If
GPs do not set agreed personal non clinical standards with feedback on performance then
improvement is much more difficult. Examples of simple and measurable
performance measures include 1. Personal
List Continuity - the achievable standard is
about 55% 2. Timeliness- each GP sees patients within 15min of booked appoingtment time - the achievable
standard is >95%. A
common problem is that sometimes the doctor does not start a session of booked appointments on time. 3.
Team Building - each GP attends a
common lunchtime break 12.15-12.45 - standard 100% 4. Portfolio
responsibilities and Business plan- each GP writes a short report (100 words)
each year on their portfolio responsibilities in time for the practice’s annual business meeting each year - standard
100% 5. Availability of appointments. Patients should be able to book an appointment with their personal GP within 5 working days
- standards 100% 6. 360 Multi
Source feedback
completed each year both as reporter and reported on - standard 100% 7. Peer
review - each GP participates in a programme of observed consultations -
everyone observes everyone else for a one hour session every 3 years, and gives
a feedback sheet about observations- standard
100% 8. Each GP has a in house appraisal (1hr) with practice manager and
another GP of their choice- standard 100%.
GPFUQ #209 What data determines what you need to do in the future?
There is no data for
the future
GPFUQ #210 What’s
the main thing missing in quality improvement in the NHS?
You need a Closed-loop system – that's one that’s
designed to automatically achieve and maintain the desired output by
comparing it with what actually happens. It does this signalling the difference between the input and the expected output.
The NHS tries to do this with a hopeless tangle rather than a closed loop. All doctors interested in learning and improvement should view @MaryDixonWoods RCP November 2018 Harveian Lecture https://www.rcplondon.ac.uk/events/live-streaming …. Starts at 37m & it lasts 60m.
GPFUQ #211 What the best way to lead?
Keep going until you are apprehended.
GPFUQ #212 What do
good leaders need to do? – lead from the front with clear vision, solid
objectives and processes to proceed
1.
Prepare
the journey
2.
Fund
the journey
3.
Reinvent
for the future
4.
Organise
for sustained performance
