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GLASGOW DRUG PROBLEM SERVICE

GLASGOW DRUG PROBLEM SERVICE. DR. JANE JAY, FRCP. GDPS. Established 1994 To support GP shared care scheme 1500 referrals per annum GP referral only Harm reduction and stabilisation. GDPS, 1999. Loss of focus Dysfunctional team Demotivated and deskilled All Chiefs (no Indians)

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GLASGOW DRUG PROBLEM SERVICE

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  1. GLASGOW DRUG PROBLEM SERVICE DR. JANE JAY, FRCP

  2. GDPS • Established 1994 • To support GP shared care scheme • 1500 referrals per annum • GP referral only • Harm reduction and stabilisation

  3. GDPS, 1999 • Loss of focus • Dysfunctional team • Demotivated and deskilled • All Chiefs (no Indians) • Waiting times 6 months +

  4. HOW TO ELIMINATE WAITING LISTS HOW TO GO FROM 60 TO ZERO IN 2 YEARS

  5. KNOW YOUR PATIENT • 28 years old – heroin injector • Addicted since 14 • Imprisoned for 7 • Needs urgent treatment (carpe diem)

  6. KNOW YOUR STAFF • Clinical capacity – clinical review • Delegation - parallel processing • Change the skill mix • Identify training needs • Process mapping to eliminate unnecessary steps

  7. KNOW YOUR DATA • Annual referrals • Waiting times • Weekly clinical activity • New to return ratio • DNAs • Discharges • Critical path analysis

  8. GDPS,2003 • Career pathway (PDP/APPRAISAL) • Enthusiasm • Flexible – embrace change • Rapid response • Appropriate skill mix and new blood • Communication • Operational meetings

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