Implementing Continuity of Care

Commissioning & ICB Staff

GP

PCN Manager

Practice Manager

This practical webinar explores how the Ardens Continuity of Care resources can support GP Practices and PCNs in implementing a structured, proactive approach to patient management using the RAG (Red, Amber, Green) model.

What the session covers

  • Using the Ardens registers and reports to segment your patient population by clinical need, identifying those requiring proactive and personalised care

  • Reviewing and maintaining Continuity of Care status, including identifying patients whose circumstances may have changed and require reassessment

  • Improving data quality by identifying patients without a recorded RAG status or where coding may need updating

  • Recording and updating RAG status consistently using Ardens templates to support clinical decision-making

  • Using alerts to prompt review and ensure Continuity of Care status is kept up to date

  • Monitoring Continuity of Care across your practice using dashboards to support population health management, prioritisation, and workforce planning

Resources