1. Quality of education and patient care the “parallels” Dr Mark Rickenbach FRCP FRCGP PhD FHEA GP Trainer and Appraiser Associate Dean Wessex Deanery Hon Professor University Winchester

2. www.docrick.co.uk Medical education Secondary care Primary Care Management Patients Are there generic principles? What about Social care, private care, voluntary sector NHS Organisations

3. www.docrick.co.uk Backstage Continuity – complete records? Frontstage continuity – proportion seeing the same doctor the same issue? Generic Principles? Shift the focus for healthcare? Professional – know the Issues, Actions, Review Pathways – co-ordinating lead, clear roles and process? Proactive – addressed all issues? Feedback tools - local and regional? Knowledge and experience resources?

4. www.docrick.co.uk Competing pressures, shift work disrupts contact Relationship to Trainer GMC survey - linked to satisfaction and error Back stage continuity - Records Organisation - Departmental Educational lead Educational quality

5. www.docrick.co.uk Supporting educational quality Professional educator Feedback local and regional - Action Research National focus

6. www.docrick.co.uk “ Superb care, crap delivery” ? Cutting back - handle and return Co-ordinate Pathways of care Proactive Communication Team Electronic records Professionalism Review own practice Empower change Secondary care

7. www.docrick.co.uk Taking on more with less resource Proactivity Continuity – front and backstage (records) Primary care Roles clear within the team Professional - Review own practice Knowledge Experience

8. www.docrick.co.uk My pyjama, me muvver Three times beware Sticky carpet iron sign Knowledge and Experience LLAMA – Local Linked Addresses Management and Advice

9. www.docrick.co.uk Factors in Management Frontstage and backstage continuity Knowledge and experience Relationships - Two way process Continuity Records Feedback Giving Feedback Thoughtfully is a GIFT

10. www.docrick.co.uk Patient perspective Demand, immediate gratification versus quality Patience Relationships build Continuity enable Feedback Thanks

11. www.docrick.co.uk A team that reviews it own roles? With professionals who review their own practice? Identify and resolve issues as they arise What is excellence? A

12. www.docrick.co.uk Backstage Continuity – complete records? Frontstage continuity – proportion seeing the same doctor the same issue? Generic Principles? Shift the focus for healthcare? Professional – know the Issues, Actions, Review Pathways – co-ordinating lead, clear roles and process? Proactive – addressed all issues? Feedback tools - local and regional? Knowledge and experience resources?

13. Questions?