Access and the GP Contract 2014-15
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Transcript of Access and the GP Contract 2014-15
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Access and the GP Contract 2014-15
Primary Care DivisionScottish Government
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Access - why?
• Feed back from practices; ‘demand’, ‘workload’, effects on practitioners, staff and relationships with patients
• Patient Experience; survey and feed back to MSPs/SG
• Campaigns by Deep End, RCGP, BMA; workload, infrastructure and capacity
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Access – what (benefits)?
• Benefits of maximising the use of the available resource should include;
• For patients; a tailored access system (involving them?), clarity on who needs to be seen/by whom/when?, awareness of capacity
• For practices; re-fresh of ‘demand’/capacity, staff roles, providing clarity on who needs to be seen/by whom/when?, an element of ‘control’?
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Access – what (benefits)?
• Professional Groups (BMA/RCGP/Deep End)• Health Boards• Scottish Government
• All of the above receive information on demand/capacity – support for workload campaigns
• Assurance that current capacity is being maximised
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Access – how?
• QS002(S). The practice will undertake a review of access, using the tool agreed between SG and SGPC and provide a practice action report of the findings to the NHS Board.
• Two parts; an assessment of demand/patient flow using recognised tools/methodologies; practices encouraged to involve patients in the process and share the contents of the reports
• Based on Productive General Practice ‘tried and tested’ tools and activities (little that is new)
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Access – how (three steps)?
• Know your patients and practice; has your practice or practice population and or activity changed significantly since you last undertook this sort of exercise?
• Know how well you are doing; how well are you currently matching demand and capacity?
• Know what improvements to prioritise; knowing the results of the above, what would you change, and in what order?
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Access - PAAR
• 10 questions; essentially a high level summary of what you learned from each tool, your reflections on the impact of, and implications for, your practice and patients, supporting your decisions on any changes
• Very practical; captures the outcomes from the ‘three steps’ and provides an ‘evidence base’ for change (or no change?)
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Summary
• A recognition of the importance of Access; the workload (demand/capacity) issues in practice
• Expected benefits• The tool(s) – a walkthrough to follow• Any Questions?• ‘What's the minimum we need to do?’• ‘What if we are all ‘open access’?• What if we did this last year?