Monkspath Surgery

PPG presentation 12.06.13

Development From Portacabin 1985 Purpose built premises 1986 Modern practice to provide care for expanding

population with increasing demands 1st fully computerised GP Practice in Solihull 2nd Wave Fundholder 1992-1999 2nd Wave PMS 2001 – on Work closely with CCG NEW GP Contract on the horizon

Forward thinking practiceEmbrace change

Simon Green Partner

Arturo Lupoli Partner

Elizabeth Stokes Partner

Beverley Dickinson Partner

Johanna Russell Partner

Louise Rowe Salaried GP

Shadan Alam Salaried GP

Neha Sharma Salaried GP

Interviewing NOW New Salaried Doctor

Personnel - GPs

Carol Maxwell Nurse

Sally Scott Nurse

Penny Moore HCA

Anna Cunningham HCA

Interviewing NOW NurseNurse Practitioner

Personnel - Nurses

Provide health care to those who are ill -

or think they are ill

GP Contract

List Size

Enhanced SERVICES

Diabetes Minor surgery Long acting reversible contraception

(coils, implants) NHS health checks Flu vaccinations Pneumococcal vaccinations Prenatal pertussis vaccinations

Childhood immunisations Extended hours Learning disability health checks Smoking cessation Anticoagulation monitoring Warfarin initiation for atrial fibrillation Near patient testing 24 hour blood pressure monitoring Prostate Cancer Treatment

Enhanced SERVICES

Dressings Cytology Travel ECGs Spirometry COPD Asthma

Nursing Services

Family planning HRT Ear irrigation Vaccinations Phlebotomy Well person checks Removal of sutures/ staples Audiology

Nursing Services

110 frail elderly residents in 2 homes Swallows Meadow Court & Priory Nursing Home

Reduced routine visits Low referral and admission rate Improved prescribing, dispensing and administration Improved End of Life Care Improved communication with nursing staffSwallows Meadow awarded BEACON STATUS forEnd of Life Care in GSF Nursing Homes AccreditationWon Regional Final Health & Social Care Awards

Medical Care for Nursing and Residential Homes

Developed in response to demand Additional doctors actively employed Triage Nurse employed to improve skill mix & Service

to patients Clinical Assessment Service (CAT)

Advanced and Enhanced Access

Improved Telephone access August 2010

*June 2012

Advanced and Enhanced Access

Resulted in Improved access to services Ability to deal with increasing demands for appointments Ability to deal with problems “on the day” Reduced hospital admissions Reduced referrals Reduced casualty attendance Reduced need for patient to use Walk In Centre Statistics from Sirrius

Advanced and Enhanced Access

Internal referrals Improved access to Primary Care Reduced referral to Secondary Care

Special Interests include – Gynaecology, Dermatology, Minor Surgery, Drugs and Alcohol, Family Planning, ENT, Insulin Initiation, Sexual Health, Doppler, Warfarin Initiation

Ophthalmology, Palliative Care, Elderly Care, Travel Medicine, Sports Injuries, Mental Health – section 12 approved

Referral Quality Review

Surgery open 8am to 6.30pm Monday to Friday

Plus extended hours 6.30-8pm Monday and Thursday for booked appointments

Improves access to Primary Care Do not divert to Walk in Centre

Enhanced Opening Hours

Surgery Intranet Surgery Website Patient TV with Health Promotion Text reminder for appointments Self-checking in system Paperlite=>paperless E-mail

for cancelling appointments Making appointments Ordering repeat prescriptions

Enhanced IT services

Do you always use the same pharmacy? Is your Pharmacy REGISTERED for EPS? Register PHARMACY OR The Practice All prescriptions sent to Pharmacy Collect from nominated pharmacy

No Change Ordering Process Turnaround time No paper!!

Electronic Prescription Service

PMS New Contract Out of Hours

Remote Monitoring e.g. Diabetes Dementia Screening Electronic Access to Patient Records

The future??