Hauora ā Hapori

  • About
  • Latest News

The Primary Care Capability Service Level Alliance improves the patient experience by providing leadership to activities that support coordination and integration across primary care. 

The SLA focuses on providing strategic system leadership to enhancing and supporting the capability and capacity of general practice, and ‘future’ general practice (as opposed to the traditional models) that enables the provision of care that delivers a better patient experience.

The SLA was established in March 2018 by bringing together a number of elements and enablers from across the Canterbury health system that include Collaborative Care and the Integrated Family Health Service, Enhanced Capitation and its associated work groups and pharmacy.

Latest News

Winter wellness check in the community

| Return|

In an attempt to keep hospital admissions down and people well in their homes this winter, some Canterbury general practices have been trialling a new winter wellness initiative.

Woodend Medical Centre is one of those practices with Practice Nurse Marilyn Herbert asking some of their vulnerable respiratory patients to come in for a ‘Winter Wellness Check’.

This initiative has come from the Canterbury Initiative in partnership with Canterbury’s Primary Health Organisations. It involves general practices inviting patients who are at risk of an acute hospital admission during winter in for a check. It is completed by one of their practice health professionals and is free for the patient.

Older people, Māori and Pasifika (over 55yrs), people with complex health and social conditions, or a history of acute hospital attendance, can be considered for the checks.

It aims to keep people well in the community by keeping a close eye on their health needs during winter. The check may result in the patient being referred to a specialist, and /or having their medication or care plan reviewed.

Louise Weatherall, Clinical Nurse Specialist for the Canterbury Clinical Network’s Community Respiratory Service was asked by Marilyn to help review some of the practice’s patients with chronic respiratory issues, including asthma and Chronic Obstructive Pulmonary Disease (COPD).

“The checks have definitely been worthwhile. On one of my visits we reviewed four patients and by the end of the sessions we had updated two acute plans and created a new one, discussed an asthma management plan, referred two patients to pulmonary rehab, referred one patient for specialist physiotherapy, suggested changes to three inhaler prescriptions and asked the GP to create two new prescriptions,” says Louise.

The check starts with an in-depth discussion about any concerns the patient has about their current health and then looks at how they can manage their breathing if it starts to deteriorate at home.

“We also talked about self-management plans (the ‘blue card’) and acute plans. The response from patients has been great with everyone attending their appointments and I will now look at targeting patients with other chronic conditions,” says Marilyn.

Theresa Bennett (pictured) was one of the patients who came in for a check. She has COPD and was brought in by her daughter.

“We went through her management plan and reviewed her inhaler prescription. She is from Fiji and is going back for a visit, so it was a great opportunity for her to have a thorough check,” says Marilyn.  

“Having the expertise of Louise from the Canterbury Clinical Network’s Community Respiratory Service has been invaluable.”

The initiative runs until the end of August and it will be evaluated to check the impact it has made and inform plans for next winter. These results will be shared across the health system.

Pictured above: Marilyn and Louise with patient Theresa Bennett and her daughter Ruth Solly.

About the Author


Key Messages:  PCC SLA 28 December 2018

Key Messages: PCC SLA 28 December 2018

At the PCC SLA meeting 28 December 2018 members discussed the Enhanced Capitation, Canterbury's ...

Read More >
PCC SLA key messages - 12 February 2020

PCC SLA key messages - 12 February 2020

This news post provides a brief summary of the key messages from the most recent PCC SLA meeting.

Read More >
Nominations open for membership

Nominations open for membership

Canterbury Clinical Network is seeking nominations for the membership of the new Canterbury Clinical...

Read More >
Useful resources

Enhancing Primary Care

Moving general practice from part of the system to heart of the system.

The King's Fund

A report on the innovative models of genral practice. 

National Health Service

A presentation about the vision for primary care networks in the UK.