Deep End Wales

The Deep End project started over a decade ago in Scotland, when it brought together front-line general practitioners working in the 100 most deprived communities. They decided not to produce a report on health inequalities nor to provide general practitioners with a toolkit but rather to listen to what general practitioners serving the most deprived general practices had to say. It captured their experiences, views, and ambitions through a series of round table discussions.

The term "Deep End" came from a cartoon representing a swimming pool analogy, with patients at the Deep End drowning called General Practitioners at the Deep End: The experience and views of general practitioners working in the most severely deprived areas of Scotland.

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Health Inequalities Study Day, Thursday 21 March 2024

Join us for our study day looking at addressing aspects of health inequalities.

  • Thursday 21 March 2024, All Nations Centre, Cardiff, 09:00 to 17:00
  • Open to all interested in health inequalities
  • Certificate of attendance, suitable for CPD portfolio
  • £10 registration fee (non-refundable)

Register here to attend the study day.

For further information contact Melanie Peters, Project Manager: DeepEndWales@rcgp.org.uk.

Who's who

  • Clinical advisor: Professor Kamila Hawthorne, Chair, RCGP GP, Mountain Ash
  • Clinical advisor: Dr Rowena Christmas, Chair, RCGP Wales GP, Trellech
  • Clinical lead: Dr Mair Hopkin Associate, Dean, HEIW Retired GP
  • Clinical lead: Professor Peter Saul Glyndwr, University GP North East Wales
  • Project lead: Nicola Edmunds, Head of RCGP Wales and ROI
  • Project manager: Melanie Peters
  • Public health lead: Dr Kathrin Thomas, Retired GP
  • Academic lead: Dr Haroon Ahmed Senior, Clinical Lecturer, Cardiff University
  • Qualitative research lead: Professor Fiona Woods, Medical Sociologist, Cardiff University

Roles and opportunities

Deep End Wales is looking for a new Chair and Deputy Chair. The Chair role is open to general practitioners and the Deputy Chair role is open to general practitioners, practice managers, practice nurses, and others. Both roles will require experience of working within Deep End practices.

Due to the current uncertainty of funding from Welsh government, the roles will initially be on an informal and voluntary basis but with aspirations to work towards securing funding and reimbursement for time and commitment. If further funding is secured, this arrangement will be revisited and appointees can take forward the most appropriate structure.

If you are interested in either role, please forward your skills and expertise (no more than one side of A4) to: Melanie Peters, Deep End Project Manager at DeepEndWales@rcgp.org.uk by  9am, Monday 26 February.

Interviews will be held on Wednesday, March 13th 2024.

Progress

Deep End is a movement, and not a structure or organisation. It can align with current place-based approaches to add additional value.

Deep End Cymru invites participation from 100 practices which have the highest proportion of patients living in the most deprived areas. We are a network for mutual support and invest time and energy to identify the common challenges and find the best solutions. The first phase has engaged positively with Deep End eligible practices could reach 382,450 people living in the most deprived 20%, which is almost 60% of the Welsh population living in these Lower Layer Super Output Areas (LSOAs).   

In November 2022, the project was launched at a face-to-face meeting in Gwent. 25 practices were represented. A series of key priorities came out of this event, which have been systematically explored in more detail at the subsequent round table events. Three successful round table events were held in March 2023 in Cardiff, Swansea in July 2023 and Cardiff in September 2023. A fourth event is planned for February 8, 2024, in Cardiff.

We have a steering group which consists of GPs and practice managers from over 20 Deep End practices, with the core team above. They meet monthly. 

Deep End has an academic home with Cardiff University Division of Population Medicine, through Dr Haroon Ahmed. We are conducting a research study to better understand the perspective of health professionals working in Deep End practices.

In the first year of Deep End Wales, 85% of eligible practices responded positively. Of these, 31% attended at least one of the four events, some sending more than one member of staff.

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Contact us

Please contact Melanie Peters, Project Manager DeepEndWales@rcgp.org.uk for further information.