- 1. Releasing time in general practice Dr Robert VarnamPhD
MRCGPClinical lead for CCG & primary care delivery, NHS
Improving Quality Head of general practice development, NHS England
GP, Robert Darbishire Practice, Manchester @robertvarnam #GPdev
@NHSIQ [email protected]
2. Releasing time in general practice The issue The Productive
General Practice Examples National general practice development
programme Top tips 3. The issue@robertvarnam #GPdev @NHSIQ 4.
Quality safety effectiveness experience Care & support
Secondary / specialist careAccess DiagnosticsCommunity
servicesProactivityCoordinationPharmacySelf care@robertvarnam
#GPdev @NHSIQCCGATLA 5. @robertvarnam #GPdev @NHSIQ 6.
@robertvarnam #GPdev @NHSIQ 7. The Productive General
PracticeLean-based redesign for busy general practices Practical,
guided, comprehensive@robertvarnam #GPdev @NHSIQ 8. The Productive
General Practice@robertvarnam #GPdev @NHSIQ 9. The Productive
General Practice@robertvarnam #GPdev @NHSIQ 10. The Productive
General Practice 12 modules packaged in a box set The programme is
divided into manageable, easy to follow, self-directed modules A
large range of supporting resources spreadsheets, documents,
eLearning and guidance films@robertvarnam #GPdev @NHSIQ 11. The
Productive General Practice Support packages from expert teams
Options for sharing & collaboration between practices Aligned
with strategic commissioning priorities@robertvarnam #GPdev @NHSIQ
12. Typical results Extra nursing capacity identified, providing
extra capacity worth 11k Test site testing, Consultation moduleMore
accurate staff planning resulted in the cancellation of planned
appointment of staff avoiding 15k of staff expenditure year on year
Test site testing, Consultation moduleTime taken to retrieve
prescriptions requests reduced by 82%, releasing 12.5hrs of staff
time per week Test site testing, Front of House moduleTurnaround
time for medical reports reduced by 43% Test site testing, Back
Office module14% reduction in stationary costs Test site testing,
Back Office module57% reduction in blood test resource costs Test
site testing, Planning and Scheduling module82% reduction in nurse
sickness and absence Test site testing, Planning and Scheduling
module 13. I seem to manage to get home on time much more often
than I used to It makes a big difference to my work-life balance.
Knut Schroeder, GP Partner, Concord Medical Centre, BristolOur list
size has started to grow for the first time in a good while the
practice is more efficient, friendly, flexible and productive. Dr
Paul Cook, GP, Welbeck Road Health Centre, Bolsover@robertvarnam
#GPdev @NHSIQLed to changes that were really life changing for me.
Improvements mean I do not stay late evenings and this means I am
not making mistakes because I am tired. Dr Angela Bradley, GP,
Lisle Court Medical Centre, Leamington Spa 14. eg Maryport
Improving todays practice Process redesign given us a structured
approach to making improvements reduced the number of calls GPs
have to make by 80% and released time for an extra 2 patients to be
seen each day@robertvarnam #GPdev @NHSIQ 15. eg Maryport Shaping
our future practice Radically re-thinking & transforming focus
on self-care, group consultations, technology patient-led design
approach segmentation of high profile patient groups proactive
multiple LTC review clinics@robertvarnam #GPdev @NHSIQ 16. Taster
What is it like? What is possible? Sheffield practices workplace
improvement project@robertvarnam #GPdev @NHSIQ 17. Workplace
improvement 5S SortRemove non-essential thingsSetOrganise necessary
things Assign each object a placeShineStandardiseSustainRegularly
clean & maintain the areaDevelop procedures, arrange similar
areas in similar ways, use colour codesUse regular audits and embed
5S in the everyday routine 18. Workplace improvement 5S
SortSetShineStandardiseSustain 19. Workplace improvement 5S
SortSetShineStandardiseSustain 20. Workplace improvement 5S
SortSetShineStandardiseSustain 21. Workplace improvement 5S
SortSetShineStandardiseSustain 22. Workplace improvement 5S
SortSetShineStandardiseSustain 23. Spaghetti diagrams 24. The
current workplace 25. Sort 26. Set in order 27. Set in order 28.
Standardise 29. Spot the missing numbers 30. NHS Englands strategic
framework@robertvarnam #GPdev @NHSIQ 31. Aug 13 Call to action on
general practice. Strategic framework for commissioning general
practice. 9 workstreams. Mar 14 Emerging Findings Apr 14 Phase Two
@robertvarnam #GPdev @NHSIQ 32. General practice development
programme 1. Innovation spread Learning networksPeer networking
Innovation hub Bureaucracy2. Release capacityClinical clutter
Internal productivity3. Capability-building4. Business development
Development advisersService improvement Leadership Legal Financial
ManagementNational Coordinating Centre Strategic Development
leadership advisersNational guidancePMO support Evaluation 33. Top
tips@robertvarnam #GPdev @NHSIQ 34. Top tips Create strategic
alignment Create a values-based shared purpose Do it
collaboratively Engage, engage, engage Be realistic about time
commitment Build local support resource Use it as it is meant to be
usedbit.ly/1hD0GCD 35. Top
tipswww.nhsiq.nhs.uk/capacity-capability/productive-gp.aspx@robertvarnam
#GPdev @NHSIQ [email protected]/1hD0GCD