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18 Practice Management                                                                             United Kingdom Edition                   February 27-March 4, 2012




            Why improving your practice is a
            mystery - part five
            Jacqui Goss explains how to develop a patient-centred practice

            S
                  o far in this series I’ve   a good impression and, in the      Here, I’m continuing with the      patient-centred practice.         have been around for a while.
                  written about how poten-    last article, some ways of find-   last theme by discussing patient                                     Indeed, from April 2010 all PCTs
                  tial new patient enquir-    ing out what patients really       consultation groups (PCGs) and        In the health service and      and SHAs were legally required
            ies should be handled, creating   think of you and your practice.    why they can help you achieve a    general medical practices, PCGs   to explain how they have acted
                                                                                                                                                      upon feedback from patients
                                                                                                                                                      and the public – the buzz phrase
                                                                                                                                                      being “Real Accountability.”

                                                                                                                                                         CQC Outcome 1 (respect-
                                                                                                                                                      ing and involving people who
                                                                                                                                                      use services…) means it is
                                                                                                                                                      now a regulatory requirement
                                                                                                                                                      for dental practices to gather




                         Seeing
                                                                                                                                                      feedback from patients (but not
                                                                                                                                                      the public).

                                                                                                                                                          PCGs are a mechanism for
                                                                                                                                                      collecting face-to-face verbal




                            is believing!
                                                                                                                                                      feedback from patients in a cost-
                                                                                                                                                      effective, minimally demanding
                                                                                                                                                      (for the patients) way which, if
                                                                                                                                                      done properly, should generate
                                                                                                                                                      accurate and honest feedback.
                                                                                                                                                      Don’t think of PCGs as merely
                                                                                                                                                      ticking another CQC box – they
                                                                                                                                                      can prove vital in helping you
                                                                                                                                                      develop your practice.

                                                                                                                                                         Okay, so what is a PCG? Es-
                                                                                                                                                      sentially, it’s a number of your
                                                                                                                                                      patients meeting to discuss you,
                                                                                                           Unique three tone                          your team and your practice.
                                                                                                                                                      They are encouraged to con-

                                                                                                       plaque disclosing gel                          sider different aspects of your
                                                                                                                                                      service and make positive or
                                                                                                                                                      negative comments.
                                                                                                          that identifies new,
                                                                                                                                                          Clearly, you will need to
                                                                                                               mature and acid                        initiate such a meeting and en-
                                                                                                                                                      courage them to continue. Here
                                                                                                                                                      are some things to consider.
                                                                                                         producing biofilms.
                                                                                                                                                      • How many patients should
                                                                                                                                                      be in a PCG? I suggest ten at-
                                                                                                                                                      tendees (see below) as a man-
                                                                                                                                                      ageable number for a meeting


                                                                                                  Tri Plaque ID Gel                                   • How do you arrange the first
                                                                                                                                                      meeting? Decide on a date, a
                                                                                                                                                      time and a location and invite

                                                                                                          from GC.                                    patients with a personal letter,
                                                                                                                                                      by telephone or when they visit
                                                                                                                                                      your practice. Outline the rea-
                                                                                                                                                      son for arranging the meeting
                                                                                                                                                      an explain that you value their
                                                                                                                                                      involvement and feedback

                                                                                                                                                      • Who should you invite? You
                                                                                                                                                      want a cross-section of patients
                                                                                  IDENTIFY   PREVENT
                                                                                                                                                      – different ages, gender, ethnic-
                                                                                                                                                      ity and social class. You want
                                                                                                        Part of GC‘s                                  long-term patients and new
                                                                                                        Minimum Intervention program.                 patients, patients who’ve had
                                                                                   RESTORE    RECALL                                                  lots of treatment and patients
                                                                                                                                                      who’ve had little. They should
                 GC EUROPE N.V.                                                                                                                       be patients seen by each mem-
                 Head Office                                                                                                                          ber of your clinical team. Some
                 Tel. +32.16.74.10.00                                                                                                                 will be working, some will not.
                 info@gceurope.com                                                                                                                    Some will have families, some
                 http://www.gceurope.com
                                                                                                                                                      won’t. Of course, to achieve
                 GC UNITED KINGDOM Ltd.                                                                                                               such a broad cross-section
                 Tel. +44.1908.218.999                                                                                                                you’d need to invite hundreds of
                 info@uk.gceurope.com                                                                                                                 patients. In practice try for the
                 http://uk.gceurope.com                                                                                                               best cross-section you can by
                                                                                                                                                      inviting 12 to 15 people – some




dtuk0512_12-21.indd 18                                                                                                                                                             21/02/2012 17:28:13
United Kingdom Edition                             February 27-March 4, 2012                    Practice Management 19

            will fail to turn up on the night                                                    within the PCG needs to be both                very open questions of the group       that some people in PCGs declare
            and you’ll probably have about the         • Should they be paid? Advertis-          directed and free ranging – an                 such as: “How could we improve         themselves very happy with a
            right number of actual attendees           ing any form of payment or gift           obvious contradiction. The fa-                 your visits to this practice?” In      dental practice. Patient feedback
                                                       could be construed as an induce-          cilitator needs an idea of the sort            my experience the answers are          is not always negative and is cer-
            • Which days and times are best?           ment to attend and might well land        of things you want feedback on.                often quite small things that are      tainly not to be feared. The old
            Avoid Fridays and weekends and             you in trouble with the GDC. How-         Maybe it’s your new appoint-                   easy overlooked. In one practice       retail adage of ‘the customer is al-
            dates when there’s a vital football        ever, it would be polite to give par-     ment booking system, the prac-                 the first afternoon appointments       ways right’ (thought to have been
            match or the final of Strictly Come        ticipants some form of ‘thank you’        tice website or the range of ser-              are at 2pm but the door is kept        coined by Harry Gordon Selfridge
            Dancing on television. Early even-         at the end of the meeting.How             vices you offer. You may also wish             closed from 1pm to 2pm for lunch       in the early 1900s) applies equally
            ing, say 7.00 or 7.30pm, is prob-          about negotiating some vouchers           the facilitator to preview things              – so patients arriving early (as       to dental practices. Initiate regu-
            ably as good a time as any. State a        from a suitable local shop?               you are considering introducing                most do) have to wait outside in the   lar PCG meetings (perhaps with
            finish time (and stick to it) – about                                                – a practice plan, finance terms,              cold and rain. Opening the door at     the membership changing a little
            one and a half hours is the maxi-             As preparation for the first           later opening hours and so on.                 1.55pm solved this problem.            each time), act on the feedback
            mum time the meeting should last           meeting, you’ll need to liaise                                                                                                  and you’ll soon fulfil the ideal of a
                                                       with your facilitator. Discussion              The facilitator can usefully ask               You’ll also be pleased to learn   patient-centred practice. DT
            • Where should you hold it? In
            your practice is both the best and
            cheapest option. It’s good for pa-
            tients to visit your practice for oth-
            er than treatment as it helps lower
            any barriers to communication.                                  Ex-Demo CB500-HD
            Second choice would be to hire a                                      with 1 year Warranty
            private room in a smart local hotel

            • Who should run it? Not you! Pa-                  • HD Flat Panel – superior image quality in both 2D
            tients will be most unlikely to ex-                  and 3D with resolutions from 0.125mm to 0.4mm
            press honest opinions if the dental                • High-End HD 2D Panoramic – a traditional
            principal hosts the meeting. The                     low-dose 2D OPG using i-PAN™ image capture
            same applies to members of staff.                    technology
            Use a facilitator – somebody good
                                                               • 8cm scan height – perfect for implant planning
            at controlling meetings while
                                                                 scans
                                                                                                                                                                                         £79,000
            involving everybody and with
                                                               • Extended Diameter Scan – unique adjustable                                                                                                 +VAT



                                                                                                                                                                                       £55,000
            some knowledge of dentistry and
            your practice. Importantly, even                     8cm or 14cm diameter scans
            though they will be receiving a                    • Adjustable scan heights - custom scan
            fee and/or expenses, the facilita-                   heights of 2cm to 8cm                                                                                                              +VAT
            tor can declare themselves in-
                                                               • Fast scan times - 8.9 to 23 seconds                                                                                   60 Payments of
            dependent and assure the group
            members of confidentiality                         • Low Dose - with doses as low as an OPG for                                                                            £1320 (inc VAT)
                                                                 standard quality single jaw scans                                                                                       per month
            • Should staff attend? This is a
            tricky one. On the one hand you
            want there to be dialogue and in-
            teraction during the meeting so
            that issues raised by patients can
            be addressed. On the other hand,
            you don’t want patients to feel
            uneasy at the presence of people
            they may be indirectly (or even                                                                      2nd Hand i-CAT Next Gen
            directly)     criticising.     Giv-                                                                    4 years old, fully maintained unit
            en that clinical matters are
            not to be discussed, I sug-                                                                            with Warranty until January 2013
            gest your practice manager
            and/or     patient      coordinator                                                          • Flat Panel Sensor Technology – superior 3D
            and maybe a member of your front                                                               image quality
            of house team should sit in – with                                                           • Large Scan Height and Diameter – scans up
            the proviso that they leave the                                                                to 13cm in height and 16cm in diameter - perfect for
            room if doing so will aid openness                                                             craniomaxillofacial scans
                                                                                                         • Medium Field of View Scans - reduce the scan height
            • What about refreshments? Of-
                                                                                                           and width to 8cm x 8cm - perfect for implant scans
            fering light refreshments such as
            tea, coffee, soft drinks and biscuits                                                        • Adjustable scan heights - Custom scan heights of
            is a good idea and would certainly                                                             2cm to 13cm
            be deemed courteous. Of course,                                                              • Fast scan times - 8.9 to 23 seconds
            you’ll wish to make sure what you
                                                                         £109,000              +VAT      • Low Dose - measured by SEDENTEXCT to be one of


                                                                    £75,000
            offer is both nutritious and good
            for their teeth!
                                                                                                           the lowest dose CBCTs in both the maxillofacial and
                                                                                                           single jaw categories
                    About the author
                                                                                     +VAT
                                 A proven manager
                                 of   change     and
                                                                        60 Payments of
                                 driver of dramatic                     £1800 (inc VAT)
                                 business growth,
                                 Jacqui Goss is the                       per month
                                 managing partner
                                 of   Yes!RESULTS.
                                 By            using
                                 Yes!RESULTS den-
                                 tal practices see
              an increase in treatment plan take-
              up, improved patient satisfaction and
              more appointments resulting from
              general enquiries. Yes!RESULTS turns
              good practices into great practices.

              Jacqui Goss Partner, Yes!RESULTS                                                                                  www.ctscan.co.uk
              Tel: 08456 448066                                                   IDT Dental Products Ltd, Unit GC Westpoint, 36-37 Warple Way, London W3 0RG. Tel. +44 (0)20 8600 3540
              Mob: 07795 562617
              Email: jacqui@yesresults.co.uk                                                                     i-CAT is a Trade Mark of Imaging Sciences International LLC
              Website: www.yesresults.co.uk

                                                                                               Only one of each available so call now!
              Twitter: @Yesresults
              www.facebook.com/Yesresults
              http://uk.linkedin.com/in/jacquigoss

                                                         10203_DT Advert.indd 1                                                                                                                               07/01/2012 13:48




dtuk0512_12-21.indd 19                                                                                                                                                                                                    21/02/2012 17:28:20

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  • 1. 18 Practice Management United Kingdom Edition February 27-March 4, 2012 Why improving your practice is a mystery - part five Jacqui Goss explains how to develop a patient-centred practice S o far in this series I’ve a good impression and, in the Here, I’m continuing with the patient-centred practice. have been around for a while. written about how poten- last article, some ways of find- last theme by discussing patient Indeed, from April 2010 all PCTs tial new patient enquir- ing out what patients really consultation groups (PCGs) and In the health service and and SHAs were legally required ies should be handled, creating think of you and your practice. why they can help you achieve a general medical practices, PCGs to explain how they have acted upon feedback from patients and the public – the buzz phrase being “Real Accountability.” CQC Outcome 1 (respect- ing and involving people who use services…) means it is now a regulatory requirement for dental practices to gather Seeing feedback from patients (but not the public). PCGs are a mechanism for collecting face-to-face verbal is believing! feedback from patients in a cost- effective, minimally demanding (for the patients) way which, if done properly, should generate accurate and honest feedback. Don’t think of PCGs as merely ticking another CQC box – they can prove vital in helping you develop your practice. Okay, so what is a PCG? Es- sentially, it’s a number of your patients meeting to discuss you, Unique three tone your team and your practice. They are encouraged to con- plaque disclosing gel sider different aspects of your service and make positive or negative comments. that identifies new, Clearly, you will need to mature and acid initiate such a meeting and en- courage them to continue. Here are some things to consider. producing biofilms. • How many patients should be in a PCG? I suggest ten at- tendees (see below) as a man- ageable number for a meeting Tri Plaque ID Gel • How do you arrange the first meeting? Decide on a date, a time and a location and invite from GC. patients with a personal letter, by telephone or when they visit your practice. Outline the rea- son for arranging the meeting an explain that you value their involvement and feedback • Who should you invite? You want a cross-section of patients IDENTIFY PREVENT – different ages, gender, ethnic- ity and social class. You want Part of GC‘s long-term patients and new Minimum Intervention program. patients, patients who’ve had RESTORE RECALL lots of treatment and patients who’ve had little. They should GC EUROPE N.V. be patients seen by each mem- Head Office ber of your clinical team. Some Tel. +32.16.74.10.00 will be working, some will not. info@gceurope.com Some will have families, some http://www.gceurope.com won’t. Of course, to achieve GC UNITED KINGDOM Ltd. such a broad cross-section Tel. +44.1908.218.999 you’d need to invite hundreds of info@uk.gceurope.com patients. In practice try for the http://uk.gceurope.com best cross-section you can by inviting 12 to 15 people – some dtuk0512_12-21.indd 18 21/02/2012 17:28:13
  • 2. United Kingdom Edition February 27-March 4, 2012 Practice Management 19 will fail to turn up on the night within the PCG needs to be both very open questions of the group that some people in PCGs declare and you’ll probably have about the • Should they be paid? Advertis- directed and free ranging – an such as: “How could we improve themselves very happy with a right number of actual attendees ing any form of payment or gift obvious contradiction. The fa- your visits to this practice?” In dental practice. Patient feedback could be construed as an induce- cilitator needs an idea of the sort my experience the answers are is not always negative and is cer- • Which days and times are best? ment to attend and might well land of things you want feedback on. often quite small things that are tainly not to be feared. The old Avoid Fridays and weekends and you in trouble with the GDC. How- Maybe it’s your new appoint- easy overlooked. In one practice retail adage of ‘the customer is al- dates when there’s a vital football ever, it would be polite to give par- ment booking system, the prac- the first afternoon appointments ways right’ (thought to have been match or the final of Strictly Come ticipants some form of ‘thank you’ tice website or the range of ser- are at 2pm but the door is kept coined by Harry Gordon Selfridge Dancing on television. Early even- at the end of the meeting.How vices you offer. You may also wish closed from 1pm to 2pm for lunch in the early 1900s) applies equally ing, say 7.00 or 7.30pm, is prob- about negotiating some vouchers the facilitator to preview things – so patients arriving early (as to dental practices. Initiate regu- ably as good a time as any. State a from a suitable local shop? you are considering introducing most do) have to wait outside in the lar PCG meetings (perhaps with finish time (and stick to it) – about – a practice plan, finance terms, cold and rain. Opening the door at the membership changing a little one and a half hours is the maxi- As preparation for the first later opening hours and so on. 1.55pm solved this problem. each time), act on the feedback mum time the meeting should last meeting, you’ll need to liaise and you’ll soon fulfil the ideal of a with your facilitator. Discussion The facilitator can usefully ask You’ll also be pleased to learn patient-centred practice. DT • Where should you hold it? In your practice is both the best and cheapest option. It’s good for pa- tients to visit your practice for oth- er than treatment as it helps lower any barriers to communication. Ex-Demo CB500-HD Second choice would be to hire a with 1 year Warranty private room in a smart local hotel • Who should run it? Not you! Pa- • HD Flat Panel – superior image quality in both 2D tients will be most unlikely to ex- and 3D with resolutions from 0.125mm to 0.4mm press honest opinions if the dental • High-End HD 2D Panoramic – a traditional principal hosts the meeting. The low-dose 2D OPG using i-PAN™ image capture same applies to members of staff. technology Use a facilitator – somebody good • 8cm scan height – perfect for implant planning at controlling meetings while scans £79,000 involving everybody and with • Extended Diameter Scan – unique adjustable +VAT £55,000 some knowledge of dentistry and your practice. Importantly, even 8cm or 14cm diameter scans though they will be receiving a • Adjustable scan heights - custom scan fee and/or expenses, the facilita- heights of 2cm to 8cm +VAT tor can declare themselves in- • Fast scan times - 8.9 to 23 seconds 60 Payments of dependent and assure the group members of confidentiality • Low Dose - with doses as low as an OPG for £1320 (inc VAT) standard quality single jaw scans per month • Should staff attend? This is a tricky one. On the one hand you want there to be dialogue and in- teraction during the meeting so that issues raised by patients can be addressed. On the other hand, you don’t want patients to feel uneasy at the presence of people they may be indirectly (or even 2nd Hand i-CAT Next Gen directly) criticising. Giv- 4 years old, fully maintained unit en that clinical matters are not to be discussed, I sug- with Warranty until January 2013 gest your practice manager and/or patient coordinator • Flat Panel Sensor Technology – superior 3D and maybe a member of your front image quality of house team should sit in – with • Large Scan Height and Diameter – scans up the proviso that they leave the to 13cm in height and 16cm in diameter - perfect for room if doing so will aid openness craniomaxillofacial scans • Medium Field of View Scans - reduce the scan height • What about refreshments? Of- and width to 8cm x 8cm - perfect for implant scans fering light refreshments such as tea, coffee, soft drinks and biscuits • Adjustable scan heights - Custom scan heights of is a good idea and would certainly 2cm to 13cm be deemed courteous. Of course, • Fast scan times - 8.9 to 23 seconds you’ll wish to make sure what you £109,000 +VAT • Low Dose - measured by SEDENTEXCT to be one of £75,000 offer is both nutritious and good for their teeth! the lowest dose CBCTs in both the maxillofacial and single jaw categories About the author +VAT A proven manager of change and 60 Payments of driver of dramatic £1800 (inc VAT) business growth, Jacqui Goss is the per month managing partner of Yes!RESULTS. By using Yes!RESULTS den- tal practices see an increase in treatment plan take- up, improved patient satisfaction and more appointments resulting from general enquiries. Yes!RESULTS turns good practices into great practices. Jacqui Goss Partner, Yes!RESULTS www.ctscan.co.uk Tel: 08456 448066 IDT Dental Products Ltd, Unit GC Westpoint, 36-37 Warple Way, London W3 0RG. Tel. +44 (0)20 8600 3540 Mob: 07795 562617 Email: jacqui@yesresults.co.uk i-CAT is a Trade Mark of Imaging Sciences International LLC Website: www.yesresults.co.uk Only one of each available so call now! Twitter: @Yesresults www.facebook.com/Yesresults http://uk.linkedin.com/in/jacquigoss 10203_DT Advert.indd 1 07/01/2012 13:48 dtuk0512_12-21.indd 19 21/02/2012 17:28:20