The Stennack Surgery Patient Participation Group

1
The Stennack Surgery Patient Participation Group

• Appointments Two years onWhat do we now offer?

2
We have 13000 Patients registered with us, plus
temporary residents (often over 20 per day during
the summer)

• We are open from 8am-8pm Monday-Friday including
  Bank Holidays

3
We Currently Have

• 10 GP Partners
• 2 Salaried GPs
• 2 Nurse Practitioners
• 2 Senior Nurses
• 4 Practice Nurses
• 2 Assistant Nurse Practitioners
• 1 Health Care Assistant

4
GP Sessions

• The Partners work an agreed number of sessions
  per week. Several of our GPs work in other
  specialist clinics across the County and are
  therefore not at the Stennack Surgery every day
• The GPs currently work a total of 63 sessions per
  week
• Every GP has a buddy who covers their work in
  their absence

5
What is a session?

• One session Half day
• General Clinic 15 x 10 minute appointments
• Joint Clinics Tutorials with GP Trainees
  Foundation Doctors
• Same Day Doctor (Duty Doctor)
• Nursing Homes weekly rounds (We look after five)
• Community Hospital ward round
• Womens Health Clinic
• Minor Operation Clinics

6
How Many Appointments?

• We are currently offering about 900 GP/SDS
  appointments each week 160-200 per day
• We have pre-bookable, 48hr and Book on the Day
  appointments
• The SDS offers over 50 appointments each day for
  acute problems in addition to its walk-in for
  Minor Injuries
• Certain number of GP appointments released 48
  hours ahead
• New
• On-line booking now available for GPs (Unbooked
  appointments are released for general use 24 hrs
  ahead)

7
WEEK 1 Mon Tues Wed Thurs Fri  
Colin LN7/6.30   EX/SDDpm      
  30   10     40
Dan   EDD/6.30 SDDam   Vispm  
    30 15 30 30 105
Will Vispm TW/HDpm   SDDam/6.30    
  30 15   15   60
Rupert SDDam EX/   JT/Tutam  
Morrall 15   25   15 55
Sarah     WHpm   SDDam/JT/Tutpm  
    30 15   0 45
Frank EHpm Vispm EHam SDDpm    
  15 30 5 15   65
Michele SDDpm   Cwam/Vispm      
  15   20     35
Anna         SDDpm  
    30     15 45
Sam     6.30      
  15   15 15 15 60
Rupert       Rxpm 6.30  
Manley     15 25 15 55
Aida   SDDam        
    10     25 35
Jane Lucas-   SDDpm   Carram/Vispm    
McGrath 30 15   23   68
ST3(SAR)-Sophie Spencer   videopm SDLam/VTSpm SDSpm EHam/JT/Tutpm  
  14 13 0 7 3 37
             
            0
F2(RMO)         JT/Tutam/SDSpm  
  9 9   7 4 29
STUDENT(S)            
            0
SAME DAY SERVICE       ST3 F2pm  
            0
Offered appts 173 182 120 137 122 734
FIGURES SHOWN IN RED ARE THE NUMBER OF APPOINTMENTS OFFERED PER DAY(Not allowing for supervision slots) FIGURES SHOWN IN RED ARE THE NUMBER OF APPOINTMENTS OFFERED PER DAY(Not allowing for supervision slots) FIGURES SHOWN IN RED ARE THE NUMBER OF APPOINTMENTS OFFERED PER DAY(Not allowing for supervision slots) FIGURES SHOWN IN RED ARE THE NUMBER OF APPOINTMENTS OFFERED PER DAY(Not allowing for supervision slots) FIGURES SHOWN IN RED ARE THE NUMBER OF APPOINTMENTS OFFERED PER DAY(Not allowing for supervision slots) FIGURES SHOWN IN RED ARE THE NUMBER OF APPOINTMENTS OFFERED PER DAY(Not allowing for supervision slots) FIGURES SHOWN IN RED ARE THE NUMBER OF APPOINTMENTS OFFERED PER DAY(Not allowing for supervision slots)
JT Joint surgery JT Joint surgery EH Edward Hain EH Edward Hain PD Practice Development Carr Carrick Lodge
MO Minor Ops   SDDpm Same Day Dr pm SDDpm Same Day Dr pm EDD Duty Doc Early Cover CW Cornwallis
WH Womens Health WH Womens Health Vispm Early pm clinic late visits Vispm Early pm clinic late visits LN7 Late night to 7pm  
SDD am Same Day Dr am SDD am Same Day Dr am TUT Tutorials   TW/HD Trewartha/Headlands  
    6.30 6.30-8.00 cover  
             
8
What does the Same Day/Duty/on-call Doctor do?

• Triages/assesses requests for visits
• Offers on the day telephone consultations where
  clinically urgent
• Deals with all clinically urgent matters
  requested by community team e.g. District
  Nurses/Macmillan nurses
• Supports the SDS and the nursing team with
  complex patients
• Triages sees patients where appropriate on the
  day when all other appointments are fully booked
• Can be as many as 50 encounters per session

9
What else do the GPs do?

• Visits (Over 30 pw which are fitted in over
  lunchtime between am pm clinics. One GP is also
  assigned to late visits)
• Referrals, pathology processing, prescription
  authorisation and related administration
• Meetings Internal (Lunchtimes evenings)
  External (Lead GPs are involved with the
  local/County groups)
• Medicals reports
• Training of students from the Peninsula Medical
  School, Foundation doctors and GP Trainees
• Research work
• Audits
• Practice Development Business strategy

10
Nursing

• The Nursing Team is highly experienced and
  qualified and deal with a range of general
  nursing as well as chronic disease management
• Blood tests
• Blood Pressures
• ECGs
• Dressings Wound care
• Removal of Sutures
• Child Immunisations
• Diabetic Reviews
• Coronary Heart Disease
• Respiratory Reviews/Asthma/COPD
• Ear irrigation
• Travel Advice immunisation
• INR (patients on warfarin)
• Contraception Family Planning
• Hypertension
• Chronic Kidney Disease
• General health Checks

11
Same Day Service

• The demand for on the day appointments is very
  high. The challenge is to offer pre-booked
  appointments as well as ones for new/acute
  problems. The Same Day Service was designed by
  the Partners to offer a nurse-led service for
  these acute problems, which runs alongside the
  Minor Injury Unit
• Open 8am 8pm
• 50 appointments each day
• Highly qualified Nurse practitioners, minor
  illness and minor injury trained nurses (GPs will
  fill gaps)
• Reception are trained to ask questions to book
  the most appropriate clinician

12
The continual challenge

• Trying to match the demand to supply of
  appointments continues to be a challenge
• What help is there
• Tackling DNAs letters
• The introduction of on-line bookings
• Communication!!!
• PPG new members
• Newsletters/Publicity
• Ambassadors