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Monkspath Surgery

Monkspath Surgery. PPG presentation 12.06.13. Forward thinking practice Embrace change. Development From Portacabin 1985 Purpose built premises 1986 Modern practice to provide care for expanding population with increasing demands 1 st fully computerised GP Practice in Solihull

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Monkspath Surgery

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  1. Monkspath Surgery PPG presentation 12.06.13

  2. Forward thinking practiceEmbrace change Development From Portacabin 1985 Purpose built premises 1986 Modern practice to provide care for expanding population with increasing demands 1st fully computerised GP Practice in Solihull 2nd Wave Fundholder 1992-1999 2nd Wave PMS 2001 – on Work closely with CCG NEW GP Contract on the horizon

  3. Personnel - GPs

  4. Personnel - Nurses

  5. GP Contract Provide health care to those who are ill - or think they are ill

  6. List Size

  7. Enhanced SERVICES • Diabetes • Minor surgery • Long acting reversible contraception • (coils, implants) • NHS health checks • Flu vaccinations • Pneumococcal vaccinations • Prenatal pertussis vaccinations

  8. Enhanced SERVICES • Childhood immunisations • Extended hours • Learning disability health checks • Smoking cessation • Anticoagulation monitoring • Warfarin initiation for atrial fibrillation • Near patient testing • 24 hour blood pressure monitoring • Prostate Cancer Treatment

  9. Nursing Services • Dressings • Cytology • Travel • ECGs • Spirometry • COPD • Asthma

  10. Nursing Services • Family planning • HRT • Ear irrigation • Vaccinations • Phlebotomy • Well person checks • Removal of sutures/ staples • Audiology

  11. Medical Care for Nursing and Residential Homes • 110 frail elderly residents in 2 homes • Swallows Meadow Court & Priory Nursing Home • Reduced routine visits • Low referral and admission rate • Improved prescribing, dispensing and administration • Improved End of Life Care • Improved communication with nursing staff Swallows Meadow awarded BEACON STATUS for End of Life Care in GSF Nursing Homes Accreditation Won Regional Final Health & Social Care Awards

  12. Advanced and Enhanced Access Developed in response to demand Additional doctors actively employed Triage Nurse employed to improve skill mix & Service to patients Clinical Assessment Service (CAT)

  13. Advanced and Enhanced Access Improved Telephone access August 2010 *June 2012

  14. Advanced and Enhanced Access • Resulted in • Improved access to services • Ability to deal with increasing demands for appointments • Ability to deal with problems “on the day” • Reduced hospital admissions • Reduced referrals • Reduced casualty attendance • Reduced need for patient to use Walk In Centre • Statistics from Sirrius

  15. Referral Quality Review Internal referrals Improved access to Primary Care Reduced referral to Secondary Care Special Interests include – Gynaecology, Dermatology, Minor Surgery, Drugs and Alcohol, Family Planning, ENT, Insulin Initiation, Sexual Health, Doppler, Warfarin Initiation Ophthalmology, Palliative Care, Elderly Care, Travel Medicine, Sports Injuries, Mental Health – section 12 approved

  16. Enhanced Opening Hours Surgery open 8am to 6.30pm Monday to Friday Plus extended hours 6.30-8pm Monday and Thursday for booked appointments Improves access to Primary Care Do not divert to Walk in Centre

  17. Enhanced IT services • Surgery Intranet • Surgery Website • Patient TV with Health Promotion • Text reminder for appointments • Self-checking in system • Paperlite=>paperless • E-mail • for cancelling appointments • Making appointments • Ordering repeat prescriptions

  18. Electronic Prescription Service • Do you always use the same pharmacy? • Is your Pharmacy REGISTERED for EPS? • Register PHARMACY OR The Practice • All prescriptions sent to Pharmacy • Collect from nominated pharmacy • No Change • Ordering Process • Turnaround time • No paper!!

  19. The future?? PMS New Contract Out of Hours Remote Monitoring e.g. Diabetes Dementia Screening Electronic Access to Patient Records

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