WORKING FOR US
PML provides a number of valued health services to diverse local communities within Oxfordshire and Northamptonshire. Whether working directly with patients and clients or as part of the ‘behind the scenes’ team, all of our staff strive to provide a professional caring and efficient service. PML has a highly skilled and dedicated workforce delivering high quality healthcare for our patients.
Working at PML can be immensely rewarding, whatever role you are in. Everyone counts, and are valued for the part they play in making the company a successful provider of primary care and community services.
We aim to support and develop employees in their role so that they feel confident to undertake the responsibilities placed upon them, and we are continually looking for motivated and innovative staff to join our teams.
Dr John Harrison,
WHAT DOES PML DO?
BANBURY CROSS HEALTH CENTRE
PML provides GP services (GMS) at Banbury Cross Health Centre which operates from South Bar House in the centre of Banbury, with a branch surgery at 58 Bridge Street, Banbury. The service has a registered population of over 40K patients. Our easily accessible locations provide a flexible range of bookable appointments and other services for patients, based on the guiding principle of ensuring that the local public can access services between 8am to 6:30 pm, five days a week, in addition to providing some services in the evenings and weekend. Alongside our large team of GPs and Nurses, we employ a number of Allied Health Professionals including Clinical Pharmacists, Physiotherapists, Mental Health Workers and Paramedics. Our new Social Prescribing team offer extra support for our more vulnerable patients.
The Practice has delivered over c70k Covid Vaccinations since the start of the pandemic.
The Practice is the largest research site in the Thames Valley region and in 2021/22 was involved in 38 studies and has recruited 1451 patients.
The Practice is rated Good in all domains by the CQC.
Find out more here: Banbury Cross Health Centre
“I have been suffering from a bad back for two months, it was limiting my day to day activities. I decided to contact the GP, went on the NHS app, sent an email with my symptoms, it also asked about any other symptoms, which could be red flags. Had an email saying a clinician would be in touch before 6:30pm the following day. A phone call from the physiotherapist at the surgery, went through everything again, talked me through options including an appointment if I wanted one, sent me a comprehensive list of exercises and what to do if other symptoms appeared. A self-referral link if things don’t improve. What a great service.”
PML provides proactive assessment and support to people with long-term conditions and their carers, promoting independence at home and preventing unplanned admission to hospital. The Collaborative Care Team (CCT) is available to patients registered with 10 GP practices in South Northants. It comprises a Nurse clinician, Assistant practitioner and Occupational Therapist and operates Monday to Friday between 8:30am and 5:00pm.
The collaborative care teams are tasked with assessing patients predominantly with long-term conditions and complex medical needs, helping and supporting them to manage their condition and prevent unplanned hospital admissions. This support includes education, referring to other agencies and supporting carers looking after these patients.
The aims of this service are to:
- Reduce Non Elective Admissions and A&E attendances.
- Reduction in Length of Stay in hospital beds.
- Increase the number of personalised care plans.
- Increase in the number of frailty assessments.
- Increase the number of patients actively managed by the collaborative care team.
- Provide collaborative care support.
“I was very impressed with the care and advice given.”
COMMUNITY GYNAECOLOGY SERVICE
PML is commissioned by Oxfordshire Clinical Commissioning Group to provide a Community Gynaecology Service. The services is provided by suitably experienced GPs who are supervised by a Community Gynaecology Clinical Lead and works closely with the Oxford Universities Hospital FT Gynaecology Service.
The service takes referrals from GPs in Oxfordshire and offers telephone consultations and if required face to face appointment in Oxford City, Banbury, Didcot, Kidlington and Long Hanborough
The scope of the service covers:
Patients age 17-65 years with a Gynaecology presentation needing investigation and treatment which will include the following Tier 1 list:
- Provision, fitting and monitoring of all non-contraceptive intrauterine devices (IUD and IUS), on the OCCG formulary where this is unavailable in local practices;
- Management/support of post coital bleeding;
- Failed cervical screening test tests;
- Heavy menstrual bleeding (HMB) unresponsive to initial treatment;
- Inter-menstrual bleeding;
- Lost coil threads investigation;
- Prolapse assessment/ring pessaries fitting and monitoring;
- Management of polyps.
The service plans to introduce a menopause service in the spring of 2022
PML have also been commissioned by Nene CCG to run a pilot Community Gynaecology Service in Northants commencing Spring 2022.
“The doctor I saw was fantastic, thorough, clear and knowledgeable, and gave me an explanation for an issue that several appointments at my GP and another clinic, over several years, couldn’t resolve. Wish I’d just been referred here straight away!’”
“I was really impressed, the doctor was wonderful, she explained everything and I really felt she had time and we weren’t rushed at all. It felt like a ‘private ‘consultation.’”
“The doctor and the lady who was supporting her were both lovely, friendly and made me feel very comfortable. I was given lots of information and the doctor answered all the questions I had. The appointment went as well as it could have, and I was very happy with the service I received.”
PML provides counselling services in partnership with Oxfordshire Health NHS Foundation Trust and Oxfordshire Mind. The partnership venture is called TalkingSpace Plus and was commissioned by the NHS (Oxfordshire Clinical Commissioning Group) in 2016 as a five year contract to provide wellbeing and psychological services for common mental health difficulties.
As part of TalkingSpace Plus, PML counsellors work with people who are struggling with mental health issues such as depression and who may be affected by life issues and anxiety related problems. Counsellors work to help reduce risk and support people to develop ways of coping and ways of understanding their situation at a difficult time in their lives. There will often be goals to aim for, such as a return to work, or improved personal relationships, or to start to enjoy life more.
This contract will provide wellbeing and psychological services for common mental health difficulties for the next five years. The new service delivered by the three providers is called TalkingSpace Plus.
TalkingSpace Plus is easy to access and can offer help to people with a range of common mental health problems. The service is confidential and is available to adults aged 18 and over who are registered with an Oxfordshire GP.
Find out more about TalkingSpace Plus here.
Data sharing: TalkingSpace Plus partners (Oxford Health NHS Foundation Trust, Oxfordshire Mind and Principal Medical Limited) share information to help them provide the best possible health care and support to patients using TalkingSpace Plus services. All personal information is kept securely and follows strict confidentiality procedures. Find out more about your health record here.
HOSPITAL AT HOME
PML provides rapid community assessment and intervention to people in their homes to avoid hospital admissions and facilitate discharge from hospital. The Hospital at Home team works closely with local hospitals and GP practices to facilitate early discharges by supporting patients and continuing treatments initiated in hospital, after they have returned home. The service is available to patients in the North and North East of Oxfordshire every day between 8:00am and 10:00pm.
This service provides a community based, sub-acute alternative to non-elective acute admission to hospital, including:
- Rapid community assessment and intervention in the patient’s home environment to avoid acute admission where safe and appropriate to do so.
- Clinical intervention to facilitate and enable timely discharge from acute admission.
- Holistic care that promotes and supports individuals in maintaining their independence.
- Integrated operational delivery across the sub-acute urgent care pathway to ensure high quality, safe care that minimises patient delays.
The Hospital at Home team of Registered Nurses, Emergency Practitioner and Assistant Practitioners, work closely with the patient’s own GP who provides medical oversight of the patient’s needs. Examples of the clinical issues the service addresses are:
- Patients experiencing difficulty coping at home due to various illnesses.
- Exacerbations of chronic diseases (including COPD, heart failure, diabetes, dementia).
- Sudden onset medical illness in frail elderly.
- Acute infections e.g. cellulitis or respiratory infection.
- Urinary tract infections.
- Care following elective surgery.
- Patients requiring support at the end of their life.
- Post hospital discharge monitoring.
Feedback from GP Practice
“I just wanted to pass on a big thank you to all of you for your support and ongoing hard work in recent weeks and months. This is particularly after support for our surgery with a patient requiring IV/ sub-cut fluids. I know it is so easy to overlook everyone’s efforts, especially in the current climate and knowing things are only likely to become more trying. Your efforts, support and communication have been second-to-none and I am so grateful of that. I hope you can pass this on to all of the team from us here at the Practice.”
We offer an ‘at-cost’ PCN support service to our federated practices including managed and supervised Clinical Pharmacy, Social Prescribing, First Contact Paramedic and First Contact Physio services, and other services as requested by our members PCNs.
PRIMARY CARE VISITING SERVICE
The Primary Care Visiting Service is made up of a team of Emergency Care clinicians working closely with GP practices and other Community Health and Social Care services. The team provide home visits to patients on behalf of their GP. This service was initially provided in North Oxfordshire and was rolled out across to the PML Federation localities in Oxfordshire during 2016.
The aim is to identify the need for early support before a patient’s condition deteriorates and they need to be admitted to hospital.
Local GP feedback about the service
“I’d just like to say a big thank you to XXXXX and indeed all the PCVS team, since other clinicians have been equally helpful in the recent past, as have the admin team.
XXXX saw a patient for me late afternoon on Tuesday 21st December. The visit request came to us late and I thought I’d missed the boat for a PCVS referral, but he squeezed her in. It’s a visit that I would otherwise have had to do much later that evening as I was in the middle of clinic which didn’t finish until very late. It turned out to be a complicated scenario which needed thought and a fair bit of sorting out.
PCVS makes a huge difference to GPs, especially in these more complex scenarios later in the day, as these are visits that somehow, we would otherwise have to shoehorn into frantic days. It is very much appreciated.”
PUBLIC HEALTH SERVICES
PML is an approved provider of Community Primary Care Services commissioned by Oxfordshire and Northamptonshire County Councils.
Services are sub-contracted to the general practices where a patient is registered. PML is contracted by Oxfordshire County Council to deliver public health contracts comprising Long Acting Reversible Contraception services, NHS Health Checks and Opiate Substitution Therapy. These services are provided through a sub contractual relationship with participating GP Practices comprising the Federations within the North and North East of Oxfordshire.
In Northamptonshire PML is contracted to provide the NHS Health Check Programme.
URGENT CARE CENTRE
PML and Oxford Health FT provide an Urgent Care Centre (UCC) at the Fiennes Centre in Banbury. The service commenced on the 2 February 2022, initially operating from 8am–10:00pm, but with plans to extend to 24 hours / day, every day of the year.
The service will be GP led and provide treatment for patients with minor illness. The UCC will provide a service for ‘Walk In” patients from the Horton Hospital Emergency Department and take referrals from 111 for primary care conditions.
All our Services are rated GOOD in all domains by the Care Quality Commission.