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Haxby Prospective Review Of Patient ACcess, Time Management and Workload to ImproVe Efficiency (PROACTIVE) Project Dr Mike Holmes Partner, Haxby Group.

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Presentation on theme: "Haxby Prospective Review Of Patient ACcess, Time Management and Workload to ImproVe Efficiency (PROACTIVE) Project Dr Mike Holmes Partner, Haxby Group."— Presentation transcript:

1 Haxby Prospective Review Of Patient ACcess, Time Management and Workload to ImproVe Efficiency (PROACTIVE) Project Dr Mike Holmes Partner, Haxby Group RCGP Clinical Lead, Supporting Federations Programme

2 Haxby Group Large Practice , 50,000 patients 2 Cities, 10 sites

3 Challenges Workload Workforce Patient Demographics Shifting Care
GP/Consultant GP training Practice Nurse Patient Demographics Shifting Care A ‘new deal’ – 7/7 working? Finance

4 So what do we do? Data helps to know where you are, and where you have come from ‘Resilience thinking’ – deal with the challenges of complexity Accept we will meet challenge – (don’t be negative, embrace it) Do not erect strong defences – do not do what you’ve always done Efficiency is important but the key is adaptability Tighten the cycle of change – OODA, PDSA etc etc Observe – Data, Orientate – put in context, Decision – collaborative thinking, Act – mandated, acceptable, resilient change To be adaptable we must support rapid logical change – don’t be afraid – but if its not working then review – go round the loop again….. No funding, Released Clinical Leadership – self funding?

5 PROACTIVE Aims Patient Care Sustainability Collaboration
Improving Access, Improving pathways, engage with communities, increase satisfaction Sustainability Workload (change is difficult when at capacity) Financial – ensure stability – protect viability Recruit – Attractive, Developing Diversity promotes adaptability Develop – upskill, collaborative teams within the team, training and education Collaboration Internally and with other social worlds (external) Develop leadership at all levels – OD, Systems, Complexity, Social Worlds Phase 1 – Understanding where we are, understand the environment (Observe & Orientate) Phase 2 – Agree changes and direction (Decision) Phase 3 – Implement (Act) Phase 4 – Evaluate and review (Observe)

6 Data Correspondence Blood tests Reception workload Appointment Data
Workforce distribution Measure of Acute/Booked/Telephone Use of Wider Clinical Team

7 Admin Tasks - Letters

8 Admin Tasks - Bloods

9 Telephone Calls to Reception

10 Letter Filing Protocol
BIT to File GP to File All clinic letters with no action All letters for adults arranging appts of informing of DNA ED/OOH attendance with no action All letters with prescribing action to pharmacists All letters with GP action request Letters re palliative patients Letters re unplanned admission All letters re patient death All letters where BIT are unsure

11 Correspondence – initial data
6 weeks data GPs Filing 31% BIT Filing 65% Pharmacist 4% Easier for BIT No additional staff required

12 Making Time…. 2250 letters per week – 30 seconds per letter 69% - 1552
776 minutes = c13 hours GP time per week 2500 bloods per month – 625 per week 30 seconds per test on average 20% filed by HCA – 1 hour per week 60% - 3 hours per week Current GP saving 14 hours per week

13 What Next? Develop diverse clinical team
Upskill – all healthcare professionals Involve patients Protect, Support and Mentor new GPs Promote the on-line space Use technology Collaborate Questions


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