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Using a patient-focused approach to improve services in a nurse-led general practice.

A nurse-led general practice adapted its services to reflect patient feedback and avoid unnecessary referrals to acute care. Changes included planned extended services delivered collaboratively with other practices. The work by Rowley Healthcare to redesign services comes at a time when the NHS is keen to promote and spread innovation in service delivery. In April, health minister Lord Darzi said that strategic health authorities would receive funding to support innovative local projects. An Innovation EXPO where NHS staff can learn about innovations is being held this month in London on 18 and 19 June (NHS Institute for Innovation and Improvement, 2009).