The CCG work across the region to improve healthcare provision, involve patients and provide the best services for the health and wellbeing of the community. We feel that we make a real difference in the region.

Here are a few recent examples of achievements in Sunderland:

Urgent Care

  • We’ve established strong links between the reform of the Urgent Care system and the reform chronic obstructive pulmonary disease (COPD) pathway reform in order to reduce emergency admissions, readmissions and the length of hospital stay through the development of a greater preventative integrated approach
  • We’ve introduced a standard emergency assessment pro forma for GPs to use before sending a patient to secondary care for assessment or admission. This includes an Early Warning Score (EWS) to increase GP awareness of any alternative services which could be used to manage the patient in the community so that the patient receives the right care in the right place at the right time
  • We’ve implemented a community based cellulitis pathway to allow suitable patients who require intravenous (IV) Antibiotics to be treated in the community instead of triggering a hospital admission together with a protocol using a specific IV antibiotic drug
  • We’ve prioritised funding to implement a community based anticoagulation initiation and monitoring service and rolled out a software tool which identifies patients with Atrial Fibrillation who are suitable for anticoagulation to all practices with appropriate training to ensure patients are identified and treatment commenced for those at risk of stroke.


Chronic obstructive pulmonary disease (COPD)

  • All practices have reviewed their palliative care registers and completed an audit for these patients’ education Session delivered to practices focusing on the prognostic indicator guidance and when COPD should be considered for the palliative register
  • We’ve established a COPD Improvement Group to look at quality of care across the whole health care system. Key actions include: Signed a joint working agreement with the pharmaceutical company GSK to support implementation of project plan All practices are developing individual action plans, with the aim of reducing variation in the quality of care provided



  • We’ve appointed a GP prescribing lead to support the implementation of a Prescribing Incentive Scheme to support practices in achieving quality improvements and deliver quality improvement as well as financial savings
  • We are enabling pharmacists to undertake medicines reviews within care homes to reduce prescribing errors