The Stennack Surgery Patient Participation Group

Appointments – Two years on…What do we now offer?

We have 13000 Patients registered with us, plus

temporary residents (often over 20 per day during the

summer) We are open from 8am-8pm

Monday-Friday including Bank Holidays

We Currently Have…

• 10 GP Partners

• 2 Salaried GPs

• 2 Nurse Practitioners

• 2 Senior Nurses

• 4 Practice Nurses

• 2 Assistant Nurse Practitioners

• 1 Health Care Assistant

GP Sessions

• The Partners work an agreed number of sessions per week. Several of our GPs work in other specialist clinics across the County and are therefore not at the Stennack Surgery every day

• The GPs currently work a total of 63 sessions per week

• Every GP has a buddy who covers their work in their absence

What is a session?

• One session = Half day• General Clinic = 15 x 10 minute appointments• Joint Clinics & Tutorials with GP Trainees &

Foundation Doctors• Same Day Doctor (Duty Doctor)• Nursing Homes weekly rounds (We look after

five)• Community Hospital ward round• Women’s Health Clinic• Minor Operation Clinics

How Many Appointments?

• We are currently offering about 900 GP/SDS appointments each week – 160-200 per day

• We have pre-bookable, 48hr and “Book on the Day” appointments

• The SDS offers over 50 appointments each day for acute problems in addition to its walk-in for Minor Injuries

• Certain number of GP appointments released 48 hours ahead

New• On-line booking now available for GPs (Unbooked

appointments are released for general use 24 hrs ahead)

WEEK 1

Mon Tues Wed Thurs Fri

Colin LN7/6.30 EX/SDDpm

30 10 40

Dan EDD/6.30 SDDam Vispm

30 15 30 30 105

Will Vispm TW/HDpm SDDam/6.30

30 15 15 60

Rupert SDDam EX/   JT/Tutam

Morrall 15 25   15 55

Sarah WHpm SDDam/JT/Tutpm

30 15 0 45

Frank EHpm Vispm EHam SDDpm

15 30 5 15 65

Michele SDDpm Cwam/Vispm

15 20 35

Anna   SDDpm

30 15 45

Sam 6.30

15 15 15 15 60

Rupert Rxpm 6.30

Manley   15 25 15 55

Aida SDDam

10 25 35

Jane Lucas- SDDpm Carram/Vispm

McGrath 30 15 23 68

ST3(SAR)-Sophie Spencer videopm SDLam/VTSpm SDSpm EHam/JT/Tutpm

14 13 0 7 3 37

0

F2(RMO) JT/Tutam/SDSpm

9 9 7 4 29

STUDENT(S)

0

SAME DAY SERVICE ST3 F2pm

0

Offered appts 173 182 120 137 122 734FIGURES SHOWN IN RED ARE THE NUMBER OF APPOINTMENTS OFFERED PER DAY(Not allowing for supervision slots)

JT Joint surgery EH Edward HainPD Practice Development Carr Carrick Lodge

MO Minor Ops   SDDpm Same Day Dr pmEDD Duty Doc Early Cover CW Cornwallis

WH Womens HealthVispm Early pm clinic & late visits

LN7 Late night to 7pm

SDD am Same Day Dr am TUT Tutorials

TW/HD Trewartha/Headlands

6.30 6.30-8.00 cover

           

What does the Same Day/Duty/on-call Doctor do?

• Triages/assesses requests for visits• Offers on the day telephone consultations where

clinically urgent• Deals with all clinically urgent matters requested by

community team e.g. District Nurses/Macmillan nurses• Supports the SDS and the nursing team with complex

patients• Triages & sees patients where appropriate on the day

when all other appointments are fully booked• Can be as many as 50 encounters per session

What else do the GPs do?

• Visits (Over 30 pw which are fitted in over lunchtime between am & pm clinics. One GP is also assigned to late visits)

• Referrals, pathology processing, prescription authorisation and related administration

• Meetings – Internal (Lunchtimes & evenings) & External (Lead GPs are involved with the local/County groups)

• Medicals & reports• Training of students from the Peninsula Medical School,

Foundation doctors and GP Trainees• Research work• Audits• Practice Development – Business strategy

NursingThe Nursing Team is highly experienced and qualified and

deal with a range of general nursing as well as chronic disease management

• Blood tests• Blood Pressures• ECGs• Dressings & Wound care• Removal of Sutures• Child Immunisations• Diabetic Reviews• Coronary Heart Disease• Respiratory Reviews/Asthma/COPD• Ear irrigation• Travel Advice & immunisation• INR (patients on warfarin)• Contraception & Family Planning• Hypertension• Chronic Kidney Disease• General health Checks

Same Day ServiceThe demand for on the day appointments is very high. The

challenge is to offer pre-booked appointments as well as ones for new/acute problems. The Same Day Service

was designed by the Partners to offer a nurse-led service for these acute problems, which runs alongside

the Minor Injury Unit• Open 8am – 8pm• 50+ appointments each day• Highly qualified Nurse practitioners, minor illness and

minor injury trained nurses (GPs will fill gaps)• Reception are trained to ask questions to book the most

appropriate clinician

The continual challenge…Trying to match the demand to supply of appointments

continues to be a challengeWhat help is there…

• Tackling DNAs – letters• The introduction of on-line bookings

Communication!!!• PPG – new members• Newsletters/Publicity

• Ambassadors