GP practices participating in Improving Access to General Practice work.
Testing improvement sprint
From August 2022 to October 2022, we worked with a cluster in NHS Grampian to test the use of improvement sprints to improve access to general practice.
|Practice||Selected Topic||Data Collected||Next Steps and Change Ideas|
|Practice 1||Appointment demand: eConsult||Comparison between admin & clinical staff decision on eConsult||Admin to directly appoint % of eConsult contacts without triage.|
|Practice 2||Appointment demand:
|Duty team identified what each triage contact could/should have been||Nurse led minor illness clinic implemented with admin following criteria to appoint directly|
|Practice 3||Administrative demand:
|Tally of which category every phone call received fell in to||Use of text messaging service to remind patients to order prescriptions on time, promote online ordering and alert when prescription sent to pharmacy|
|Practice 4||Pharmacotherapy demand:
|Scottish Therapeutic Utility (STU) - repeated acutes||Development of standard operating procedure to issue drug sub classes on permissible repeat|
Development of analysis tools
From November 2021 to January 2022, we worked with six practice to test and develop a range of analyst tools to help understand demand and activity to improve access to general practice. This lead to the development of GP Access Tools resources.
|Practice||Selected Topic||Data Collected||Next Steps and Change Ideas||Links to further information|
|Arbroath Medical Centre||Appointment demand:
|Number of appointments left at different times of each day over the course of a week||Clinical triage||Arbroath Medical Centre|
|Barns Medical Centre||Administrative demand:
|Number and category of patient requests coming into the practice over the course of a week||Deeper dive into administrative team activities and clinical face-to-face & phone consultations||Barns Medical Centre|
|Kirriemuir Medical Practice||Other clinical demand: Home Visits||Number of home visits completed and who by during the course of a week||Deeper dive into review of home visit appointment scheduling and review of outcomes activity||Kirriemuir Medical Practice|
|Lour Road Group Practice||Other clinical demand and administrative demand||Patient requests coming into the practice over the course of the week and which team (clinical or non-clinical) managed them||
Confirmation of further requirement for GP time, prescription request training for administrative team members and review of urine request pathways
|Lour Road Group Practice|
Other clinical demand: Messages/Tasks
Administrative demand: Phone calls
Number of patient requests requiring clinical action
Number and type of GP messages received in addition to appointments
Further brainstorming to consider change ideas in relation to all practice demand and activity management
|Yell Health Centre||Other clinical demand:
|Number of tasks/messages assigned to the clinical team on a daily basis over a week||
Signposting patients to mainland pharmacist (where appropriate and acute and serial prescription once allocated pharmacist in post
|Yell Health Centre|
Get in touch if you would like to us to put you in contact with a participating team by emailing us at email@example.com.