Newgate Primary care Network Respond to data Digital and IT District nurses Midwifery Voluntary sector Working with secondary care &OOH Risk Stratification meetings-MDT System perfect week Responsive to feedback Late evening child clinics Varied workforce & appointments GP ANP Physician Associate HCA PN Pharmacist Care Navigators Help needed Infrastructure Funding needed to meet ambition Focus on mental health and children Teenage counsellor in house and in the local academy Think- family Communications and engagement Good relationships with stakeholders including other PCN’s PPG Chair sits on PCN meetings Investment in telephone system Integrated well being BCVS Social care clinics Aurora Smoking cessation Patient engagement Foyer events Social Prescribing Tackling loneliness Person centred care Effective leadership Teamwork