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GP shifts in MIIUs. Dr Joyce Meikle Medical Director Tayside OOH . PPP. OOH model in Angus and Perthshire. Angus – PCEC at Arbroath and MIIUs in Montrose, Forfar and Brechin Perthshire – PCEC at Perth and MIIUs in Blairgowrie, Crieff and Pitlochry

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GP shifts in MIIUs

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Gp shifts in miius l.jpg

GP shifts in MIIUs

Dr Joyce Meikle

Medical Director Tayside OOH

PPP


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OOH model in Angus and Perthshire

  • Angus – PCEC at Arbroath and MIIUs in Montrose, Forfar and Brechin

  • Perthshire – PCEC at Perth and MIIUs in Blairgowrie, Crieff and Pitlochry

  • GPs doing home visits see patients in MIIUs when required


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Issues:

  • Cover four days on consecutive weeks

  • Home visiting in a rural community is resource heavy.

  • Requirement to also see patients in MIIUs results in additional strain on resources.

  • Patients can’t see a GP locally over festive periods.


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Solution:

GP shifts based in MIIUs between 11am and 3pm on 26th, 27th and 28th December and 2nd, 3rd and 4th January.


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MIIU based GP duties:

Patients referred from NHS 24

Walk in patients

In-patients in attached community hospital


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Informing the public:

  • Adverts were placed in all Tayside local papers during the weeks prior to Christmas and New Year

  • Leaflets distributed at PPG road shows throughout Tayside in December.


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Information contained in ads:

  • GP present at MIIUs

  • Which days – 26th, 27th and 28th Dec and 2nd, 3rd and 4th Jan.

  • Hours of opening – 11.00 – 15.00

  • Access without contacting NHS 24


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Patients Pa

Total 21 37 31 89


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Total 47 40 31 118


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Benefits:

  • Provided an improved service for patients in rural Angus and Perthshire

  • Reduced strain on home visiting in these localities.

  • Pharmacies aligned their opening hours to the MIIU clinic times

  • Eliminated some phone calls to NHS 24


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