Hypertension recall reset
A missed-review audit brought 91 high-risk patients back into documented blood-pressure and renal monitoring within eight weeks.
107 · Neighbourhood primary care clinic
07
Common Ward
Primary care that remembers the whole chart.
22 min
fictional median waiting time
93%
same clinician on planned review
1 day
abnormal-result callback target
4.8/5
patient plan-clarity score
About
The operating idea
Common Ward is a fictional appointment-based neighbourhood clinic combining family medicine, chronic-care reviews, women's health and same-day assessment. Its information architecture follows the patient's decision path rather than the clinic's departments.
This identity is organised around the care episode, because the organisation becomes credible when the public can follow the same unit practitioners use internally.
The record is not decorative: history, examination, medication changes, safety-net advice and follow-up ownership. That evidence changes how work is scoped, handed over and remembered.
Work register
Three entries from the operating archive
Saturday cervical screening
Monthly extended sessions reduced workday barriers and linked abnormal results directly to named follow-up clinicians.
Medication list reconciliation
A pharmacy-clinic review corrected duplicate or outdated medicines in 27% of participating chronic-care charts.
Capabilities
Built around each care episode
- 01
Same-day assessment
Same-day assessment is scoped through the care episode, with history, examination, medication changes, safety-net advice and follow-up ownership. The boundary, exclusions and handover evidence are stated before work begins.
- 02
Chronic care review
Chronic care review is scoped through the care episode, with history, examination, medication changes, safety-net advice and follow-up ownership. Capacity, constraints and decision ownership stay visible from intake to closeout.
- 03
Women's health
Women's health is scoped through the care episode, with history, examination, medication changes, safety-net advice and follow-up ownership. The boundary, exclusions and handover evidence are stated before work begins.
- 04
Preventive screening
Preventive screening is scoped through the care episode, with history, examination, medication changes, safety-net advice and follow-up ownership. Capacity, constraints and decision ownership stay visible from intake to closeout.
Team / responsibility map
Dr Ayanda Ndlovu
Family physician
Dr Ayanda Ndlovu leads family physician and owns the decisions that touch each care episode. The role is described by responsibility, not decorative biography.
Nurse Priya Govender
Chronic care lead
Nurse Priya Govender leads chronic care lead and owns the decisions that touch each care episode. The role is described by responsibility, not decorative biography.
Zanele Mbeki
Patient navigator
Zanele Mbeki leads patient navigator and owns the decisions that touch each care episode. The role is described by responsibility, not decorative biography.
Process
A sequence with named gates
Gate 1
Tell us what changed
Tell us what changed is the entry control point for a care episode. The team records history, examination, medication changes, safety-net advice and follow-up ownership so the next decision is made from an explicit state, not memory or assumption.
Gate 2
See one accountable clinician
See one accountable clinician is the next control point for a care episode. The team records history, examination, medication changes, safety-net advice and follow-up ownership so the next decision is made from an explicit state, not memory or assumption.
Gate 3
Leave with a written plan
Leave with a written plan is the next control point for a care episode. The team records history, examination, medication changes, safety-net advice and follow-up ownership so the next decision is made from an explicit state, not memory or assumption.
Gate 4
Review what did not resolve
Review what did not resolve is the next control point for a care episode. The team records history, examination, medication changes, safety-net advice and follow-up ownership so the next decision is made from an explicit state, not memory or assumption.
Detail / field notes
Three arguments worth slowing down for
When a cough needs review rather than another syrup
01When a cough needs review rather than another syrup. A working note from Common Ward on the decisions hidden inside neighbourhood primary care clinic. It connects the claim back to care episode and names where professional judgement or uncertainty remains.
Why medication lists drift over time
02Why medication lists drift over time. A working note from Common Ward on the decisions hidden inside neighbourhood primary care clinic. It connects the claim back to history, examination, medication changes, safety-net advice and follow-up ownership and names where professional judgement or uncertainty remains.
Screening works only when follow-up has an owner
03Screening works only when follow-up has an owner. A working note from Common Ward on the decisions hidden inside neighbourhood primary care clinic. It connects the claim back to history, examination, medication changes, safety-net advice and follow-up ownership and names where professional judgement or uncertainty remains.
FAQ
Before you say yes.
Q01
Is this an emergency department?
No. Chest pain, severe breathing difficulty, major trauma, stroke symptoms and other emergencies require emergency services. Same-day clinic care is for urgent but stable problems.
Q02
Can I choose the same clinician?
Planned reviews are booked with continuity wherever possible; urgent slots may be with another clinician who has access to the full chart.
Q03
Do you issue sick notes remotely?
Only when the clinician has enough information to make a defensible assessment. Some concerns require examination before certification.
Contact / 107