This document discusses general practice transformation in England. It introduces Dr. Farzana Hussain and Sue Collis, who are champions of transformation efforts. The document discusses tools used in transformation, including a change model, process mapping, and Plan-Do-Study-Act cycles. Process mapping of message taking at The Project Surgery practice is shown as an example of using these tools to identify issues and improve workflows. The need for measurement to motivate change is also discussed. Overall the document promotes quality improvement efforts in general practice to better serve patients.

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General Practice Transformation
Champions
Dr Farzana Hussain
MRCGP, GP, Trainer, Appraiser and Coach- The Project Surgery , Plaistow
E13 0LN
Sue Collis
Time for Care Programme Advisor – R.N., Spec Pract., B.Sc (Hons) &
M.Sc - NHS England Sustainable Improvement Team

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Ten High Impact Actions

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Why are we here today ?

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As a single handed GP, Federation Rep
and Mentor in Newham, London

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My reception team and I

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Our team and the builders making
new homes for the local community

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Me and my second year medical
students

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The time for change is now

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General practice- this is what we do

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Change Model for Health and Social Care

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Which tools did you
choose to use and why ?

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Tools and techniques
 Change model – shared purpose and
Leadership for all
 Process mapping
 Plan Do Study Act
 Measurement

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Leadership
Before and after….finding our shared
purpose through a sense of play

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Process mapping

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Process mapping
The Project Surgery Practice – Message taking current state map – Sept 2016
Key: Process step Decision Issue / problem Idea

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The Project Surgery – message taking current state map – Sept 2016
The output or process map …simple and powerful tool
Rx
request
made
Patient
Receives
meds
0.5 Hrs
0.25 Hrs
1.5 Hrs
30 sec
0.25 Hrs
1 min
0.25 Hrs
30 sec0.5 Hrs
1 min
0.25 Hrs
0.25 Hrs30 sec2.0 Days
0.5 Hrs 1.5 Hrs
0.25 Hrs30 sec
1 min 0.25 Hrs
0.25 Hrs
Key: Process step Decision Issue / problem Idea
Presentation example only

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Plan Do Study Act

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What are we trying to accomplish?
How will we know that change is an improvement?
What change can we make that will result in improvement?
The Model for Improvement

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Plan-Do-Study-Act cycles
Hunches
theories
ideas
changes that
result in
improvement
Very small
scale test
Follow-up
tests
Wide-scale tests
of change
Implementation
of change
Testing and
refining ideas
Implementing new
procedures & systems
- sustaining change

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Plan Do Study Act
• Repeat prescribing

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A work in progress…
• What about measurement ?

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Measurement
 How do you measure effectively ?
 Anti emetic to measurement !
 Measure to motivate.
 This is our challenge now and we are trying…

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Give Quality improvement a go- it
may just be life changing for you as it
is for me

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Thank you !
• Any questions ?

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10 High Impact Actions
bit.ly/gpcapacityforum

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Your Time for Care programme
Preparation
Menu of support, readiness,
aligning plans, preparing champions
Productive General PracticeFederation
development
Online consultation systems (from 2017)
Practice manager development
Reception & clerical staff training
Launch
event
Development Advisor Support
Learn from innovators
General Practice Improvement Leaders Programme
CCG investment & support
10HIAs
showcase