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The Stennack Surgery Patient Participation Group. Appointments – What do we actually offer?. We Currently Have…. 10 GP Partners 2 Salaried GPs Regular Locum GPs 2 Nurse Practitioners 7 Practice Nurses 3 Health Care Assistants. GP Sessions.
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The Stennack Surgery Patient Participation Group Appointments – What do we actually offer?
We Currently Have… • 10 GP Partners • 2 Salaried GPs • Regular Locum GPs • 2 Nurse Practitioners • 7 Practice Nurses • 3 Health Care Assistants
GP Sessions • The Partners work an agreed number of sessions per week. Several of our GPs work in other clinics across the County and are therefore not at the Stennack every day • The GPs currently work a total of 63 sessions per week
What is a session? • AM or PM • General Clinic = 15 x 10 minute appointments • Joint Clinics & Tutorials with GP Trainees • Same Day Doctor • Nursing Homes weekly rounds • Community Hospital ward round • Shared Care Clinic (Substance Misuse) • Women’s Health Clinic • Minor Operation Clinics
How Many Appointments? • We are currently offering about 900 GP/SDS appointments each week – 160-200 per day • We have pre-bookable and “Book on the Day” appointments • The SDS offers over 50 appointments each day for acute problems in addition to its walk-in for Minor Injuries • Monday – High demand – Minimum of 65 available GP appointments on the day + the SDS • Wednesday – generally the quietest day – 25 available GP appointments offered on the day + the SDS
Limitations! • Rooms – We have 19 consulting rooms which are full for several sessions each week. We then need to find space for the students and other one off services who request a room. Not “hot desking”, but “hot rooming”!
What does the Same Day Doctor do? • Triages/assesses requests for visits • Offers on the day telephone consultations where clinically urgent • Deals with all clinically urgent matters requested by community team e.g. District Nurses/Macmillan nurses • Supports the SDS and the nursing team with complex patients • Triages & sees patients where appropriate on the day when all other appointments are fully booked • Can be as many as 50 encounters per session
What else do the GPs do? • Visits (approx 30 pw which are fitted in over lunchtime between am & pm clinics. One GP is also assigned to late visits) • Meetings – Internal (Lunchtimes & evenings) & External (Lead GPs are involved with the local/County groups) • Medicals & reports • Training of students from the Peninsula Medical School, Foundation doctors and GP Trainees • Research work • Audits • Practice Development – Business strategy
Nursing These are some of the clinics currently offered by our team of highly trained and specialist nurses/HCAs • General Nursing (dressings/Child Immunisations) • Diabetic • Coronary Heart Disease • Respiratory • 24hr/7 day BP/ECG • Ear irrigation • Travel • INR (patients on warfarin) • Contraception • Hypertension
DNAs (Did Not Arrive) • We are averaging about 40 DNAs pw with GPs and about the same with nurses • That equates to over six hours of clinic time for nurses and almost three GP sessions! • How can we change this?