What should I expect from my G'P Dr Mohammed Abedi

1
What should I expect from my G.P? Dr Mohammed
Abedi
2
Who did I ask?

• My Patients Group(disabled, hearing/sight
  impaired, BME, NES)
• Annual Practice Patients Survey.
• Recent Enfield wide patients survey conducted by
  Enfield Primary Care Trust.
• Over 50s Forum Chairman Enfield.
• Patient LINKS representative for Enfield.
• Myself

3
To see a Doctor when I need to see one

• Appointments
• No half day closing
• No lunchtime closing
• Extended hours for patients who work
• Named Doctor

4
A Doctor who listens
5
A Doctor who has time for me
Only 2 symptoms for this consultation please
6
To Get Treated Properly

• No discrimination (Age, gender, race, sexuality).
• Diagnosis
• Appropriate Referral
• Choice
• Confidentiality
• Partnership-Patients want to be people who
  Doctors do things with, not people that Doctors
  do things to

7
Staff and Premises Fit for Purpose

• Space.
• Friendly and approachable staff.
• Facilities for elderly, disabled, sight impaired,
  hard of hearing.
• Appropriately advertised, easy to access
  information.

8
Services Closer to home
Ultrasound
Ultrasound
9
A 20 Minute Bus Ride
10
Eastern Enfield-A different challenge

• Life expectancy in the eastern and south eastern
  parts of the borough is much lower than the west
  (9yrs for males and 5 years for females). This
  reflects the wider determinants of health.
• Wards in Edmonton and East Enfield have the
  highest proportions of their populations
  belonging to Black or Minority Ethnic groups with
  large numbers of asylum seekers and non-English
  speaking patients.
• In Enfield, the majority of the areas with the
  highest deprivation scores are found in the
  southeast and eastern parts of the borough.

11
Eastern Enfield-A different challenge

• Higher rates of morbidity and mortality(cardiovasc
  ular, cerebrovascular, cancer).
• Higher rates of Alcohol, tobacco and drug abuse.
• Higher rates of teenage pregnancy.

12
Raise Expectations

• Remove Barriers to registration and access.
• Form partnerships with schools, local, religious,
  cultural and ethnic organisations.
• Tailored services for non-English speaking
  patients.
• Training of interpreters and provision of health
  promotion literature in different languages
• Promoting a culture change.

13
An Example

• Enfield Diabetes Ramadan Project
• Improving links with the Muslim population of
  Enfield during the Holy month of Ramadan
• Aim
• The aim of this project was to raise awareness of
  fasting related issues for people with diabetes
  during Ramadan. We also needed to improve our
  links with hard to reach groups living in the
  locality, especially the Bangladeshi community.

14
Partnership working

• Meetings were held with key figures in the
  Enfield Muslim community and three awareness
  events were planned, one was held in Jalalia
  Jamme Masjeed Mosque Ponders End, one at the
  Edmonton Islamic Centre Mosque, the other at the
  Bangladeshi Welfare Association Ponders End.
• The Ponders End Mosque also transmitted their
  awareness event over their own radio station .
• Culturally sensitive information was purchased
  and given to patients.
• Information about Ramadan published on the EPCT
  diabetes web pages.
• All General Practices received information about
  the start of Ramadan.

15
Success!

• The events at both Mosques were regarded as
  successful.
• Raised awareness/expectations in the particular
  group.
• Relationships that have been forged during the
  project this year will act as building blocks for
  action in subsequent years.
• We are considering our options for similar events
  in the future.
• Project has been accepted for presentation at
  Diabetes UK in March 2009.
•  

16
What should I expect from my GP?

• To sum up then, what patients should expect
• doctors who are clever enough to practise the
  science and wise enough to practise the art of
  healing.
• (Dr. Bernard Lown 1952)
•  
•