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