1. Quality of education and patient care Dr Mark Rickenbach FRCP FRCGP PhD FHEA GP Trainer and Appraiser Associate Dean Wessex Deanery Research Fellow University Winchester

2. Wessex Deanery Winchester University www.docrick.co.uk Factors that improve quality: Medical education Secondary care Primary Care Management Patients Are there generic principles? Aims

3. Wessex Deanery Winchester University 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

4. Wessex Deanery Winchester University www.docrick.co.uk Supporting educational quality Professional educator Feedback local and regional - Action Research National focus

5. Wessex Deanery Winchester University 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

6. Wessex Deanery Winchester University 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

7. Wessex Deanery Winchester University 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

8. Wessex Deanery Winchester University 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

9. Wessex Deanery Winchester University www.docrick.co.uk Patient perspective Demand, immediate gratification versus quality Patience Relationships build Continuity enable Feedback Thanks

10. Wessex Deanery Winchester University 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

11. Wessex Deanery Winchester University 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?

12. Questions?