1. Monkspath Surgery PPG presentation 12.06.13

2.  Development  From Portacabin 1985  Purpose built premises 1986  Modern practice to provide care for expanding population with increasing demands  1 st fully computerised GP Practice in Solihull  2 nd Wave Fundholder 1992-1999  2 nd Wave PMS2001 – on  Work closely with CCG  NEW GP Contract on the horizon Forward thinking practice Embrace change

3. Simon GreenPartner Arturo LupoliPartner Elizabeth StokesPartner Beverley DickinsonPartner Johanna RussellPartner Louise RoweSalaried GP Shadan AlamSalaried GP Neha SharmaSalaried GP Interviewing NOWNew Salaried Doctor Personnel - GPs

4. Carol MaxwellNurse Sally ScottNurse Penny MooreHCA Anna CunninghamHCA Interviewing NOWNurse Nurse Practitioner Personnel - Nurses

5.  Provide health care to those who are ill -  or think they are ill GP Contract

8. List Size

9. Enhanced SERVICES  Diabetes  Minor surgery  Long acting reversible contraception  (coils, implants)  NHS health checks  Flu vaccinations  Pneumococcal vaccinations  Prenatal pertussis vaccinations

10.  Childhood immunisations  Extended hours  Learning disability health checks  Smoking cessation  Anticoagulation monitoring  Warfarin initiation for atrial fibrillation  Near patient testing  24 hour blood pressure monitoring  Prostate Cancer Treatment Enhanced SERVICES

11.  Dressings  Cytology  Travel  ECGs  Spirometry  COPD  Asthma Nursing Services

12.  Family planning  HRT  Ear irrigation  Vaccinations  Phlebotomy  Well person checks  Removal of sutures/ staples  Audiology Nursing Services

13.  110 frail elderly residents in 2 homes  Swallows Meadow Court & Priory Nursing Home  Reduced routine visits  Low referral and admission rate  Improved prescribing, dispensing and administration  Improved End of Life Care  Improved communication with nursing staff Swallows Meadow awarded BEACON STATUS for End of Life Care in GSF Nursing Homes Accreditation Won Regional Final Health & Social Care Awards Medical Care for Nursing and Residential Homes

14.  Developed in response to demand  Additional doctors actively employed  Triage Nurse employed to improve skill mix & Service to patients  Clinical Assessment Service (CAT) Advanced and Enhanced Access

15.  Improved Telephone access  August 2010 *June 2012 Advanced and Enhanced Access

16.  Resulted in  Improved access to services  Ability to deal with increasing demands for appointments  Ability to deal with problems “on the day”  Reduced hospital admissions  Reduced referrals  Reduced casualty attendance  Reduced need for patient to use Walk In Centre  Statistics from Sirrius Advanced and Enhanced Access

17.  Internal referrals  Improved access to Primary Care  Reduced referral to Secondary Care  Special Interests include – Gynaecology, Dermatology, Minor Surgery, Drugs and Alcohol, Family Planning, ENT, Insulin Initiation, Sexual Health, Doppler, Warfarin Initiation  Ophthalmology, Palliative Care, Elderly Care, Travel Medicine, Sports Injuries, Mental Health – section 12 approved Referral Quality Review

18.  Surgery open 8am to 6.30pm Monday to Friday  Plus extended hours 6.30-8pm Monday and Thursday for booked appointments  Improves access to Primary Care  Do not divert to Walk in Centre Enhanced Opening Hours

19.  Surgery Intranet  Surgery Website  Patient TV with Health Promotion  Text reminder for appointments  Self-checking in system  Paperlite=>paperless  E-mail  for cancelling appointments  Making appointments  Ordering repeat prescriptions Enhanced IT services

20.  Do you always use the same pharmacy?  Is your Pharmacy REGISTERED for EPS?  Register PHARMACY OR The Practice  All prescriptions sent to Pharmacy  Collect from nominated pharmacy  No Change  Ordering Process  Turnaround time  No paper!! Electronic Prescription Service

21.  PMS  New Contract  Out of Hours  Remote Monitoring e.g. Diabetes  Dementia Screening  Electronic Access to Patient Records The future??