blackheath pms woodland surgery what is it like to be a patient?
DESCRIPTION
Blackheath PMS Woodland Surgery What is it like to be a patient?. Outside a traditional surgery. People waiting on the phone, the same, unseen. “All gone, c all back t omorrow”. 3 week wait H igh DNAs R epeat booking. Reception takes call. GP sees patient 10-min slot. 70% “routine”. - PowerPoint PPT PresentationTRANSCRIPT
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Outside a traditional surgery
People waiting on the phone, the same, unseen
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Reception takes
call
GP sees patient10-min
slot
Problem solved
70% “routine”
30% “urgent”
“All gone,call backtomorrow”
3 week waitHigh DNAsRepeat booking
See any GP/locumPoor continuityRepeat booking
Patientpressure
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Why do patients call? 65% for a GP, many for nurse, admin, repeat
prescription
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When do they call? Monday much higher
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Requests: a problem: huge rush at 8am, a few more at 10.
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Outcome of requests – 12% told to call back. Rework.
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Vast majority of requests are for same day.
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39% specified a named doctor, interestingly more often important to GPs at 52%.
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GP consultations by day – compare fairly flat line with much higher demand on Mondays
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50% of cases acute, clinically best dealt with today. This usually rises to around 60%
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At present, 21% of consults are by phone
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Of these, 73% were resolved on the phone.
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Your view is only 21% more consults could have been by phone – though this often changes!
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What do patients think of our service?• Administrative staff views
– On the whole, pretty good– normally excellent with us able to give same
day appointments or telephone triage calls with GP
– normally always good• Clinical staff views
– we provide enough same day appointments telephone advise & triage
– very good service, able to get appointment or speak to doctor with in a day
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My ideal work• Administrative staff views
– I would like the time to be able to finish one task before being several others. I like interacting with the patients on a friendly basis. I think this helps patients to feel more relaxed as they wait to see the Doctor
– being able to be of help to all patients and clinicians when called upon. Improving my IT skills.
• Clinical staff views– need more time for face to face consultation &
telephone triage– more time to have face to face and paper work
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Key points
• Demand variable by day, supply volume match looks OK with Mondays much higher.
• Patients ring the day they want to be seen, but most have to wait.
• Continuity (choice of doctor) appears more valued by GPs than patients – this can be improved with better access
• Currently some consults by phone, but resolve rate is on the low side at 45% which will mean a higher workload. The average is around 60%, saving time and increasing capacity.
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A Practice In The Patient Access Community Looks, Sounds, Feels Different
Dr Chris Barlow of Quorn, one of the
earliest pioneers in 2000
Monday morning 8.30, busy day, going
full tilt. All carefully worked
out.
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Evidence from practices in the Patient Access movement
60% of calls don’t typically need an appointment
A rapid and safe system, where patients that need to be seen are
7% list increase with no extra GP sessions needed at Oak Tree Health Centre
We’re now saving20% of GP working hours and A&E attends are
50% below Liverpool average - Dr Chris Peterson,
GP at The Elms & Liverpool CCG Urgent Care Lead
The Relief of Working Efficiently
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Reception takes call
GP phones patient
Problem solved
Come and see GP
Admin question
Come and see nurse
20%
20% 10%
30%
60%
60%
How Patient Access Works
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Golden Rules
• If telephone lines open 9am, so do Dr callbacks• All patients are called back – no Doctors appointments
made by receptionists• Call back within the hour• All Drs on telephone call backs (exception Duty Dr or
locum/trainee)• Call patients in for face to face from mid morning (and
mid/late afternoon)
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Consensus
Preparation
Detailed planningStaff surveyPatient commsWhole team meeting
New deal for patientsPredicting demand & matching capacity.Patient & staff feedback
Launch day Routine
Review
New measures help tuning.Build confidenceAffirmation
Yes.Pledge toeach otherand to patients
Launch programme - just 12 weeksto a happier, less stressful practice
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What happens next?• All to agree to a change• Change leader• Decide on a launch date• Do not book any appointments from
launch date onwards• Workforce planning (GPs and
reception staff)
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What happens next?• Inform the patients
– e.g. flyer, PPG, website, media, answerphone message etc
• Train staff– Procedure for reception staff to follow
• Support provided by Patient Access training partner – before, at launch and afterwards
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Which is the best pancake?
Cold and soggy
Hot, fresh and crispy