Access and the gp contract 2014 15
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Access and the GP Contract 2014-15. Primary Care Division Scottish Government. 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

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Access and the GP Contract 2014-15

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Access and the gp contract 2014 15

Access and the GP Contract 2014-15

Primary Care Division

Scottish Government


Access why

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


Access what benefits

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’?


Access what benefits1

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


Access how

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)


Access how three steps

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?


Access paar

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?)


Summary

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?


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