Non-System Specific Services
Support for practice systems and processes which can be accessed by any practice regardless of clinical system.
Demand and Capacity Assessment | Understand demand and optimise capacity
Managing demand in a GP practice is crucial to ensuring the delivery of high-quality patient care while maintaining operational efficiency. By better understanding service capacity and demand on services practices can allocate resources more effectively and understand the impacts of change in systems or processes. Taking a proactive approach not only enhances patient satisfaction but also reduces strain on the practice staff.
This work will collect data[1] to be presented in a dashboard to allow practices to review their current access, suggest ways to optimise access, (optionally) provide direct support to reconfigure clinical systems and then review the change.
Price per day per practice for service £300
Key Features
- Data collection and analysis
Practices data from the last 6 months will be collected from SystmOne for analysis and presented back to practices in easy-to-understand visualisations. - Effective planning
Enabling practices to analyse current demand and capacity, identifying areas for improvement. - System Modifications
Direct support is available to facilitate potential changes in practice methods and approaches to work. - Review change process and analyse benefits.
Review changes with updated data to assess impact of change and iterate in improvements. - Sustainable Tools for Ongoing Improvement
Practices will be provided with bespoke Excel tools developed specifically for their needs, enabling them to continue analysing data, monitoring performance, and implementing improvements independently after the initial support ends.
Benefits
By employing this systematic approach, practices can not only address immediate operational challenges but also meet key GP contractual requirements. The combination of robust data insights and tailored support enables teams to make informed decisions, implement targeted interventions, and track progress over time.
[1] Non patient identifiable data
Telephony System Support | Optimising setup and use of digital telephony
Digital telephony in general practice is crucial for streamlining communication between patients and healthcare providers. By optimising telephony systems, practices can enhance accessibility, reduce waiting times, and ensure patient inquiries are dealt with efficiently.
This work will assess the current setup, suggest ways to optimise the patient journey and l. analyse existing data to evidence benefits of change.
- Comprehensive Telephony Flow Assessment
- Streamlined Communication Solutions: Implement system adjustments and best practices to enhance patient accessibility and ensure efficient handling of incoming and outgoing calls.
- Data-Driven Improvement:
Price per day per practice for service £300
Key Features
- Telephony Patient Journey (Call flow) Analysis
Evaluate the existing digital telephony setup to identify strengths, weaknesses, and areas for optimisation within the practice. - Implementation of Call Flow features and suggested changes
Complete implementation of any suggests and missing features from the patient journey call flows. - Planning more effectively
Analysis of telephony performance data to provide evidence for the impact of changes and inform ongoing refinements.
Benefits
Implementing strategies outlined above, practices can greatly improve communication efficiency, patient access, and operational workflows. The combination of digital telephony optimisation and targeted management support ensures that both patient interactions and internal processes are streamlined, leading to enhanced patient satisfaction, better compliance, and more effective use of resources within the practice.
Practice Management Support | Direct support for practice management
Support for GP Practice Managers is designed to streamline operations, enhance clinical compliance, and optimise performance across all areas of practice management. This includes assistance with|
Price per day for service £175
Key Features
- Patient Services | online access to full medical records
- QOF Performance | Tools and dashboards to identify outstanding work, manage partial reviews, and ensure maximum QOF achievement.
- Recall Systems | Implementation and optimisation of recall protocols for Long Term Condition (LTC) reviews, medication monitoring, general recalls and vaccinations.
- Clinical Dashboards | Real-time insights into shared care drug monitoring, immunisation uptake, and outstanding clinical tasks.
- Completing digital tools | DSP toolkit, eDEC and KO14b.
- Operational Efficiency | Support with rota planning, appointment capacity, workflow management, and reducing DNAs (Did Not Attend). S1 capabilities.
- Compliance & Governance | Assistance with meeting CQC requirements, infection control audits, and reporting processes of complaints and significant events.
- Staff Training & Delegation | Guidance on effective task delegation, upskilling admin teams, and integrating digital tools to reduce manual workload. Effective induction.
Online Consultation Implementation | Delivering effective online consultations
Online consultation system is a mandated access method in general practice therefore it is critical to get the system you want and have it running optimally to ensure it works for both you and your patients.
This work will assess the current setup, suggest ways to optimise the system and provide data to evidence benefits of change.
Price per day per practice for service £300
Key Features
- Analysis of current approach
- Linked to demand and capacity, understanding the requirements and optimal approach
- System Design
- Co-designing a system that will work to meet requirements and demand with suggestions on how to implement a pilot for online consultations.
- Implementing
- Where required assistance and training to implement the chosen system.
Benefits
Implementing an optimised online consultation system brings significant as it streamlines patient access to care, reduces administrative burden, and ensures the system is tailored to meet both patient and practice needs. By analysing current approaches, co-designing solutions, and supporting implementation and review, practices can maximise efficiency, enhance patient satisfaction, and make data-driven improvements to capacity and workflow.
Website Support and optimisation | Getting the most from your practice website
A high-quality website is an invaluable asset for any general practice, serving as a central hub for patient communication, information, and engagement. It streamlines the access to practice services, enables easy access to essential health resources, and supports efficient communication between the practice and its patients. By providing up-to-date information and self-service options, a well-designed website enhances patient satisfaction, reduces administrative workload, and helps practices meet the evolving expectations of a digitally connected population.
Price for service £250
Key Features
- Review of current website setup
Review in line with ICB funding requirements (if appropriate) - Assisted change implementation
Implementing and supporting change and new features to website. - Face to Face training and support
Face to face sessions where any questions can be answered by website experts and tailored training can be provided.
Customised Solutions (Additional Fee)
Solutions can be created based on practice needs and requirements. For example, patient questionnaires, eligibility checkers and other innovative tools can be built to meet practice needs and integrated into your website for patients to use.
SystmOne Specific Services
Content built specifically to work within TPP SystmOne which practices can join an organisation group to access
NHS Health Checks | Enhanced NHS Health Checks for Better Patient Care
Simplifying the invitation and data collection to a single contact with the patient and significantly reducing the time required by the clinician performing the health check along with provision of a new digital summary after the check is completed.
The NWPCN NHS Health Checks Process leverages digital tools built into SystmOne to simplify and enhance the health check experience for patients, clinicians, and administrators. This innovative process reduces the time required for health checks and provides a comprehensive digital summary for patients.
Key Features
- Simplified Invitation and Data Collection
- Reports all built into SystmOne for calling patients
- Patients receive a single digital message introducing the NHS Health Check, its purpose, and the option to opt-in or decline
- Pre-health check data (exercise, smoking, alcohol, etc.) is collected digitally and sent back to the practice
- Efficient Appointment Booking
- Admin staff action responses and book appointments using SystmOne Communications Annexe
- Comprehensive Clinical Review
- Clinicians get a dedicated screen in SystmOne to access all necessary information and tools for the health check
- Digital Summary and Follow-Up
- Patients receive a digital message summarizing their results and advising on self-help pathways[1]
Benefits
- Improved Patient Engagement| Patients can easily opt-in and provide pre-health check data digitally.
- Time Efficiency| The streamlined process reduces the time required for health checks for patients and practices
- Enhanced Communication| Digital summaries and follow-up messages keep patients informed and engaged.
[1] Where applicable or a letter can be generated where a digital communication cannot be sent.
Medication and condition monitoring | Safer patient monitoring
Drug Monitoring dashboards designed to support safe and effective prescribing by ensuring that patients on medications requiring regular monitoring are appropriately identified and reviewed in accordance with clinical guidelines. It aligns with Area Prescribing Committee (APC) monitoring protocols and intervals. It flags patients based on due, overdue, or significantly overdue monitoring.
Alignment with CQC expectations for medication safety, allows practices to proactively manage high-risk medications and maintain compliance with regulatory standards.
See screenshots
Key Features
- Comprehensive Monitoring
Regular checks for up-to-date monitoring for high priority and best practice drugs and conditions. - Data-Driven Insights
Information sourced from trusted references like APC, BNF, SPS, and MHRA. - Simpler monitoring of performance
Ability to view immediately practice performance
Benefits
- Safety | Adds an additional safety check alongside existing practice recall processes
- Improved compliance | Compliance with regulatory standards.
- Performance management | Ability to review performance at a glance from dashboard


Visualisations and Dashboards | Practice QOF Performance and missing work monitoring
The dashboard is designed to support the identification and targeting of priority patients in alignment with QOF (Quality and Outcomes Framework) indicators. It highlights patients with outstanding actions and partial reviews, ensuring all necessary components are completed to optimise QOF payment potential.
Functioning as an intuitive and user-friendly tool, the dashboard enables effective tracking and identification of missing indicators when paired with appropriate data outputs. It provides administrative staff, practice managers, and QOF leads with a focused view of incomplete work, facilitating targeted follow-up and enabling practices to maximise performance and financial outcomes under the QOF scheme.
Immunisations Dashboard
The Vaccination Dashboard facilitates the systematic identification and invitation of patients eligible for immunisations. It supports a wide range of vaccination programmes, including Childhood Immunisations, COVID-19, HPV (including for males), Influenza, Pneumococcal, Respiratory Syncytial Virus (RSV), and Shingles.
The dashboard streamlines the call and recall process by highlighting patients due or overdue for specific vaccinations, enabling targeted outreach and improving uptake rates. This functionality enhances practice efficiency, ensures timely immunisation delivery, and supports compliance with national vaccination schedules and public health targets.
Key Features
- Access to QoF Systmone visualisation which alerts on ‘work to do’ for priority patients
- Access to Immunisations Dashboard which aids in inviting eligible patients
- Targets patients missing immunisation
Benefits
- Maximisation of QoF points
- Prioritisation on ‘work to do’
- Insights on regular missing data and how this can be improved
Recall System | Streamlining patient recalls
The NWPCN recall system is designed to streamline the management of QoF, Long Term Condition (LTC) and practice recall reviews by consolidating all necessary assessments into a single appointment. This reduces the number of visits required and enhances efficiency for both patients and practice staff. Recalls are scheduled around the patient’s birth month, creating a predictable and consistent recall cycle.
The system supports the effective coordination of these recalls reviews through integrated reporting and visual management tools. Each LTC has an associated report embedded within the system, linked to a status marker displayed in the patient’s demographic panel. This status marker indicates which LTC review(s) are pending and can include booking details such as the appropriate clinician, appointment duration, and any required tests.
This links into the Reception Visualisation tool, which provides a comprehensive view on a single screen, displaying any outstanding monitoring tasks, blood tests, vaccinations, recalls, as well as past and upcoming recalls and demographic information.
Key Features|
- Clear visible aid for all patient recalls
- Improved patient experience
- Improved patient safety – tests not missed
- Reduction in patient visits to the practice
- Quick action buttons to aid booking
- Staff training on usage of DOT recalls and reception visualisation
Benefits|
- Making every contact count
Less visits to the practice freeing up time
- Access to Reception visualisation
Tool to aid making every contact count
- Comprehensive monitoring
Pulls all the recall data together into one place
Clinical Tools | Additional Tools and processes to optimise consultation and reviews
SystmOne contains a clinical development toolkit and NWPCN have utilised this to create the tools listed below which practices can (optionally) enable to streamline processes, improve safety, increase efficiency and can increase practice income.
Access to this toolset is available by joining a SystmOne organisation group and then notifying the PCN team which tools you would like to be included.
Tools include
- Digital Asthma Reviews | Fully digital Asthma reviews for low priority Asthma patients
- Cancer 2ww safety net protocol | Ensuring 2ww processes are completed with prompts
- Auto pathology review protocols | Identify values in pathology reports and suggest actions / coding to ensure patients are not missing from registers / follow on actions
- Home BP Monitoring | Home BP task scheduled and sent for 7 days entirely within SystmOne which also averages and codes the resulting BP
- Prescription Ready Alert | A prompt which uses comms annexe to email a patient when their prescription has been issued by the practice
- Cholesterol reduction calculator | Provides the % reduction from last 2 values
- Auto Patient PILS | Automated emails and (optionally) SMS messages to patients based on the initiation and/or reauthorisation of certain medications e.g. SGLT2, Topiramate, Insulin and Sulfonylureas
- Think Cancer! | Alert to identify entries in patients with previous cancers
- IIF Cancer Alert | Checks the latest FIT and if further than 21d ago prompts the clinician to check and re-date
- IIF Learning Disability Code Prompt | Alerts user to correctly code LD codes
- Prescribing | SGLT2 and Topiramate initiation coding and counselling protocol
- Enhanced Services | Patient level checking tool to identify missed / incorrect coding