1. Technology to Support General Practice at Scale March 2016 Dr. Ray Montague, One Care Consortium

3. Being Clear about the Problems Facing General Practice Demand – Population generated demand – System generated demand vs Capacity – Clinical Workforce – Recruitment, Retirement Financial Job Satisfaction

4. Opening at weekends is NOT the Solution unless......... you have run out of consulting rooms or.......your GPOOH service is oversubscribed

5. Maybe this is.........

6. What we are all looking for........

7. Where to look Quality Scaling up.. where it helps Skill Mix Continuity, Consistency, Usual GP Self Care Streaming + Channel Shift (Right First Time)

8. Where to look... Avoid reworking, and system generated demand Non-Clinical Workforce and Volunteers Job satisfaction – Systems that work – Sovereignty and professionalism – Choice and career progression Learn to say no

9. South Gloucestershire Bristol North Somerset BrisDoc GP Care 100 Practices LMC The One Care Consortium 950K patients

10. 7 Day Tel.Intranet Collabor -ation Emis Web Test + Learn Bristol PMAF Programme

11. Record Sharing in Emis Full Access to GP record- “semi-permeable membrane” Data Sharing Agreements and Hosting Agreements Point of Care Consent Circle of Trust within Locality “Out of Practice” Consultation Cross Organisational Booking Cross Organisational Tasks Indemnity benefit?

12. Locality Wide Intranet -Artemis Single Sign on Searchable Supported Integrated (with Intradoc)

13. Telephone Systems Can we just answer the phone please? Journey from Call Centre to Practice Centric model People, Process and Technology Organic take up Technology – SIP Lines – End to end metrics – IVR (voice attendant and call routing) – Emis integration eg “click to dial” – Cost efficiency – Call centre capability

14. Emis Optimisation Template development and sharing Common Process – Rpt prescribing – Emis Summaries Bespoke Training and Skill sharing “Emis Specialist users” Practice MOT’s

15. Streaming 111/999 Tel Web GP Minor Illness Physio Mental Health Pharma cist Health Navigator Self Care

16. Streaming + Channel Shift Online Consultations – Web GP – AskmyGP Pharmacist Minor Illness Management Physiotherapy direct access Mental Health worker Health Navigation Price Point + Sustainability

17. 7 day access Exists already!!.....now with full records access Telephone UGP in week vs. see “any GP” at weekends Weekend Appointments – GPOOH (reviews) – Practice Hubs – Practice Rotation Treatment Room, Phlebotomy and Minor Injury

18. Other “test and learn” Note Summarisation- Digitilisation Practice Innovation Fund – Practice based Wifi – Mobile Emis – (Nursing Home Emis Access) Smart phone Apps - Florence

19. Stuff we haven’t Done (yet) Integration with GPOOH systems Health Navigation Social Prescribing Afternoon urgent care Video Consults