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General Practice Transformation
Champions
Dr Farzana Hussain MRCGP, GP, Trainer, Appraiser and Coach- The Project Surgery , Plaistow
E13 0LN
Sue Collis Time for Care Programme Advisor – R.N., Spec Pract., B.Sc (Hons) &
M.Sc - NHS England Sustainable Improvement Team
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Ten High Impact Actions
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Why are we here today ?
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As a single handed GP, Federation Rep
and Mentor in Newham, London
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My reception team and I
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Our team and the builders making
new homes for the local community
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Me and my second year medical
students
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The time for change is now
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General practice- this is what we do
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Change Model for Health and Social Care
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Which tools did you
choose to use and why ?
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Tools and techniques
Change model – shared purpose and
Leadership for all
Process mapping
Plan Do Study Act
Measurement
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Leadership
Before and after….finding our shared
purpose through a sense of play
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Process mapping
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Process mapping
The Project Surgery Practice – Message taking current state map – Sept 2016
Key: Process step Decision Issue / problem Idea
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The Project Surgery – message taking current state map – Sept 2016
The output or process map …simple and powerful tool
Rx request made
Patient Receives meds
0.5 Hrs
0.25 Hrs
1.5 Hrs
30 sec
0.25 Hrs
1 min
0.25 Hrs
30 sec 0.5 Hrs
1 min
0.25 Hrs
0.25 Hrs 30 sec 2.0 Days
0.5 Hrs 1.5 Hrs
0.25 Hrs 30 sec
1 min 0.25 Hrs
0.25 Hrs
Key: Process step Decision Issue / problem Idea
Presentation example only
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Plan Do Study Act
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What are we trying to accomplish?
How will we know that change is an improvement?
What change can we make that will result in improvement?
The Model for Improvement
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Plan-Do-Study-Act cycles
Hunches
theories
ideas
changes that
result in
improvement
Very small
scale test
Follow-up
tests
Wide-scale tests
of change
Implementation
of change
Testing and
refining ideas
Implementing new
procedures & systems
- sustaining change
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Plan Do Study Act
• Repeat prescribing
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A work in progress…
• What about measurement ?
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Measurement
How do you measure effectively ?
Anti emetic to measurement !
Measure to motivate.
This is our challenge now and we are trying…
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Give Quality improvement a go- it
may just be life changing for you as it
is for me
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Thank you !
• Any questions ?
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10 High Impact Actions
bit.ly/gpcapacityforum
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Your Time for Care programme
Preparation Menu of support, readiness,
aligning plans, preparing champions
Productive General Practice Federation development
Online consultation systems (from 2017)
Practice manager development
Reception & clerical staff training
Launch event
Development Advisor Support
Learn from innovators
General Practice Improvement Leaders Programme
CCG investment & support
10HIAs showcase
