Should non-clinical performance standard should be set for GPs?

GPFUQ #208  What non-clinical performance standard should be set for GPs?

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