Quality of education and patient care

Dr Mark Rickenbach FRCP FRCGP PhD FHEA

GP Trainer and Appraiser

Associate Dean Wessex Deanery

Research Fellow University Winchester

Wessex Deanery Winchester University

www.docrick.co.uk

Factors that improve quality:

Medical education

Secondary care

Primary Care

Management

Patients

 

Are there generic principles?

Aims

Wessex Deanery Winchester University

www.docrick.co.uk

Competing pressures, shift work disrupts contact

Relationship to Trainer GMC survey - linked to satisfaction and error

Back stage continuity - Records

Organisation - Departmental Educational lead

Educational quality

Wessex Deanery Winchester University

www.docrick.co.uk

Supporting educational quality

Professional educator

Feedback local and regional - Action Research

National focus

Wessex Deanery Winchester University

www.docrick.co.uk

“Superb care, crap delivery” ?Cutting back - handle and return

Co-ordinate Pathways of careProactive

Communication TeamElectronic records

Professionalism Review own practice Empower change

Secondary care

Wessex Deanery Winchester University

www.docrick.co.uk

Taking on more with less resource

Proactivity

Continuity – front and backstage (records)

Primary care

Roles clear within the team

Professional - Review own practice Knowledge Experience

Wessex Deanery Winchester University

www.docrick.co.uk

www.docrick.co.uk

My pyjama, me muvver

Three times beware

Sticky carpet iron sign

Knowledge and Experience

LLAMA – Local Linked Addresses Management and Advice

                        

Wessex Deanery Winchester University

www.docrick.co.uk

Factors in Management

Frontstage and backstage continuityKnowledge and experience

Relationships - Two way process

Continuity

Records

FeedbackGiving Feedback Thoughtfully is a GIFT

Wessex Deanery Winchester University

www.docrick.co.uk

Patient perspective

Demand, immediate gratification versus quality

Patience

Relationships build

Continuity enable

Feedback Thanks

Wessex Deanery Winchester University

www.docrick.co.uk

A team that reviews it own roles?

With professionals who review their own practice?

Identify and resolve issues as they arise

What is excellence? A

Wessex Deanery Winchester University

www.docrick.co.uk

Backstage Continuity – complete records?

Frontstage continuity– proportion seeing the same doctor the same issue?

Generic Principles?

Shift the focus for healthcare?

Professional – know the Issues, Actions, Review

Pathways – co-ordinating lead, clear roles and process?Proactive – addressed all issues?

Feedback tools - local and regional?Knowledge and experience resources?

Questions?