LEADING GENERAL PRACTICE TOWARDSOUR 2020 VISION:MEETING THE CHALLENGE OF INCREASINGDEMANDChair – Sir Lewis Ritchie, Univer...
Learning outcomes for this session• Discuss with general practitioners the application of  lean tools and techniques, aspe...
Leading General Practice towards our 2020                 Vision• Use of lean is one way to  release time for Delivering  ...
Lean principles and practise•   Whole team•   Leadership•   Culture change•   Day to day measurement
What’s it got to do with Delivering Quality in                Primary Care?Effectiveness                   Safety• Removes...
Demands on general practice are rising•    Increasing consultation rates•    Ageing population•    Complexity of care•    ...
GP and Practice Nurse Consultations in                 Scotland• 2003/4 21.4 million• 2010/11 23.1 million
Go toyour GP
Offers benefits: additional appointments By reviewing current nursing templates and appointments a team • created an addit...
Offers benefits: blood testing staff costs reduced                £3.50                 per      Nurse100% of blood       ...
The benefits it offers…                Stanley Medical Group, County Durham• Reviewed their recall system for patients nee...
Offers benefits: reduced turnaround timesfor reports
This front of house team reduced the numberof inappropriate enquiries, redirecting them tothe right team in their practice
Offers benefits: more efficient use ofconsulting rooms through using 5S tool                 Before
Offers benefits: more efficient use of consultingrooms through using 5S tool                  After
This team reduced the average time for staffto find prescriptions from 118 to 21 seconds,by mapping their routes with spag...
Offers benefits: reduced costs throughimproving consumables re-orderingprocess
"PGP is a very productive system to assess ourworking life and to improve it with support. Itenables us to review processe...
“The experience with Productive General Practice      has been a good one. It has been good to    establish where we were ...
Go explore …2 out of 4 work stations    Elmbank            SafeQuest    Practice  Shaping Our     Future             Cresc...
Parallel Session 1.8 Leading General Practice into the Future - Meeting Demand Head-on in Primary Care
Parallel Session 1.8 Leading General Practice into the Future - Meeting Demand Head-on in Primary Care
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Parallel Session 1.8 Leading General Practice into the Future - Meeting Demand Head-on in Primary Care

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  • : After discussion and application of the 5S exercise the consultation room was transformed. Everything has a place and is clearly labelled. All the boxes have labels of contents and quantities for replenishing purposes. This is the before and after story of one consultation module team who used the 5s tool to remove unnecessary items and paperwork. By creating standardised equipment boxes and a more spacious and pleasant environment it became much easier find items required for the consultations which led to a more efficient consultation process.
  • Parallel Session 1.8 Leading General Practice into the Future - Meeting Demand Head-on in Primary Care

    1. 1. LEADING GENERAL PRACTICE TOWARDSOUR 2020 VISION:MEETING THE CHALLENGE OF INCREASINGDEMANDChair – Sir Lewis Ritchie, University ofAberdeen
    2. 2. Learning outcomes for this session• Discuss with general practitioners the application of lean tools and techniques, aspects of leadership and team working and practical benefits• Identify innovative ways to work locally in practices as part of the whole system to improve access for patients, prescribing, consultations, safety, and the working lives of staff• Hear about the concept of using design principles to redesign a practice to meet demographic, professional and business challenges
    3. 3. Leading General Practice towards our 2020 Vision• Use of lean is one way to release time for Delivering Quality in Primary Care• The focus is on improving quality, reducing variation and waste at the same time• Productive General Practice partnership with RCGP, QIHub, Health Boards• Innovate to enable Our 2020 Vision
    4. 4. Lean principles and practise• Whole team• Leadership• Culture change• Day to day measurement
    5. 5. What’s it got to do with Delivering Quality in Primary Care?Effectiveness Safety• Removes wasteful steps • Being used by practices in prescriptions process undertaking Patient• Brings consistency in Safety in Primary Care prescribing decisions • Incorporates the• Helps you work with SafeQuest safety culture pharmacy and care home assessment tool colleagues Person centredness •Uses the voice of the patient to decide what adds value •Involves patients in improvement work •Links to the RCGP patient involvement project •Supports practices to implement the Patient’s Rights Bill
    6. 6. Demands on general practice are rising• Increasing consultation rates• Ageing population• Complexity of care• Shifting Balance of Care• Patient expectations• Reducing demand on A and E and OOH• Demand will continue rising Doing nothing is not an option
    7. 7. GP and Practice Nurse Consultations in Scotland• 2003/4 21.4 million• 2010/11 23.1 million
    8. 8. Go toyour GP
    9. 9. Offers benefits: additional appointments By reviewing current nursing templates and appointments a team • created an additional 10 nurse practitioner and 14 practice nurse appointments a week while still maintaining an efficient nursing service • decided that it was not necessary to appoint another nurse to the recent vacancy the team had which had a cost avoidance of £15,000
    10. 10. Offers benefits: blood testing staff costs reduced £3.50 per Nurse100% of blood episode £1.50 tests per episode £1.50 per Phlebotomist episode
    11. 11. The benefits it offers… Stanley Medical Group, County Durham• Reviewed their recall system for patients needing routine drug monitoring• Applied lean principles to understand the current process and design an improved process• Existing “Streamlining thisto inconsistencies, waste and system lead process has saved us time but the patient safetyand the patient that we have improved patient real benefit has been safety risk experience, as we are now able• Results: to offer more appropriate appointments” Sue Elsbury, Practice Manager – Patient Safety (faster lead time and higher degree of accuracy) – Time (35 hours/month to 0.53 hours/week) – Patient experience (increased HCA patient facing time) – Money (£4150/year)
    12. 12. Offers benefits: reduced turnaround timesfor reports
    13. 13. This front of house team reduced the numberof inappropriate enquiries, redirecting them tothe right team in their practice
    14. 14. Offers benefits: more efficient use ofconsulting rooms through using 5S tool Before
    15. 15. Offers benefits: more efficient use of consultingrooms through using 5S tool After
    16. 16. This team reduced the average time for staffto find prescriptions from 118 to 21 seconds,by mapping their routes with spaghettidiagrams and using the 5S improvement toolin reception
    17. 17. Offers benefits: reduced costs throughimproving consumables re-orderingprocess
    18. 18. "PGP is a very productive system to assess ourworking life and to improve it with support. Itenables us to review processes and developconsistency."Crescent Medical Practice
    19. 19. “The experience with Productive General Practice has been a good one. It has been good to establish where we were in the first place and where we want to go and the change has been fully supported.It has helped to build a picture of where we want to be in five years time. We want to make it the ‘super surgery’ that it could be through continuing to strive for better patient feedback, andmaintaining the drive that we’ve established so far, because we have achieved some really brilliant work. We’re looking forward to the further change that’s about to come.”
    20. 20. Go explore …2 out of 4 work stations Elmbank SafeQuest Practice Shaping Our Future Crescent Practice Practice
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