test improving communciation between GP and gateway team

test improving communciation between GP and gateway team

louise
Name: louise
Job Role GP Specialty Trainee
Federation Area: Lisburn
Category: Communication
Contact Email: louise.sands@hscni.net
Equip Project:Yes
Downloads:test-improving-communciation-between-GP-and-gateway-team.png

Project Title: Test Improving ommunication between GP and gateway team

1. WHAT WAS THE PROBLEM YOU WERE LOOKING AT?

Lots of missed calls from social work team when try to ring back responding to Gateway enquiry. Increased stress for Gp and social work staff and pratice admin staff

2. WHAT WAS YOUR PROJECT AIM? WHY DID YOU CHOOSE THIS PROBLEM?

To reduce the number of calls returned from the GP in response to a Gateway enquiry to the practice by 50% over 6 months. The time wasted for both social work staff and GPs is frustrating and also reduces availability for other patients phoning in

3. WHAT QUALITY IMPROVEMENT METHODS DID YOU USE?

we created a process map and PDSA cycle

4. HOW DID YOU MEASURE THE EFFECTS OF YOUR CHANGE?

we used a run chart and also spoke to the Gateway social work staff and GPs to see whether they had noticed a difference

5. WHAT WENT WELL?

improved understanding of roles and reduced number of phone calls

6. WHAT DIDN’T GO WELL?

there are still times when it is difficult to get in contact with the right GP or social worker at a convenient time. it will be worth considering a protected phone in time where social worker woudl be put straght through to GP

7. WHAT DIDN’T GO WELL OR YOU WOULD DO DIFFERENTLY?

chat with Gps, practice staff and social workers to understand what they think might help in future and then do further PDSA cycle

test-improving-communciation-between-GP-and-gateway-team.png

TEST  Reducing DNA rate for diabetic clinics

TEST Reducing DNA rate for diabetic clinics

Jane Smith test
Name: Jane Smith test
Job Role GP sessional
Federation Area: Lisburn
Category: Communication
Contact Email: louise.sands@hscni.net
Equip Project:No
Downloads:

process-map-and-run-chart

Project Title: TEST Reducing DNA rate for diabetic clinics

1. WHAT WAS THE PROBLEM YOU WERE LOOKING AT?

A small but concerning number of patients DNA their diabetic clinic appointments. These patients tend to have more complications and so it is essential that we encourage them to attend. Those that DNA once are very likely to DNA recurrently. The diabetic clinic is run by both the practice nurse and a GP who know this group of patient well. There is one receptionist who co-ordinates the booking of appointments and communication with patients.

2. WHAT WAS YOUR PROJECT AIM? WHY DID YOU CHOOSE THIS PROBLEM?

Our practice has an increasing number of patients with type 2 diabetes. There is a recall system in place for the Diabetic clinic which runs every 2 weeks. There are more patients needing seen than their are clinic slots so it is of great concern when DNAs occur. The aim was to reduce the number of DNAs by 50% over 6 months

3. WHAT QUALITY IMPROVEMENT METHODS DID YOU USE?

The practice team (GP, practice nurse, practice manager, receptionist) created a process map to understand what happenned from a patient is identified as needing a clinic appointment through to their attendance on the day. A PDSA cycle was created

4. HOW DID YOU MEASURE THE EFFECTS OF YOUR CHANGE?

A run chart kept track of the number of DNAs at each clinic over a 6 month period. A record was also made of the names of those DNAs to determine if it was specific people.

5. WHAT WENT WELL?

The patients received a text reminder 24 hours before their appointment and patients confirmed this was useful. For patients who DNA, they were phoned by the GP or practice nurse to ask why and offered an appointment at alternative time if appropriate. There were less DNAS noted and so more patients were seen in a timely manner

6. WHAT DIDN’T GO WELL?

it was frustrating that a small numebr of patients contineu to DNA despite a range of methods being used to encourage attendance. Elderly patients do not all find text messaging useful and so it might be best to ring these pateints the day before the clinic

7. WHAT DIDN’T GO WELL OR YOU WOULD DO DIFFERENTLY?

To consider sending additional leaflet from Diabetes UK out with each clinic invite explaining what happens at the appointment to provide reassurance for those that are anxious or concerned

 

Test Project

Test Project

Louise Sands
Name: Louise Sands
Job Role Webmaster
Federation Area: Lisburn
Category: Communication
Contact Email: garethmenagh@hotmail.com
Equip Project:Yes
Downloads:Letter-to-all-GP-Practices_Covid-19-Vaccination-Update-040221.pdf

Project Title: Test Project

1. WHAT WAS THE PROBLEM YOU WERE LOOKING AT?

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2. WHAT WAS YOUR PROJECT AIM? WHY DID YOU CHOOSE THIS PROBLEM?

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3. WHAT QUALITY IMPROVEMENT METHODS DID YOU USE?

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4. HOW DID YOU MEASURE THE EFFECTS OF YOUR CHANGE?

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5. WHAT WENT WELL?

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Vivamus in viverra tortor, eu cursus sem. Vestibulum tristique gravida metus, ac ultrices tellus pulvinar nec. Proin nec vestibulum risus, id lobortis nulla. Mauris ut justo eget augue porttitor eleifend sed sed nunc. Proin at faucibus dolor. Fusce suscipit commodo magna. Nam posuere non nibh vel dapibus. Phasellus eu efficitur elit, in commodo orci. Vestibulum vestibulum sem sed arcu vehicula, ac maximus lacus placerat. Aliquam eget dapibus massa. In fermentum ligula a venenatis facilisis. Integer pharetra, libero a rhoncus rhoncus, nulla ex venenatis massa, vestibulum commodo turpis sapien eu lectus.

6. WHAT DIDN’T GO WELL?

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Vivamus in viverra tortor, eu cursus sem. Vestibulum tristique gravida metus, ac ultrices tellus pulvinar nec. Proin nec vestibulum risus, id lobortis nulla. Mauris ut justo eget augue porttitor eleifend sed sed nunc. Proin at faucibus dolor. Fusce suscipit commodo magna. Nam posuere non nibh vel dapibus. Phasellus eu efficitur elit, in commodo orci. Vestibulum vestibulum sem sed arcu vehicula, ac maximus lacus placerat. Aliquam eget dapibus massa. In fermentum ligula a venenatis facilisis. Integer pharetra, libero a rhoncus rhoncus, nulla ex venenatis massa, vestibulum commodo turpis sapien eu lectus.

7. WHAT DIDN’T GO WELL OR YOU WOULD DO DIFFERENTLY?

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Vivamus in viverra tortor, eu cursus sem. Vestibulum tristique gravida metus, ac ultrices tellus pulvinar nec. Proin nec vestibulum risus, id lobortis nulla. Mauris ut justo eget augue porttitor eleifend sed sed nunc. Proin at faucibus dolor. Fusce suscipit commodo magna. Nam posuere non nibh vel dapibus. Phasellus eu efficitur elit, in commodo orci. Vestibulum vestibulum sem sed arcu vehicula, ac maximus lacus placerat. Aliquam eget dapibus massa. In fermentum ligula a venenatis facilisis. Integer pharetra, libero a rhoncus rhoncus, nulla ex venenatis massa, vestibulum commodo turpis sapien eu lectus.

Letter-to-all-GP-Practices_Covid-19-Vaccination-Update-040221