Patient Participation Group

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The Stennack Surgery Patient
Participation Group
Appointments – What do we
actually offer?
We Currently Have…
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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?
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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?
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