

#340 Tackling Health Inequalities and Transforming Patient Care with Dr Neil Modha
Apr 2, 2025
Dr. Neil Modha, a GP at Thistlewall Medical Centre and chair of a GP federation, shares his innovative work tackling health inequalities within the NHS. He discusses a groundbreaking pilot project aimed at understanding frequent attenders, emphasizing a holistic approach to patient care. Neil explores the balance between technology and personal wellness, pointing out the need to reduce bureaucracy for better efficiency. He reflects on strategic decision-making and the importance of collaboration in enhancing community health outcomes.
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Patient-Driven Care Innovation
- Instead of focusing on medical diagnoses like uncontrolled blood pressure, Neil Modha's practice targeted frequent attenders to understand their real challenges.
- They engaged patients using motivational interviewing to tailor support based on patients' own perspectives and needs.
Use Motivational Interviewing
- Use motivational interviewing with patients to uncover their needs beyond medical symptoms.
- Train social prescribers and staff to apply these skills and better support frequent attenders.
Data Drives Team Support
- Clinicians were initially skeptical but seeing data on attendance reductions galvanized support behind the project.
- Data showing a 75% fall in GP attendance and reduced A&E visits proved the approach's value.