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© Copyright NHS Institute for Innovation and Improvement 2011
Productive General Practice
Introduction
Dr Richard More
Clinical Lead PGP
Director, Xytal.
Ross Rotheram
Akil Khawaja
Principal Consultants, Xytal
© Copyright NHS Institute for Innovation and Improvement 2011
Productive General Practice
Agenda•What is PGP•How it maps to |PMCF•What you get•The Modules•Setting up working groups•Next Visit
The pressures on general practice
How it was created: Priorities identified from the development partner peer review group
Productive General Practice:Practice test sites
Leamington Spa
BolsoverSheffield X2
BristolHemel Hempstead
Aberdeen = Beta test site – testing entire programme at arms length.
= Phase 1 test site – testing and developing individual modules
= Phase 2 test site – testing all modules in defined implementation order
Glasgow
Morpeth
Redcar
York
Stanley
Sheringham
Wrington Vale
Aylesbury
Wirksworth
Poulton-Le-Fylde
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Productive General Practice: How it works
© Copyright NHS Institute for Innovation and Improvement 2011
Benefits and impact
‘Productive General Practice offers me a different way of thinking. I had never really thought about the way the appointments are organised or how the working day was organised or looked at any different ways of working and looking at everybody else’s roles.’Practice nurse, Sharlene Hodson Concord Medical Centre, Bristol
‘There’s a bit of a buzz around the place. ‘They see that improvements are being made; it’s infectious and people are more and more confident to come forward with ideas. It’s not coming from the top down; it’s empowering people to come up with those ideas. ‘If they can see the problem, they often have the best solutions as well.’Dawn McCaffrey, Centre Manager Concord Medical Centre, Bristol
© Copyright NHS Institute for Innovation and Improvement 2011
PMCF Fund Priorities(As applies to PGP)
• Support Primary Care meet workload demands.• Support sharing managerial resources (where desired)• Support practices sharing clinical resources (where
desired)
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Productive General Practice: How it works
© Copyright NHS Institute for Innovation and Improvement 2011
You don't need to read all the modules at once – take your time
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=
A module is like a coach on hand...
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The Support
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How to get started
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Back Office module
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© Copyright NHS Institute for Innovation and Improvement 2011
Benefits
A team reduced the medical reports completion turnaround time.
This led to a reduction in GP time spent on administrative tasks.
© NHS Institute for Innovation and Improvement 2011
© Copyright NHS Institute for Innovation and Improvement 2011
Getting Started
1. Familiarise yourself with the module
2. Create the module team
3. Communicate, engage and raise awareness (communication matrix)
•Module lead ideally this person should have a leading role in reception)
•Practice manager•Representative from each staff group:
GPNurseAdmin staffOther clinical staff (e.g. health care assistant, phlebotomist)Patient representative.
© NHS Institute for Innovation and Improvement 2011
© Copyright NHS Institute for Innovation and Improvement 2011
Planning and Scheduling module
© NHS Institute for Innovation and Improvement 2011
© Copyright NHS Institute for Innovation and Improvement 2011
Getting started
1. Familiarise yourself and the practice with the module
2. Create the module team:
• Module lead – Practice manager
• Representative from each staff group:– GP– Nurse– Reception/back office staff– Health care assistant
• Information system lead• Patient representative.
© NHS Institute for Innovation and Improvement 2011
© Copyright NHS Institute for Innovation and Improvement 2011
You can achieve a range of benefits
© NHS Institute for Innovation and Improvement 2011
© Copyright NHS Institute for Innovation and Improvement 2011
How the module links with the house (pg 36-37)
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© Copyright NHS Institute for Innovation and Improvement 2011
Shaping Our Future Practice concept
Shaping Our Future Practice module is guided by an overall concept which moves a practice from a reactive to proactive way of working, as illustrated by pictures 1 and 2 (pg 12-13).
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© Copyright NHS Institute for Innovation and Improvement 2011
Shaping Our FuturePractice
• Module team
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The Support
• Introductory Sessions• Network Sessions• On site 1-1
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The Support
• Introductory Sessions - Now• Network Sessions
– Review of Back Office– Review of Planning and Scheduling– Introduction Shaping Our Future Practice– Mid –Point Shaping Our Future Practice
• On site 1-1– 2 Visits for Back Office– 3 Visits for Planning and Scheduling– 6 Visits for Shaping Our Future Practice
© Copyright NHS Institute for Innovation and Improvement 2011
The Support - when
© Copyright NHS Institute for Innovation and Improvement 2011
Next steps
• Understand who will steer your practice through this.
•Programme leaders – set up module groups.
•Familiarise yourself with the modules• USE THE FILMS (www.xytal.com/PGP-resources)
• Think about:o working groupso module leadso timelineso communicating
We will offer dates
© Copyright NHS Institute for Innovation and Improvement 2011
• How was today?
• Anything you would like us to cover again?
• Any questions?