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:
Triage
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:
Phone calls
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:
Acute prescriptions
Scottish Therapeutic Utility (STU) - repeated acutes Development of standard operating procedure to issue drug sub classes on permissible repeat