: 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
LEADING GENERAL PRACTICE TOWARDSOUR 2020 VISION:MEETING THE CHALLENGE OF INCREASINGDEMANDChair – Sir Lewis Ritchie, University ofAberdeen
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
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
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 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
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
GP and Practice Nurse Consultations in Scotland• 2003/4 21.4 million• 2010/11 23.1 million
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
Offers benefits: blood testing staff costs reduced £3.50 per Nurse100% of blood episode £1.50 tests per episode £1.50 per Phlebotomist episode
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)
"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
“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.”
Go explore …2 out of 4 work stations Elmbank SafeQuest Practice Shaping Our Future Crescent Practice Practice
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