patients to sources of information, advice and support in the community.
  10. Develop QI expertise: Develop a specialist team of facilitators to support service redesign and continuous quality improvement.

To view the portal in its entirety, you will need to register online through It is completely free to join; if you already have an NHS email address, your account will be approved automatically, but if you do not your registration will be individually assessed. If you are a University of Plymouth nursing student and would like to access the platform, please email so the EPIC team can liaise with Models of Care Portal administrators to help you create your account.

To sign up please click here.

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