Why a dockside health clinic could be the future of NHS care

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.

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.

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.

“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.

“They’re a community that fits into health inequalities, where a population either can’t access, or struggles to access, normal NHS services.”

Clinic staff start early in the morning, walking around the docks and coaxing workers off the boats with promises of free health screenings and physio.

“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.

A pop-up Seafit clinic operates every three months in Brixham and at similar sites at ports across the UK, including Folkestone, Peterhead and Kirkeel in Northern Ireland.

Some services have started to expand and now offer skin cancer checks, mobile dental services and access to mental health counselling.

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