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Access and the GP Contract 2014-15

Access and the GP Contract 2014-15. Primary Care Division Scottish Government. Access - why?. Feed back from practices; ‘demand’, ‘workload’, effects on practitioners, staff and relationships with patients Patient Experience; survey and feed back to MSPs/SG

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Access and the GP Contract 2014-15

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  1. Access and the GP Contract 2014-15 Primary Care Division Scottish Government

  2. Access - why? • Feed back from practices; ‘demand’, ‘workload’, effects on practitioners, staff and relationships with patients • Patient Experience; survey and feed back to MSPs/SG • Campaigns by Deep End, RCGP, BMA; workload, infrastructure and capacity

  3. Access – what (benefits)? • Benefits of maximising the use of the available resource should include; • For patients; a tailored access system (involving them?), clarity on who needs to be seen/by whom/when?, awareness of capacity • For practices; re-fresh of ‘demand’/capacity, staff roles, providing clarity on who needs to be seen/by whom/when?, an element of ‘control’?

  4. Access – what (benefits)? • Professional Groups (BMA/RCGP/Deep End) • Health Boards • Scottish Government • All of the above receive information on demand/capacity – support for workload campaigns • Assurance that current capacity is being maximised

  5. Access – how? • QS002(S). The practice will undertake a review of access, using the tool agreed between SG and SGPC and provide a practice action report of the findings to the NHS Board. • Two parts; an assessment of demand/patient flow using recognised tools/methodologies; practices encouraged to involve patients in the process and share the contents of the reports • Based on Productive General Practice ‘tried and tested’ tools and activities (little that is new)

  6. Access – how (three steps)? • Know your patients and practice; has your practice or practice population and or activity changed significantly since you last undertook this sort of exercise? • Know how well you are doing; how well are you currently matching demand and capacity? • Know what improvements to prioritise; knowing the results of the above, what would you change, and in what order?

  7. Access - PAAR • 10 questions; essentially a high level summary of what you learned from each tool, your reflections on the impact of, and implications for, your practice and patients, supporting your decisions on any changes • Very practical; captures the outcomes from the ‘three steps’ and provides an ‘evidence base’ for change (or no change?)

  8. Summary • A recognition of the importance of Access; the workload (demand/capacity) issues in practice • Expected benefits • The tool(s) – a walkthrough to follow • Any Questions? • ‘What's the minimum we need to do?’ • ‘What if we are all ‘open access’? • What if we did this last year?

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