For over 20 years, a Clinical Effectiveness Group in East London has played a major role in improving health care delivery in three of the UK’s most deprived boroughs. Using a change model of ‘belief, act, motivate’, the group has helped the area become the UK’s highest performer over a wide range of GP quality indicators.

As a similarly deprived area of London, with a high disease burden and wide health inequalities, the Southwark Clinical Effectiveness Approach partnership will tap into some of the experiences of East London, in order to adapt and deliver a local model.

The model aims to make the right thing to do become the easy thing to do for busy clinicians, driving up quality, improving outcomes and reducing variation in general practice. 

The model is based on: ‘belief’ (guidelines, education and awareness-raising); ‘act’ (using trusted templates to support evidence-based practice, regular feedback through analytics and making understanding real-time data core to the daily work of clinicians); and ‘motivation’ (cross-practice learning and aligning incentives to clinical effectiveness areas).

The clinical effectiveness model will be delivered across 45 GP practices in Southwark, which together have more than 300,000 registered patients. 

The first wave of work involved clinical improvement initiatives in atrial fibrillation, type 2 diabetes and hypertension. The second wave covers breathlessness, asthma, chronic obstructive pulmonary disease (COPD) and heart failure. 

Primary care friendly guides have been produced for each of the conditions; and support is enhanced by the development of clinical templates and the delivery of education events and practice visits.  

About this programme


Scaling Up Improvement


This programme offers £500,000 funding to supports teams to take successful interventions or...

You might also like...

Press release

Significant investment needed as waiting list for routine hospital care continues to grow

Press release

Health Foundation response to the publication of NHS England’s monthly performance statistics in...


Webinar: How will the public mood shape care after the pandemic?


This event, co-hosted with Ipsos MORI, looked at how public perceptions, expectations and priorities...


Government must be realistic about the pace of NHS recovery


Health Foundation response to the Government's 2021–22 mandate to NHS England and NHS Improvement

Kjell-bubble-diagramArtboard 101 copy

Get social

How can we develop health & care systems more resilient to shocks and better able to deliver sustainable, high qual…

Follow us on Twitter
Kjell-bubble-diagramArtboard 101

Work with us

We look for talented and passionate individuals as everyone at the Health Foundation has an important role to play.

View current vacancies
Artboard 101 copy 2

The Q community

Q is an initiative connecting people with improvement expertise across the UK.

Find out more