uaetodaynews.com — Why a dockside health clinic could be the future of NHS care

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He is standing on his fishing boat in the harbour, and wearing a black T-shirt and a black plastic life jacket. Behind him is Brixham harbour, with fishing boats in the harbour. “,”blocks”:({“type”:”fragment”,”model”:{“text”:”Tom Parker is staring straight into the camera. He is standing on his fishing boat in the harbour, and wearing a black T-shirt and a black plastic life jacket. 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So much so, I couldn’t get up off the floor.””,”blocks”:({“type”:”fragment”,”model”:{“text”:””I was pulling one of the ropes and I slipped and fell,” he says. “I had this really, really bad pain in my ankle. So much so, I couldn’t get up off the floor.””,”attributes”:()}})}},{“type”:”paragraph”,”model”:{“text”:”He didn’t know it at the time, but Tom, 37, had broken his fibula and badly damaged his ankle ligaments.”,”blocks”:({“type”:”fragment”,”model”:{“text”:”He didn’t know it at the time, but Tom, 37, had broken his fibula and badly damaged his ankle ligaments.”,”attributes”:()}})}},{“type”:”paragraph”,”model”:{“text”:”He somehow hauled in his fishing gear and made it to hospital to get patched up, but months after the accident his wound just wouldn’t heal properly.”,”blocks”:({“type”:”fragment”,”model”:{“text”:”He somehow hauled in his fishing gear and made it to hospital to get patched up, but months after the accident his wound just wouldn’t heal properly.”,”attributes”:()}})}},{“type”:”paragraph”,”model”:{“text”:”It was only after he turned up at an innovative clinic on the quayside in Brixham that he was put on strong antibiotics and told he needed a second operation.”,”blocks”:({“type”:”fragment”,”model”:{“text”:”It was only after he turned up at an innovative clinic on the quayside in Brixham that he was put on strong antibiotics and told he needed a second operation.”,”attributes”:()}})}},{“type”:”paragraph”,”model”:{“text”:””Without that service, I would have probably ended up with my leg turning septic and I’m not too sure what would have happened after that,” he says.”,”blocks”:({“type”:”fragment”,”model”:{“text”:””Without that service, I would have probably ended up with my leg turning septic and I’m not too sure what would have happened after that,” he says.”,”attributes”:()}})}},{“type”:”paragraph”,”model”:{“text”:”Under a 10-year plan, published last month, health officials said the NHS in England needed to undergo a radical shift, away from hospitals to community care, and away from treating sickness to preventing it in the first place.”,”blocks”:({“type”:”fragment”,”model”:{“text”:”Under a 10-year plan, “,”attributes”:()}},{“type”:”urlLink”,”model”:{“text”:”published last month”,”blocks”:({“type”:”fragment”,”model”:{“text”:”published last month”,”attributes”:()}}),”locator”:”https://www.bbc.co.uk/news/articles/cjd2y7dkjpxo”,”isExternal”:false}},{“type”:”fragment”,”model”:{“text”:”, health officials said the NHS in England needed to undergo a radical shift, away from hospitals to community care, and away from treating sickness to preventing it in the first place.”,”attributes”:()}})}},{“type”:”paragraph”,”model”:{“text”:”There are already small-scale examples of that approach in action across the country. “,”blocks”:({“type”:”fragment”,”model”:{“text”:”There are already small-scale examples of that approach in action across the country. “,”attributes”:()}})}},{“type”:”paragraph”,”model”:{“text”:”So what can we learn from the Brixham model and how can the idea of targeted, local care be extended to treat millions more NHS patients?”,”blocks”:({“type”:”fragment”,”model”:{“text”:”So what can we learn from the Brixham model and how can the idea of targeted, local care be extended to treat millions more NHS patients?”,”attributes”:()}})}})}},{“type”:”advertisement”,”model”:{“adType”:”horizontal”},”incrementedType”:”mid_1″},{“type”:”image”,”model”:{“blocks”:({“type”:”caption”,”model”:{“blocks”:({“type”:”text”,”model”:{“blocks”:({“type”:”paragraph”,”model”:{“text”:”The fishermen’s health clinic in Brixham is one of 79 Seafit clinics set up in fishing ports across the UK since 2019″,”blocks”:({“type”:”fragment”,”model”:{“text”:”The fishermen’s health clinic in Brixham is one of 79 Seafit clinics set up in fishing ports across the UK since 2019″,”attributes”:()}})}})}})}},{“type”:”altText”,”model”:{“blocks”:({“type”:”text”,”model”:{“blocks”:({“type”:”paragraph”,”model”:{“text”:”A wide shot showing the entrance to the fishermen’s health clinic in Brixham trawler agent’s office. There are two receptionists in front of a table in the room which is divided up by temporary blue screens. A doctor is in the middle cubical speaking to a patient. A temporary sign lists the various services on offer including GP access, blood pressure checks and skin cancer checks. “,”blocks”:({“type”:”fragment”,”model”:{“text”:”A wide shot showing the entrance to the fishermen’s health clinic in Brixham trawler agent’s office. There are two receptionists in front of a table in the room which is divided up by temporary blue screens. A doctor is in the middle cubical speaking to a patient. A temporary sign lists the various services on offer including GP access, blood pressure checks and skin cancer checks. “,”attributes”:()}})}})}})}},{“type”:”rawImage”,”model”:{“width”:658,”height”:440,”locator”:”9bb3/live/9e612f30-7381-11f0-a52b-2f1937b0af42.jpg”,”originCode”:”cpsprodpb”,”copyrightHolder”:”BBC”,”suitableForSyndication”:true}})}},{“type”:”text”,”model”:{“suitableForAbridgement”:false,”blocks”:({“type”:”paragraph”,”model”:{“text”:”On a clear summer morning a spare room in the trawler agent’s offices in Brixham harbour is quickly being converted into a temporary health clinic.”,”blocks”:({“type”:”fragment”,”model”:{“text”:”On a clear summer morning a spare room in the trawler agent’s offices in Brixham harbour is quickly being converted into a temporary health clinic.”,”attributes”:()}})}},{“type”:”paragraph”,”model”:{“text”:”Blue screens are dragged across to split up the space: a makeshift reception at the front and then just enough room to cram in two GPs, a pharmacist, a physiotherapist, two nurses and someone organising prostate cancer tests.”,”blocks”:({“type”:”fragment”,”model”:{“text”:”Blue screens are dragged across to split up the space: a makeshift reception at the front and then just enough room to cram in two GPs, a pharmacist, a physiotherapist, two nurses and someone organising prostate cancer tests.”,”attributes”:()}})}},{“type”:”paragraph”,”model”:{“text”:”There’s a steady line of port workers coming in, from buyers in the fish market next door to crews from the trawlers in the harbour.”,”blocks”:({“type”:”fragment”,”model”:{“text”:”There’s a steady line of port workers coming in, from buyers in the fish market next door to crews from the trawlers in the harbour.”,”attributes”:()}})}},{“type”:”paragraph”,”model”:{“text”:””The skippers of the boats and the whole fishing community now know exactly where to find us,” says Dr James Gunning, the local NHS GP in charge of the clinic that day.”,”blocks”:({“type”:”fragment”,”model”:{“text”:””The skippers of the boats and the whole fishing community now know exactly where to find us,” says Dr James Gunning, the local NHS GP in charge of the clinic that day.”,”attributes”:()}})}},{“type”:”paragraph”,”model”:{“text”:””They’re a community that fits into health inequalities, where a population either can’t access, or struggles to access, normal NHS services.””,”blocks”:({“type”:”fragment”,”model”:{“text”:””They’re a community that fits into health inequalities, where a population either can’t access, or struggles to access, normal NHS services.””,”attributes”:()}})}},{“type”:”paragraph”,”model”:{“text”:”Staff working on the project start early in the morning, walking around the docks and coaxing workers off the boats with promises of free health screenings and physio.”,”blocks”:({“type”:”fragment”,”model”:{“text”:”Staff working on the project start early in the morning, walking around the docks and coaxing workers off the boats with promises of free health screenings and physio.”,”attributes”:()}})}},{“type”:”paragraph”,”model”:{“text”:””Fishermen don’t have nine-to-five jobs, they don’t have lunchtime where they can just pop off their fishing boat and to the GP’s office, and so it’s really important that we take those services to them,” says Sandra Welch, chief executive of the Seafarers Hospital Society, which runs the initiative along with another charity, the Fishermen’s Mission.”,”blocks”:({“type”:”fragment”,”model”:{“text”:””Fishermen don’t have nine-to-five jobs, they don’t have lunchtime where they can just pop off their fishing boat and to the GP’s office, and so it’s really important that we take those services to them,” says Sandra Welch, chief executive of the Seafarers Hospital Society, which runs the initiative along with another charity, the Fishermen’s Mission.”,”attributes”:()}})}},{“type”:”paragraph”,”model”:{“text”:”A pop-up Seafit clinic operates every three months in Brixham and at similar sites at ports across the UK, including Folkestone, Peterhead and Kilkeel in Northern Ireland.”,”blocks”:({“type”:”fragment”,”model”:{“text”:”A pop-up Seafit clinic operates every three months in Brixham and at similar sites at ports across the UK, including Folkestone, Peterhead and Kilkeel in Northern Ireland.”,”attributes”:()}})}},{“type”:”paragraph”,”model”:{“text”:”Some services have started to expand and now offer skin cancer checks, mobile dental services and access to mental health counselling.”,”blocks”:({“type”:”fragment”,”model”:{“text”:”Some services have started to expand and now offer skin cancer checks, mobile dental services and access to mental health counselling.”,”attributes”:()}})}})}},{“type”:”advertisement”,”model”:{“adType”:”horizontal”},”incrementedType”:”mid_2″},{“type”:”image”,”model”:{“blocks”:({“type”:”caption”,”model”:{“blocks”:({“type”:”text”,”model”:{“blocks”:({“type”:”paragraph”,”model”:{“text”:”Dr James Gunning, a local GP in Brixham, runs the 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expectancy. “,”blocks”:({“type”:”fragment”,”model”:{“text”:”Under the 10-year plan “,”attributes”:()}},{“type”:”urlLink”,”model”:{“text”:”a network of 300 neighbourhood health centres will be opened across England”,”blocks”:({“type”:”fragment”,”model”:{“text”:”a network of 300 neighbourhood health centres will be opened across England”,”attributes”:()}}),”locator”:”https://assets.publishing.service.gov.uk/media/6888a0b1a11f859994409147/fit-for-the-future-10-year-health-plan-for-england.pdf”,”isExternal”:true}},{“type”:”fragment”,”model”:{“text”:”, starting in areas with the lowest healthy life expectancy. “,”attributes”:()}})}},{“type”:”paragraph”,”model”:{“text”:”The sites, which should eventually be open 12 hours a day, six days a week, will be staffed by a mix of GPs, nurses, social care workers, pharmacists, mental health specialists and other medics.”,”blocks”:({“type”:”fragment”,”model”:{“text”:”The sites, which should eventually be open 12 hours a day, six days a week, will be staffed by a mix of GPs, nurses, social care workers, pharmacists, mental health specialists and other medics.”,”attributes”:()}})}},{“type”:”paragraph”,”model”:{“text”:”The big idea, as with the Brixham fishermen’s clinic, is to better tailor health services to local communities, and offer people more checks and tests to stop them falling sick in the first place.”,”blocks”:({“type”:”fragment”,”model”:{“text”:”The big idea, as with the Brixham fishermen’s clinic, is to better tailor health services to local communities, and offer people more checks and tests to stop them falling sick in the first place.”,”attributes”:()}})}},{“type”:”paragraph”,”model”:{“text”:”Much of this might feel very familiar.”,”blocks”:({“type”:”fragment”,”model”:{“text”:”Much of this might feel very familiar.”,”attributes”:()}})}},{“type”:”paragraph”,”model”:{“text”:”Similar ambitions were set out by ministers in 2019, 2015 and even by the Blair government back in the early 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You need the upfront investment and the results might not be visible for five or 10 years, in some cases longer.””,”blocks”:({“type”:”fragment”,”model”:{“text”:””Moving money out of hospitals and into community services is hard to do. You need the upfront investment and the results might not be visible for five or 10 years, in some cases longer.””,”attributes”:()}})}},{“type”:”paragraph”,”model”:{“text”:”Healthcare unions have also questioned how the new centres will be staffed, saying doctors “must not be moved around like pieces on a chess board or made to work even harder”.”,”blocks”:({“type”:”fragment”,”model”:{“text”:”Healthcare unions have also questioned how the new centres will be staffed, saying doctors “must not be moved around like pieces on a chess board or made to work even harder”.”,”attributes”:()}})}})}},{“type”:”advertisement”,”model”:{“adType”:”horizontal”},”incrementedType”:”mid_4″},{“type”:”image”,”model”:{“blocks”:({“type”:”caption”,”model”:{“blocks”:({“type”:”text”,”model”:{“blocks”:({“type”:”paragraph”,”model”:{“text”:”Rob Caunter, 66, was diagnosed with prostate cancer after being given a blood test at the fishermen’s clinic in Brixham”,”blocks”:({“type”:”fragment”,”model”:{“text”:”Rob Caunter, 66, was diagnosed with prostate cancer after being given a blood test at the fishermen’s clinic in Brixham”,”attributes”:()}})}})}})}},{“type”:”altText”,”model”:{“blocks”:({“type”:”text”,”model”:{“blocks”:({“type”:”paragraph”,”model”:{“text”:”Rob Caunter, 66 years old, is seated and staring off camera to the right of frame. 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So we would certainly hope we can prevent more costly illness from developing.””,”blocks”:({“type”:”fragment”,”model”:{“text”:””We’ve picked out others with cardiovascular disease, and those with high blood pressure. So we would certainly hope we can prevent more costly illness from developing.””,”attributes”:()}})}},{“type”:”paragraph”,”model”:{“text”:”Rob Caunter, who finally retired from the fish market this year, is just finishing his radiotherapy treatment for prostate cancer. “,”blocks”:({“type”:”fragment”,”model”:{“text”:”Rob Caunter, who finally retired from the fish market this year, is just finishing his radiotherapy treatment for prostate cancer. “,”attributes”:()}})}},{“type”:”paragraph”,”model”:{“text”:”The 66-year-old, who has a family history of the disease, was diagnosed after staff at the clinic convinced him to take a blood test.”,”blocks”:({“type”:”fragment”,”model”:{“text”:”The 66-year-old, who has a family history of the disease, was diagnosed after staff at the clinic convinced him to take a blood test.”,”attributes”:()}})}},{“type”:”paragraph”,”model”:{“text”:””I was gobsmacked really because I didn’t think there was anything wrong with me,” he says. “,”blocks”:({“type”:”fragment”,”model”:{“text”:””I was gobsmacked really because I didn’t think there was anything wrong with me,” he says. “,”attributes”:()}})}},{“type”:”paragraph”,”model”:{“text”:””If I never went for the checks, I don’t think I would be here today. 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Published on: 2025-08-08 03:01:00
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