What’s New Doc?
"Aiming to, provide high quality care and continuity, look after self and each other,
value contributions from team, play to strengths"
Tim Walter
Staff changes 1
Dr P Brooke left to work as Clinical Lead, in Solihull Care Trust
Dr C Chandler leaving next week to enjoy time with her family, and possibly move to USA
Sally Sutton left to move closer to family Christine (PN) left practice last month
Staff 2 Dr Angus Tallini joined a fortnight ago to
replace and extend sessions of Dr Brooke Dr Sarah Hall joining in 2 weeks time to
replace and extend sessions of Dr Chandler Emma Macpherson joined as practice
manager 2 months ago Dr Yasmin Al-Sam joined as GPR 2 months
ago for 1 yr Kate Ronaldson joined 1 month ago as GPN
trainee
Staff 3
Net effect is that we expect to have expanded our appointments by about 3 sessions (half days) per week when all changes made
Wait to see effect on appointments
Our aims for 2008-9
We recognise there is a lot of change happening within the practice so
although we continue to strive towards future development, part of our aim is to
consolidate our current position to enable us to have a stable platform to
move forward in the future.
Access 1
Continue to develop the Advanced Access system.
We have recently implemented a joint GP and Nurse practitioner service in the morning every day. This successfully provides AM (and PM) access for any urgent care, as well as an overflow for people unable/unwilling to wait for routine appts.
We recognise this is part of the solution only (and stressful for us as it stands)
Access 2
Duty doctor is freed to do early phone calls and emergency visits before starting surgery
More appointments coming on stream with doctor replacements
Plan to review this at Practice Evening meeting next month
Develop as a Learning Organisation
• Medical Student day in July• Comments
• Patient involvement
• Plans
• Plan/implement GPN training• Kate
• Early pilot for all GPN Training
• Exciting development for us and region
Leg Ulcers
Agree initial assessment protocol for new leg ulcer patients
Invite Tissue Viability Nurse for talk to PHCT
Audit Initial assessment protocol implementation and agree co-ordinated Rx approach.
CDM Monitoring
Aimed at people who don’t normally attend
Initiated blood test monitoring protocol
triggered by prescription issue Ideally redundant Safety net
COPD
PBC initiative To improve care and prevent admissions Treatment packs Early response Physio Staff education
Nursing Homes
Argyles• Paradoxically neglected population
• Consolidate care with regular ward rounds
• Pro-active rather than reactive
Signposting
Agreed with PPG the need for more and clearer signposting for patients.• Initially external signposting to MIU 14-21 etc
in PPG newsletter
• Later - Consider internal signposting to services
• Later - Consider further disease specific information packs
Elderly Care
NECAAP Newbury Elderly Care Admission Avoidance
Plan Financially driven
• But Care Focussed
Dedicated Community Elderly Care Consultant Regular Group Meetings Co-ordinated Approach
Screening
Alcohol consumption Weight management (continuing the
“Greenham Project”)
Gifts (from patients via PPG)
Fetal Dopplers Height measures Scales Portable Spirometer
Text Messages
Currently trial to see effect and cost Issues about confidentiality etc Text sent direct to your mobile before
Appt Initially plan to test it with pts on
methadone (approximately 600-700 appts/yr)
New Staff
Review their skills and interests to integrate into the team• Important to recognise there is a huge
workload starting in practice
• They bring both skills and enthusiasm
• Refresh our knowledge stills and attitudes
Summary
Busy year so far Consolidation Moving forward
Thankyou