Posted on: 17 June 2026
SPEN Primary Care Network (PCN) has been announced as the winner of the SystmOne GP Excellence Awards after a vote by SystmOne users.
It follows a presentation on its work with GPs, patients and service providers.
One in eight of the patients in the PCN has a frailty diagnosis and the PCN engaged with patients to understand more about what affects their health.
The PCN then collaborated with each of its seven practices to create a tailored patient list and a multidisciplinary team to look holistically at how they can improve the health and care of patients who would benefit most from this approach.
The engagement process found mental health and social care issues were central to improving the quality of life for these patients in addition to GP led support, physiotherapy/rehabilitation, personalised care plans and medication reviews. Making simple changes resulted in reduced duplication and the need for additional health care appointments.
Dr Danielle Nimmons, Academic GP at Liversedge Medical Centre, PCN Clinical Director and the lead clinician behind the project, said: “Everyone is so happy. Delighted. It is validation that what we are doing is good.
“It’s beneficial seeing the providers working well together. We all feel equal in what we bring to this work, and we all have a voice. Each partner is an expert in their field, and it is empowering them to improve the lives of our patients.
“We’ve seen positive results within just six months, and we are looking to roll this out across all the PCNs in North Kirklees. I can even see this approach being adopted in other areas of West Yorkshire or maybe even further afield.”
The presentation delivered for the award submission by Dr Danielle Nimmons is available on YouTube.
Alongside her work as a GP at Liversedge Medical Centre, Danielle works as a researcher at the University of Leeds, supported through the National Institute for Health Research (NIHR) Applied Research Collaboration in Yorkshire and Humber, and as an NIHR clinical lecturer.
Danielle and her team are hoping to spread the award-winning work to other parts of Kirklees, Yorkshire, and nationally.