The Exceptional Potential of Each General Practice Dr Niall Maguire Navan.

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Presentation transcript:

The Exceptional Potential of Each General Practice Dr Niall Maguire Navan

Bedford Medical Centre, Navan

The Exceptional Potential of Each General Practice Rural vs Urban Core vs Enhanced Practice The Primary Care Surgical Association Barriers to Enhanced Practice

The Exceptional Potential of Each General Practice Rural vs Urban Core vs Enhanced Practice The Primary Care Surgical Association Barriers to Enhanced Practice

The Health Park, Waterford City

European level population density- Stable Night Lights International Institute for Applied Systems Analysis (IIASA)

Census 2011 Population density AIRO NUI Maynooth Navan Urban (3,168)(1789/km2) Navan Rural (26,657)(453/km2) Castletown Kilpatrick (1,017)(29.5/km2)

Census 2011 Cities and suburbs Towns with population greater than Towns with population Towns with population less than 1500

General Practice by Fionn McCann

The Exceptional Potential of Each Consultation. (Stott, Davis 1979) Acute Illness Health promotion Chronic disease Modifying Help Seeking Behaviour

The Exceptional Potential of Each General Practice Rural vs Urban Core vs Enhanced Practice The Primary Care Surgical Association Barriers to Enhanced Practice

Grange Clinic, Donaghmede

The Exceptional Potential of Each Consultation. (Stott, Davis 1979) Acute Illness Health promotion Modifying Help Seeking Behaviour THE CORE ELEMENTS

The Exceptional Potential of the GP Practice Acute Illness Enhanced Practice Occupational Health Health Screening Prison medical Aeromedical Events Medicine Travel Medicine Sexual Health Addiction Psychotherapy Community Surgery Emergency services

The Exceptional Potential of the GP Practice Acute Illness Chronic disease NIDDM 430 COPD 252 Asthma 679 IHD Hypertension 1452 Gout 260 HfeHC 52 Neuro/Psychiatry Prevalence Bedford Med Centre, Navan

The Exceptional Potential of Each General Practice Rural vs Urban Core vs Enhanced Practice The Primary Care Surgical Association Barriers to Enhanced Practice

Ardfert Medical Centre

The Exceptional Potential of Each General Practice Rural vs Urban Core vs Enhanced Practice The Primary Care Surgical Association Barriers to Enhanced Practice

5,900 Consultations 2,700 Telephone Consultations 2,500 Repeat Prescriptions 270 House calls

5,900 Consultations 2,700 Telephone Consultations 2,500 Repeat Prescriptions 270 House calls CDM

5,900 Consultations 2,700 Telephone Consultations 2,500 Repeat Prescriptions 270 House calls CDM AUDIT

5,900 Consultations 2,700 Telephone Consultations 2,500 Repeat Prescriptions 270 House calls PCT Meetings Medical Council CDM HiQA AUDIT

GPs/100,000 population Eurostat 2012

Hospital Physicians/100,000 population Eurostat 2012

Abbey House Medical Centre, Navan

HospitalGP DocPay Doc Pension Accomodation Equipment Nursing Admin

Productivity. Bedford Medical Practice Total Practice Income € millions GMS list 1000s No of GPs employed

Health gain as Investment Increases Cost as Availability Increases Investment >>>> Availability >>>>

The rural GP

Outstanding in his own field