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The Exceptional Potential of Each General Practice. Dr Niall Maguire Navan. Bedford Medical Centre , Navan. The Exceptional Potential of Each General Practice Rural vs Urban Core vs Enhanced Practice The Primary Care Surgical Association Barriers to Enhanced Practice. - PowerPoint PPT Presentation
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The Exceptional Potential of Each General Practice
Dr Niall Maguire
Navan
Bedford Medical Centre , Navan
The Exceptional Potential of Each General Practice
•Rural vs Urban
•Core vs Enhanced Practice
•The Primary Care Surgical Association
•Barriers to Enhanced Practice
The Exceptional Potential of Each General Practice
•Rural vs Urban
•Core vs Enhanced Practice
•The Primary Care Surgical Association
•Barriers to Enhanced Practice
The Health Park, Waterford City
European level population density- Stable Night Lights International Institute for Applied Systems Analysis (IIASA)
Census 2011 Population density AIRO NUI Maynooth
Navan Urban (3,168)(1789/km2)
Navan Rural (26,657)(453/km2)
Castletown Kilpatrick (1,017)(29.5/km2)
Census 2011
Cities and suburbs
Towns with population greater than 10000
Towns with population 1500-9999
Towns with population less than 1500
General Practice by Fionn McCann
The Exceptional Potential of Each Consultation. (Stott, Davis 1979)
Acute Illness
Health promotion
Chronic disease
Modifying Help
Seeking Behaviour
The Exceptional Potential of Each General Practice
•Rural vs Urban
•Core vs Enhanced Practice
•The Primary Care Surgical Association
•Barriers to Enhanced Practice
Grange Clinic, Donaghmede
The Exceptional Potential of Each Consultation. (Stott, Davis 1979)
Acute Illness
Health promotion
Modifying Help
Seeking Behaviour
THE CORE ELEMENTS
The Exceptional Potential of the GP Practice
Acute Illness
Enhanced Practice
Occupational Health
Health Screening
Prison medical
Aeromedical
Events Medicine
Travel Medicine
Sexual Health
Addiction
Psychotherapy
Community Surgery
Emergency services
The Exceptional Potential of the GP Practice
Acute Illness
Chronic disease
NIDDM 430
COPD 252
Asthma 679
IHD
Hypertension 1452
Gout 260
HfeHC 52
Neuro/Psychiatry
......Prevalence Bedford Med Centre, Navan
The Exceptional Potential of Each General Practice
•Rural vs Urban
•Core vs Enhanced Practice
•The Primary Care Surgical Association
•Barriers to Enhanced Practice
Ardfert Medical Centre
The Exceptional Potential of Each General Practice
•Rural vs Urban
•Core vs Enhanced Practice
•The Primary Care Surgical Association
•Barriers to Enhanced Practice
5,900 Consultations
2,700 Telephone Consultations
2,500 Repeat Prescriptions
270 House calls
5,900 Consultations
2,700 Telephone Consultations
2,500 Repeat Prescriptions
270 House calls
CDM
5,900 Consultations
2,700 Telephone Consultations
2,500 Repeat Prescriptions
270 House calls
CDM
AUDIT
5,900 Consultations
2,700 Telephone Consultations
2,500 Repeat Prescriptions
270 House calls
PCT Meetings
Medical Council
CDM
HiQA
AUDIT
2002 2003 2004 2005 2006 2007 20080.0
20.0
40.0
60.0
80.0
100.0
120.0
140.0
160.0
180.0
DenmarkIrelandFranceNetherlandsUnited Kingdom
GPs/100,000 population Eurostat 2012
Hospital Physicians/100,000 population Eurostat 2012
2002 2003 2004 2005 2006 2007 2008 20090.0
10.0
20.0
30.0
40.0
50.0
60.0
70.0
80.0
DenmarkIrelandFranceNetherlandsUnited Kingdom
Abbey House Medical Centre, Navan
Hospital GP
DocPay
Doc Pension
Accomodation
Equipment
Nursing
Admin
Productivity. Bedford Medical Practice 2005-2011
2005 2007 2008 2009 2010 20110
1
2
3
4
5
6
7
8
Total PracticeIncome € millions
GMS list 1000s
6 6 6.5 7 7 7 7 No of GPs employed
Health gain as Investment Increases
Cost as Availability Increases
Investment >>>>
Availability >>>>
The rural GP
Outstanding in his own field