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S61 - Day 2 - 1315 - Releasing time in general practice
S61 - Day 2 - 1315 - Releasing time in general practice
S61 - Day 2 - 1315 - Releasing time in general practice
S61 - Day 2 - 1315 - Releasing time in general practice
S61 - Day 2 - 1315 - Releasing time in general practice
S61 - Day 2 - 1315 - Releasing time in general practice
S61 - Day 2 - 1315 - Releasing time in general practice
S61 - Day 2 - 1315 - Releasing time in general practice
S61 - Day 2 - 1315 - Releasing time in general practice
S61 - Day 2 - 1315 - Releasing time in general practice
S61 - Day 2 - 1315 - Releasing time in general practice
S61 - Day 2 - 1315 - Releasing time in general practice
S61 - Day 2 - 1315 - Releasing time in general practice
S61 - Day 2 - 1315 - Releasing time in general practice
S61 - Day 2 - 1315 - Releasing time in general practice
S61 - Day 2 - 1315 - Releasing time in general practice
S61 - Day 2 - 1315 - Releasing time in general practice
S61 - Day 2 - 1315 - Releasing time in general practice
S61 - Day 2 - 1315 - Releasing time in general practice
S61 - Day 2 - 1315 - Releasing time in general practice
S61 - Day 2 - 1315 - Releasing time in general practice
S61 - Day 2 - 1315 - Releasing time in general practice
S61 - Day 2 - 1315 - Releasing time in general practice
S61 - Day 2 - 1315 - Releasing time in general practice
S61 - Day 2 - 1315 - Releasing time in general practice
S61 - Day 2 - 1315 - Releasing time in general practice
S61 - Day 2 - 1315 - Releasing time in general practice
S61 - Day 2 - 1315 - Releasing time in general practice
S61 - Day 2 - 1315 - Releasing time in general practice
S61 - Day 2 - 1315 - Releasing time in general practice
S61 - Day 2 - 1315 - Releasing time in general practice
S61 - Day 2 - 1315 - Releasing time in general practice
S61 - Day 2 - 1315 - Releasing time in general practice
S61 - Day 2 - 1315 - Releasing time in general practice
S61 - Day 2 - 1315 - Releasing time in general practice
S61 - Day 2 - 1315 - Releasing time in general practice
S61 - Day 2 - 1315 - Releasing time in general practice
S61 - Day 2 - 1315 - Releasing time in general practice
S61 - Day 2 - 1315 - Releasing time in general practice
S61 - Day 2 - 1315 - Releasing time in general practice
S61 - Day 2 - 1315 - Releasing time in general practice
S61 - Day 2 - 1315 - Releasing time in general practice
S61 - Day 2 - 1315 - Releasing time in general practice
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S61 - Day 2 - 1315 - Releasing time in general practice

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Health and Care Innovation Expo 2014, Pop-up University …

Health and Care Innovation Expo 2014, Pop-up University

S61 - Day 2 - 1315 - Releasing time in general practice

#Expo14NHS

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  • Power options** RECORDING **CLICKERSPEAKER FOR VIDEOHandouts& pens
  • We need to simultaneously:improve outcomes for the population & patientshandle a growing number of people with multi-morbidity, whom we can’t cure and should stop sending into hospitalsave the health and care system from bankruptcy
  • What is happening here?What is the impact?Learning: waste == safety == quality == experience
  • Slide: The challenge and pressure for general practice is increasing in a number of ways.Duration: 5-10 minutes (this and the next 2 slides)Preparation:Materials:Script:Ask them what it feels like get their personal view of the pressures they are facing as practices at the moment. This is your opportunity to show that you understand the demands of general practice. Run through each graph on the page.
  • This is how PGP defines value. It’s about making the most of every opportunity, and reducing waste of human spirit
  • Slide: How does the programme work?Duration: 2 minutePreparation:Materials:Script:The modules are designed to be a step-by-step guide for the module lead (practice manager or GP or receptionist etc). Everything is laid out clearly. Each module explains how the module lead works with others in the practice to identify opportunities to make things work better for the benefit of you and your patients. There are a range of resources on line (that hopefully you have discovered). We have put these resources together so that you don’t have to spend time creating word documents, slide packs or spreadsheets!
  • Slide: How does the programme work?Duration: 2 minutePreparation:Materials:Script:The modules are designed to be a step-by-step guide for the module lead (practice manager or GP or receptionist etc). Everything is laid out clearly. Each module explains how the module lead works with others in the practice to identify opportunities to make things work better for the benefit of you and your patients. There are a range of resources on line (that hopefully you have discovered). We have put these resources together so that you don’t have to spend time creating word documents, slide packs or spreadsheets!
  • Transcript

    • 1. @robertvarnam #GPdev @NHSIQ Releasing time in general practice Dr Robert Varnam PhD MRCGP Clinical lead, CCG transformational change delivery, NHS Improving Quality Head of general practice development, NHS England GP, The Robert Darbishire Practice, Manchester robert.varnam@nhs.net slidesha.re/1cyDzWS
    • 2. @robertvarnam #GPdev @NHSIQ Releasing time in general practice  The issue  The Productive General Practice  Examples  Deployment  Top tips
    • 3. @robertvarnam #GPdev @NHSIQ Releasing time in general practice  The issue  The Productive General Practice  Examples  Deployment  Top tips
    • 4. @robertvarnam #GPdev @NHSIQ The issue
    • 5. @robertvarnam #GPdev @NHSIQ
    • 6. @robertvarnam #GPdev @NHSIQ Releasing time in general practice  The issue  The Productive General Practice  Examples  Deployment  Top tips
    • 7. @robertvarnam #GPdev @NHSIQ The Productive General Practice Visual Management
    • 8. @robertvarnam #GPdev @NHSIQ The Productive General Practice
    • 9. @robertvarnam #GPdev @NHSIQ The Productive General Practice Comprehensive lean-based redesign for busy general practices Practical, guided, supported
    • 10. @robertvarnam #GPdev @NHSIQ The Productive General Practice
    • 11. @robertvarnam #GPdev @NHSIQ The Productive General Practice
    • 12. @robertvarnam #GPdev @NHSIQ The Productive General Practice • 12 modules packaged in a box set • Manageable, easy to follow, self-directed modules • A large range of supporting resources – spreadsheets, documents, eLearning and guidance films
    • 13. @robertvarnam #GPdev @NHSIQ The Productive General Practice
    • 14. @robertvarnam #GPdev @NHSIQ The Productive General Practice • Support packages from expert teams • Options for sharing & collaboration between practices • Aligned with strategic commissioning priorities
    • 15. @robertvarnam #GPdev @NHSIQ Typical results • Extra nursing capacity identified, providing extra capacity worth £11k • More accurate staff planning resulted in the cancellation of planned appointment of staff – avoiding £15k of staff expenditure year on year • Time taken to retrieve prescriptions requests reduced by 82%, releasing 12.5hrs of staff time per week • Turnaround time for medical reports reduced by 43% • 14% reduction in stationary costs • 57% reduction in blood test resource costs • 82% reduction in nurse sickness and absence
    • 16. @robertvarnam #GPdev @NHSIQ „I seem to manage to get home on time much more often than I used to … It makes a big difference to my work-life balance.‟ Dr Knut Schroeder, Bristol “Led to changes that were really life changing for me. Improvements mean I do not stay late evenings and this means I am not making mistakes because I am tired.” Dr Angela Bradley, Leamington Spa Our list size has started to grow for the first time in a good while … the practice is more efficient, friendly, flexible and productive. Dr Paul Cook, Bolsover
    • 17. @robertvarnam #GPdev @NHSIQ Releasing time in general practice  The issue  The Productive General Practice  Examples  Deployment  Top tips
    • 18. @robertvarnam #GPdev @NHSIQ Examples 1. Reduced hassle & time 2. Better care & reduced costs 3. Improvement & transformation
    • 19. @robertvarnam #GPdev @NHSIQ eg 1. Reduced hassle & time Sort Set Shine Standardise Sustain Remove non-essential things Organise necessary things Assign each object a place Regularly clean & maintain the area Develop procedures, arrange similar areas in similar ways, use colour codes Use regular audits and embed 5S in the everyday routine
    • 20. @robertvarnam #GPdev @NHSIQ eg 1. Reduced hassle & time Sort Set Shine Standardise Sustain
    • 21. @robertvarnam #GPdev @NHSIQ eg 1. Reduced hassle & time Sort Set Shine Standardise Sustain
    • 22. @robertvarnam #GPdev @NHSIQ eg 1. Reduced hassle & time Sort Set Shine Standardise Sustain
    • 23. @robertvarnam #GPdev @NHSIQ eg 1. Reduced hassle & time Sort Set Shine Standardise Sustain
    • 24. @robertvarnam #GPdev @NHSIQ eg 1. Reduced hassle & time Sort Set Shine Standardise Sustain
    • 25. @robertvarnam #GPdev @NHSIQ eg 1. Reduced hassle & time
    • 26. @robertvarnam #GPdev @NHSIQ eg 2. Better care & reduced costs Handling of repeat prescriptions • source of “near-constant frustration for staff” • already looked at several times  small, short-lived improvements
    • 27. @robertvarnam #GPdev @NHSIQ eg 2. Better care & reduced costs PGP Prescribing Module  saved 12 hours of receptionist time per week • „script hunt‟ reduced from 118 to 21 seconds • less time waiting for GPs • happier staff, less stressed  75% reduction in interruptions for GPs • happier GPs, feeling safer  50% drop in „urgent‟ requests • less sense we‟re working „on the brink‟ all the time
    • 28. @robertvarnam #GPdev @NHSIQ eg 3. Improvement AND transformation Improving today’s practice Process redesign • “given us a structured approach to making improvements”  reduced the number of calls GPs have to make by 80% and released time for an extra 2 patients to be seen each day
    • 29. @robertvarnam #GPdev @NHSIQ eg 3. Improvement AND transformation
    • 30. @robertvarnam #GPdev @NHSIQ eg 3. Improvement AND transformation
    • 31. @robertvarnam #GPdev @NHSIQ eg 3. Improvement AND transformation Shaping our future practice Radically re-thinking & transforming • focus on self-care, group consultations, technology  patient-led design approach  segmentation of high profile patient groups  proactive multiple LTC review clinics
    • 32. @robertvarnam #GPdev @NHSIQ Releasing time in general practice  The issue  The Productive General Practice  Examples  Deployment  Top tips
    • 33. @robertvarnam #GPdev @NHSIQ Deployment • Appealing & relevant to wide variety of practices • Most are doing PGP in collaboration with others • Attractive in supporting CCGs‟ system transformation strategies • Time & commitment are essential • Support is highly valued • Additional training in improvement tools is helpful
    • 34. @robertvarnam #GPdev @NHSIQ NHS England‟s strategic framework
    • 35. Aug 13 • Call to action on general practice. • Strategic framework for commissioning general practice. • 9 workstreams. Mar 14 • Emerging Findings Apr 14 • Phase Two
    • 36. Learning networks 4. Business development Legal Financial Management 3. Capability-building Service improvement Leadership 1. Innovation spread Peer networking Innovation hub National Coordinating Centre Development advisers Strategic leadership Development advisers National guidance PMO support Evaluation 2. Release capacity Bureaucracy Clinical ‘clutter’ Internal productivity General practice development programme
    • 37. Release capacity Bureaucracy Administrative pressures on practices originating within the NHS, particularly through contracting. Clinical ‘clutter’ Potentially avoidable demand for consultations created outside the practice. The Productive General Practice Improving efficiency in practice systems and processes.
    • 38. @robertvarnam #GPdev @NHSIQ Releasing time in general practice  The issue  The Productive General Practice  Examples  Deployment  Top tips
    • 39. @robertvarnam #GPdev @NHSIQ Top tips Prepare, engage, explain, collaborate, support
    • 40. @robertvarnam #GPdev @NHSIQ
    • 41. @robertvarnam #GPdev @NHSIQ Top tips  Create strategic alignment  Create a values-based shared purpose  Do it collaboratively  Engage, engage, engage  Be realistic about time commitment  Build local support resource  Use it as it is meant to be used bit.ly/1hD0GCD
    • 42. @robertvarnam #GPdev @NHSIQ www.nhsiq.nhs.uk/capacity-capability/productive-gp.aspx enquiries@nhsiq.nhs.uk robert.varnam@nhs.net bit.ly/1hD0GCD slidesha.re/1cyDzWS

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