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General Public view | Network member posting
START HERE - Introductions and general discussion about releasing time for care and the 10 High Impact Actions
by Robert Varnam December 11. 2016
re: Find where to release most time in your practice
1. Active signposting Public view | Network member posting
Provide patients with a first point of contact which directs them to the most appropriate source of help. Web and app-based portals can provide self-help and self-management resources as well as signposting to the most appropriate professional. Receptionists acting as care navigators can ensure the patient is booked with the right person first time.
by Anonymous March 11. 2020
re: Active signposting at Chapel Green Practice reduces waiting times
2. New consultation types Public view | Network member posting
Introduce new communication methods for some consultations, such as phone and email. Where clinically appropriate, these can improve continuity and convenience for the patient, and reduce clinical time per contact.
by Anonymous September 29. 2020
re: Group consultations go virtual in COVID
3. Reduce DNAs Public view | Network member posting
Maximise the use of appointment slots and improve continuity by reducing DNAs. Changes may include redesigning the appointment system, encouraging patients to write appointment cards themselves, issuing appointment reminders by text message, and making it quick for patients to cancel or rearrange an appointment.
by Robert Varnam January 19. 2017
re: Fact sheet - 3 Reduce DNAs
4. Develop the team Public view | Network member posting
Broaden the workforce, to reduce demand for GP time and connect the patient more directly with the most appropriate professional. This may include training a senior nurse to provide a minor illness service, employing a community pharmacist or providing direct access to physiotherapy, counselling or welfare rights advice.
by Anonymous September 03. 2020
re: Videos about physician associates in general practice
5. Productive work flows Public view | Network member posting
Introduce new ways of working which enable staff to work smarter, not just harder. These can reduce wasted time, reduce queues, ensure more problems are dealt with first time and that uncomplicated follow-ups are less reliant on GPs consultations.
by Anonymous March 11. 2020
re: Electronic Repeat Dispensing (batch prescribing) could save 2.7m GP hours
6. Personal productivity Public view | Network member posting
Support staff to develop their personal resilience, as well as specific skills to allow them to work in the most efficient way possible. This may include improving the environment, reducing waste in routine processes, streamlining information systems and enhancing skills such as reading and typing speed.
by Robert Varnam December 04. 2017
re: Webinar - building personal resilience
7. Partnership working Public view | Network member posting
Create partnershps and collaborations with other practices and other providers in the local health and social care system. This offers benefits in terms of improved organisational resilience and efficiency, and is essential for implementing many recent innovations in access and enhanced long term conditions care.
by Anonymous December 04. 2020
re: GP referral to Community Pharmacist Consultation Service – South West England pilot
8.Use social prescribing Public view | Network member posting
Use referral and signposting to non-medical services in the community which increase wellbeing and independence. Examples include leisure and social community activities, befriending, carer respite, dementia support, housing, debt management and benefits advice, one to one specialist advocacy and support, employment support and sensory impairment services.
by Robert Varnam January 02. 2020
re: Research shows the journey of benefit from social prescribing
9.Support self care and management Public view | Network member posting
Take every opportunity to support people to play a greater role in their own health and care. This begins before the consultation, with methods of signposting patients to sources of information, advice and support in the community. Common examples include patient information websites, community pharmacies and patient support groups. For people with longterm conditions, this involves working in partnership to understand patients' mental and social needs as well as physical. Many patients will benefit from training in managing their condition, as well as connections to care and support services in the community
by Robert Varnam May 27. 2019
re: Commissioning for self care
10. Build QI expertise Public view | Network member posting
Develop a specialist team of facilitators to support service redesign and continuous quality improvement. Such a team will enable faster and more sustainable progress to be made on the other nine high impact changes. The team could be based in a CCG or federation. They should ideally include clinicians and managers, and have skills in leading change, using recognised improvement tools such as Lean, PDSA and SPC, and coaching GP practice teams.
by Anonymous November 22. 2019
re: Using quality improvement in a Primary Care Network – Newham Central 1
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