Upload
mariano-maddison
View
216
Download
0
Tags:
Embed Size (px)
Citation preview
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