general practice improvement programme
Double aims of GPIP
Main Work Areas
GPIP Drivers (Practice Level) V2 5) Manage LTCs better
4) Reduce / smooth demand (the work we have to do, the need for appointments)
22) Consistency of Approach
6) Reduce variation in LTC activity Consistency of Approach
7) Reduction in demand from high frequency patients
14) Reduce meeting run over
15) Reduce email burden 23) Chasing the Tail
16) Make equipment/forms easier to find
8) Reduce wasted time from inefficient processes
1) Create Headroom (help practices with everyday pressures and expectations)
3) Increase our capacity (the work we can do)
2) Remove stress causing issues
11) Improve the management of high risk groups
12) Reduce variation in practice
ORANGE = PROCESS BLACK = OUTCOME
13) Increase workplace organisation
Effective Meetings and Email
25) Workplace Organisation
17) Make internal processes more efficient
9) Increase appointment capacity 10) Increase improvement capability and confidence
24) Effective Meetings and Email
Workplace Organisation
19) Ensure staff availability does not hinder
GPIP as a whole
Chasing the Tail (only if adjusted to suit risk profiling)
26) Workforce Planning
20) Increase consulting clinician capacity
21) Ensure efficient access system
Chasing the Tail
GPIP ‘bolt on’ Consistency of Approach
Workplace Organisation
Interventions – Conclusions
Enabler for large scale, transformational improvement methods
More involved, more complex interventions
Co-production - Making GPIP bespoke for your exact context
Sarah Botherway – Practice Manger
Is this realistic for me?
The Process
Finding Headspace
Finding Headspace
Finding Headspace
Finding Headspace
GP Feedback
Who were they? • Worried well • Lonely • Elderly • Patients with an episode of acute illness
How to maximise the benefits • Ensure there is a mix skills in the room • Think about the person not the patient • Keep asking why • Use the graph as a starting point
GP Feedback
GPIP in the real world • A commitment to protected time • Consistency of Approach • Increased awareness of appointment usage • Feeling of being a team
Top Tips • Pre Reading for Senior Staff (and they have to read it!) • See the modules as a shopping list • Involve as many staff as possible and mix them up • Create a safe environment • Provide cake!
Big picture behind the interventions • Not just about the improvements from the specific interventions. • As • • •
a practice you are learning about: making decisions quickly, using data as a basis. learning how to manage resulting actions. learning how to de-personalise changes and improvements
Bringing CCGs and practices together through development support. Not just the usual suspects, but a wider more representative group of practices and practice staff engaging with the CCG on its wider working.
Summary • Designed to provide fast, flexible improvement • Help you with the here and now! • Demonstrate and build practice capability and confidence to carry on making improvements • Flexible approach that can be tailored to each CCG and to each CCG • Exact approach for each CCG and practice is co-designed with practice and CCG staff – ending up with a bespoke approach that is exactly right for your context
Summary • Delivered in a practical manner, Brief – Simulate – Do! No homework or huge workload…….. • Delivered little and often (typically 12 half days support sessions over three months) • Complimented with high quality workbooks so you have the background and reference of the techniques used – helps with knowledge transfer • Created using learning from other national large scale improvement programmes
www.gpip.co.uk