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Our achievements

Since the integrated care partnership was set up in 2017, we’ve been building on our history of successful joint working to put in place some of the foundations which will help create a fully joined-up health and care system.

Community hubs

We piloted 2 community hubs in Marlow & Thame. A team of geriatricians, nurses, therapists and GPs providing community based assessment and treatment services, including a frailty clinic, additional outpatient clinics as well as support from voluntary organisations including Carers Bucks and Prevention Matters.

How this helped:

  • 1027 people accessed the community assessment & treatment services
  • an extended range of local outpatient clinics with a 60% increase in appointments at the pilot sites
  • increased access to locally available diagnostic testing such as X-rays

Video consultations

We’ve launched remote video consultation for care home residents with access to specialist medical support to reduce the number of emergency admissions from care homes and to ease the pressures on acute hospitals and GP’s.

How this helped:

  • improved the quality of care for residents who may not need to go to hospital
  • improved support for care home staff
  • 10% sustained reduction in emergency admissions for residents accessing the service


We’ve improved patient flow in our acute hospitals adding assessment and treatment cubicles in A&E, introducing a nurse-led triage system and an onsite GP service. Discharge plans are discussed with patients and carers when people are admitted to hospital.

How this helped:

  • making sure the sickest patients can be assessed more quickly
  • ensured patients are treated by the most appropriate service
  • helped people to return home as quickly as possible

Mental health

We’ve listened to feedback from people who have experience of mental health conditions and increased investment across adult and children and adolescent mental health services.

How this helped:

  • reduced waiting times for children and young people’s services
  • 75% of GP surgeries now dementia friendly
  • increased psychological support for people that have long term conditions
  • improved mental health urgent care services for people in crisis

Annual health checks

The Transforming Care Partnership addressed health inequalities for people with a learning disability or autism by ensuring patients were on their GPs learning disability register and having an Annual Health Check.

How this helped:

  • 56% (local target 55%) of people with a learning disability accessed an Annual Health Check last year
  • 50 out of 52 GP practices will now be delivering Annual Health Checks