Case Studies

All of our case studies are developed by people working in Primary Care and are examples of redesign and quality improvement projects.

You can also find improvement project examples from all sectors including primary care by browsing the SCiL posters or the SCQF posters.

Got a project you want to share? Let us know

Case study 15: A quality improvement approach to reducing waiting times for phlebotomy services at Houldsworth Centre

The case study describes how staff in Houldworth Centre conducted a project to address the Phlebotomy service waiting times and Did Not Attends (DNAs). 

View summary (PDF) | View full case study (PDF)

Case study 14:  Healthy Hoose, an enhanced Community Treatment and Care service run by Advanced Nurse Practicioners in Aberdeen

The Healthy Hoose is an excellent example of how a nursing led integral service was developed to meet the needs of the local population. 

View summary (PDF) | View full case study (PDF)

Case study 13: Pharmacotherapy strengthening sevice through innovation and change in Dumfries and Galloway

How Dumfries and Galloway identified pharmacy resource gaps within each locality and successfully recruited.

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Case study 12: Lifestyle and health behaviour change interventions for Health Improvement in Shetland Isles

How NHS Shetland to provided one-to-one support in health centres for smoking cessation, weight loss, increasing physical activity, treatment for mild to moderate depression.

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Case study 11: Pharmacy Attend Anywhere in Highland

How to deliver a safe and effective service by enabling pharmacists to work remotely from dispensing practices in a remote and rural setting.

View summary  (PDF) | View full case study (PDF) | View motion graphic (4:52mins)

Case study 10: First Contact Practitioner Service at Drumnadrochit Health Centre NHS Highland

How NHS Highland embedded a musculoskeletal physiotherapy service to support practice workload and improve patient outcomes.

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Case study 9: Integrated treatment room model in Remote and Rural Western Isles

How Western Isles reduced workload for GPs and their staff by transferring responsibility for vaccination services to Board using an integrated treatment room model and a vaccination transformation programme.

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Case study 8: Patient and Public Engagement about Health and Social Care in Clydesdale Locality, South Lanarkshire

How Clydesdale developed a model to help residents become actively involved in developing health and social care services.

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Case study 7: Unscheduled & Urgent Care Service- piloting the use of Paramedics in Remote & Rural Dumfries & Galloway

How integrating Paramedics into GP practices across the remote & rural parts of Dumfries & Galloway, helped to reduce GPs workload.

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Case study 6: Week of care audit for Community Treatment and Care (CTAC) Service Planning in Perth and Kinross HSPC

Find out how Perth and Kinross Health and Social Care Partnership used data from their Week of Care audit to plan their workforce requirement to deliver CTAC services. 

View summary page (PDF) | View full case study (PDF)

Case study 5: Workflow Optimisation in Coldstream GP practice

This GP practice in NHS Borders reduced the number of documents sent to GPs to review by an average of 65%. Learn how they redirected correspondence away from the GP when it could be safely and more effectively managed by another member of the practice team.

View summary page (PDF) | View full case study (PDF)

Case study 4: Clackmannanshire Cluster Quality Leadership

The case study describes how a CQL creates a forum for sharing Quality Improvement initiatives across the cluster. The forum has helped stimulate ideas for QI and service redesign.

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Case study 3: Dumfries & Galloway Cluster Quality Leadership

This case study describes how additional support and facilitation helped to create the conditions for effective cluster working.

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Case study 2: LIST support for Practices in Inverclyde

The Local Intelligence Support Team (LIST) has been providing GP practices in Inverclyde with analysis of the effectiveness of additional healthcare professionals working in primary care.

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Case study 1: Cluster Quality Leadership in East Lothian

How East Lothian have been exploring the role of a CQL and quality planning.  CQLs have worked at linking with a variety of teams across the Health and Social Care Partnership.

View summary page (PDF)

Case Studies available from Health Scotland

Community Compass Case Study, Edinburgh:

http://www.healthscotland.scot/media/2069/community-compass-case-study.pdf

Describes local models of social support for mental health.

Use as an example of social prescribing that may help to inform service development ideas or decisions.

Forensic Employability Pathway:

http://www.healthscotland.scot/media/2073/employability-pathway-case-study.pdf

Describes employability pathway for those with severe mental health problems.

Use as an example of social prescribing that may help to inform service development ideas or descisions.

Community Health Connections, Fife:

http://www.healthscotland.scot/media/2070/community-health-connections-case-study.pdf

Describes role of a 'health coach' for patients with mental health problems.

Use as an example of social prescribing that may help to inform service development ideas or decisions.

Dundee Healthy Living Initiative:

http://www.healthscotland.scot/media/2072/dundee-case-study.pdf

Describes the introduction of ‘Mind Yer Heid’ training focused on addressing factors affecting mental health and wellbeing.

Use as an example of social prescribing that may help to inform service development ideas or decisions.

Falkirk District Association for Mental Health:

http://www.healthscotland.scot/media/2074/falkirk-district-association-for-mental-health-case-study.pdf

Describes the local social prescribing service for patients with mental health conditions.

Use as an example of social prescribing that may help to inform service development ideas or decisions.

Well Connected At Levengrove (Horticulture Service) Work Connect:

http://www.healthscotland.scot/media/2078/work-connect-case-study.pdf

Describes structured employability interventions for groups of people with mental health problems.

Use as an example of social prescribing that may help to inform service development ideas or decisions.

Well Connected Pillar Kincardine Women's Group (Stonehaven):

http://www.healthscotland.scot/media/2075/pillar-kincardine-case-study.pdf

Describes how this Women’s Group supports women suffering from mental ill health.

Use as an example of social prescribing that may help to inform service development ideas or decisions.

Community Conversations for Refugee and Asylum Seeking Women:

http://www.healthscotland.scot/media/2076/sanctuary-case-study.pdf

Describes a ‘Community Conversations’ course for asylum seeking and refugee women; a training course for professionals and co-production of a mental health resource booklet with the women.

Use as an example of social prescribing that may help to inform service development ideas or decisions

 

Case studies in development

We are working to capture areas on improvement and new innovations happening across Scotland. We are currently working on the following 5 case studies:

Workflow Optimisation in Millig- In review

The case study describes how staff in the Millig Practice conducted a project in Workflow Optimisation to reduce the turnaround time to action letters and results received in docman.

NSAIDs - Communication Care Toolkit Development- In review

NSAIDs are associated with more emergency hospital admissions that any other class drug. This case study describes how NHS Grampian work towards ensuring key safety information reached every patient, every time they were dispensed NSAIDs.

PLAAN: Improving Anticipatory Care Planning for high need/risk of admission individuals with North East Edinburgh GP practices - in progress

Testing a systematic approach with GP practices to review data on high need/risk of admission patients and identify which patients would benefit from an ACP review. 

Stay tuned for these being published on the portal. You can stay up to date with all latest case studies by signing up to our newsletter. If you have any requests for case studies or want to showcase 

Thank you to all the teams that have shared their expereinces so far. If you or a team you know have a case study you would like to share we'd love to hear from you. Please contact hcis.pcpteam@nhs.net.