1. Access and the GP Contract 2014-15 Primary Care Division Scottish Government

2. Access - why? Feed back from practices; ‘demand’, ‘workload’, effects on practitioners, staff and relationships with patients Patient Experience; survey and feed back to MSPs/SG Campaigns by Deep End, RCGP, BMA; workload, infrastructure and capacity

3. Access – what (benefits)? Benefits of maximising the use of the available resource should include; For patients; a tailored access system (involving them?), clarity on who needs to be seen/by whom/when?, awareness of capacity For practices; re-fresh of ‘demand’/capacity, staff roles, providing clarity on who needs to be seen/by whom/when?, an element of ‘control’?

4. Access – what (benefits)? Professional Groups (BMA/RCGP/Deep End) Health Boards Scottish Government All of the above receive information on demand/capacity – support for workload campaigns Assurance that current capacity is being maximised

5. Access – how? QS002(S). The practice will undertake a review of access, using the tool agreed between SG and SGPC and provide a practice action report of the findings to the NHS Board. Two parts; an assessment of demand/patient flow using recognised tools/methodologies; practices encouraged to involve patients in the process and share the contents of the reports Based on Productive General Practice ‘tried and tested’ tools and activities (little that is new)

6. Access – how (three steps)? Know your patients and practice; has your practice or practice population and or activity changed significantly since you last undertook this sort of exercise? Know how well you are doing; how well are you currently matching demand and capacity? Know what improvements to prioritise; knowing the results of the above, what would you change, and in what order?

7. Access - PAAR 10 questions; essentially a high level summary of what you learned from each tool, your reflections on the impact of, and implications for, your practice and patients, supporting your decisions on any changes Very practical; captures the outcomes from the ‘three steps’ and provides an ‘evidence base’ for change (or no change?)

8. Summary A recognition of the importance of Access; the workload (demand/capacity) issues in practice Expected benefits The tool(s) – a walkthrough to follow Any Questions? ‘What's the minimum we need to do?’ ‘What if we are all ‘open access’? What if we did this last year?