• Led by The Clinical Effectiveness Group, Centre for Health Science, Queen Mary University of London, working with Tower Hamlets PCT, Social Action for Health, and City University London.
  • Ran from 2007 to 2010.
  • Focused on three disease areas which contribute most to poor health in Tower Hamlets – diabetes, cardiovascular disease and chronic obstructive pulmonary disease (COPD).
  • Addressed the needs of both patients and GP practices to improve access to appropriate services.

Three diseases contribute most to poor health and low life expectancy in Tower Hamlets in east London: diabetes, cardiovascular disease and chronic obstructive pulmonary disease (COPD).

This project sought to help GPs to identify risk factors for the conditions among different population groups, reduce health inequalities and improve people’s access to services. They carried out the following activities:

Conducting health equity audits: The use of health equity audits at PCT and at practice level demonstrated differences in key disease indicators which could then be addressed by primary care teams. The project team examined GP practice data to investigate whether there were differences in prescribing and other markers of care quality for people by age, sex and ethnicity. Reports show how all practices performed for the different disease areas.

  • Supporting self-management: They developed a package of measures to help patients work in partnership with their GPs to manage their own condition more effectively. By making patients feel more in control and changing services to make access easier, the aim was to increase access to services and reduce pessimism and apathy among patients.
  • Improving referral: Addressing the differences they found in practices’ referral processes by working with each practice to devise the best way to ensure that self-management and use of specialist nurses were well understood and that appropriate patients were referred to these services. This included the recruitment of 'practice champions.'

Benefits

The work has helped people access the right services and receive appropriate treatment for their condition. Results showed a year on year improvement over the lifetime of the project in the majority of chronic disease indicators across east London general practice.

The use of health equity audits also helped to demonstrate differences in service provision that were otherwise hidden and hard to identify. 

Further reading

Research report

Involving primary care clinicians in quality improvement

This is the report of an independent evaluation of our Engaging with Quality in Primary Care (EwQPC) improvement programme.

About this programme

Programme

Engaging with Quality in Primary Care

This programme ran between 2007 and 2011, and offered funding for nine projects aiming to help primary care clinicians increa...

You might also like...

Press release

Performance against the 4 hour A&E target has fallen to its lowest level on record

Health Foundation response to NHS Monthly Performance Statistics for February 2019

News

Health Foundation selects 23 innovative projects to improve health and social care through supporting the workforce

Twenty three projects have been selected to receive a total of £1.65 million in funding from The Health Foundation’s Innovati...

Blog

Supporting care in communities through Innovating for Improvement

The Health Foundation has announced funding of 23 projects as part of our Innovating for Improvement programme. Laura Wallace...

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