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Sunday 25 March 2018
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Topic: Practice management

March 21, 2018

General practice has been suffering from a range of factors, including underfunding, heavy workload and lack of GPs.

Léa Legraien talks to a practice manager to find out how he keeps his practice thriving.

Q. What makes your practice stand out?

A. Our fearless approach to innovation and change combined with a strong quality improvement methodology has helped us to stand out among an amazing crowd.

Q. What's the key to successfully managing a practice?

March 15, 2018

Tens of thousands of patients across Bury, Greater Manchester are joining their GP practice’s online services.

NHS Bury Clinical Commissioning Group (CCG) announced on its website yesterday (14 March) that over 20,000 new patients joined the online services in 2017 alone, compared with over 5,500 in 2016.

A total of over 35,000 users opened an account to use GP digital services since it launched in 2015, the CCG said.

March 14, 2018

Patients with multimorbidity take up more than half of GP appointments, a study has found.

March 13, 2018

Two Hampshire practices have launched an urgent care system to improve access to same-day appointments for their patients.

GPs at the practices in Lee-on-the-Solent, Hampshire are confident that this system will help them to offer more routine doctor appointments and reduce patients waiting times.

In a letter to patients, Lee-on-the-Solent Health Centre said they will be working with Manor Way Surgery to deliver a new urgent care system.

March 12, 2018

Business manager Nicola Hewitson, who has been a practice manager for six years, spends between five to eight hours a week playing laser tag, while she plays table top war gaming once a fortnight.

Firing infrared beams and thinking up war gaming strategies have turned out to be important assets for Nicola, who makes full use of these skills even when managing her practice, Thorpe Road Surgery in Peterborough, where she has worked for three years.  

March 9, 2018

A GP practice is launching a virtual patient participation group (PPG) to run alongside with its regular face-to-face meetings.

Adelaide Street Family Practice in Blackpool hopes that the existence of a digital group on Facebook will encourage more people to become active participants and contribute to the practice’s PPG.

The digital group is launching on 20 March, but the practice will be running a test session before the official release date.

March 8, 2018

The Royal College of General Practitioners (RCGP) has expressed concern over the use of patients’ data held at GP practices for immigration purposes.

The College is concerned about the existence of an agreement allowing the Home Office to access patient’s data for immigration purposes, which could deteriorate patients trust into general practice.    

March 7, 2018

Practices need to be better prepared to respond to the harsh weather, the Medical and Dental Defence Union of Scotland (MDDUS) has suggested.

In some areas, practice staff struggled to get to work last week, and many practices had to close earlier or cancel appointments after the ‘beast from the east’ hit the UK with snow and freezing temperatures.

March 5, 2018

GPs are set to have to review tens of thousands of patient records following a problem where dates and times of entries were removed.

Over 2,500 practices have lost patient data including read codes, vaccination information and pathology results due to a problem with importing records of returning patients.

The problem, which has impacted 44,104 records, has affected patients that were registered with SystmOne or EMIS practice, moved to a practice that does not use these systems and then moved back to a SystmOne or EMIS practice.

March 2, 2018

GPs and practice staff have been going the extra mile – quite literally – to care for patients despite the snow chaos that has engulfed Britain.

March 1, 2018

GP practices have been advised to consider their staff safety first and close earlier if needed, a Local Medical Committee (LMC) has told Management in Practice today (1 March).

North and South Essex LMC has been advising practices calling in with weather concerns to close their surgery earlier if needed to avoid putting their staff safety at risk.  

The key thing is staff and patients’ safety

February 28, 2018

Satisfaction with GP services is at the lowest point since records began, a survey of almost 4,000 people has revealed.

Satisfaction with general practice among the 3,988 people surveyed by research company NatCen Social Research fell to 65% in 2017, marking a 7% point drop on the previous year and the biggest one-year change since the survey began in 1983.

February 26, 2018

About six years ago, Ryan Smith was told that the closest fire station to his Stafforshire village Eccleshall was ten miles away.

As Staffordshire Fire and Rescue Service were looking for personnel, his curiosity sparked and he did not hesitate to join the retained on-call firefighter scheme.

Today, as a practice manager at Abbey Medical Centre in Kenilworth, he continues to fight fires both outside and – metaphorically – inside his practice.

Starting out

February 20, 2018

GP leaders will be voting on whether non-GPs should be actively encouraged to become partners in an effort to sustain the partnership model, at the UK-wide LMCs Conference next month. 

February 14, 2018

A GP surgery that was rated inadequate twice by the CQC has been taken over by a new provider, the CCG has confirmed.

Charterhouse Surgery in Orpington, in the London Borough of Bromley was rated inadequate overall for the second time by the CQC following an inspection in September 2017.

NHS Bromley Clinical Commissioning Group (CCG) said that the change in provider is a result of the most recent CQC report.

February 12, 2018

BrisDoc Ltd has taken over the management of another practice for two years, after all GP partners handed back their contracts back in December 2017.

It comes after GP partners at Bishopston Medical Practice sent a letter to patients last year in which they said that financial constraints were forcing them to hand back their contract to NHS England.

BrisDoc has taken over the provision of care for more than 10,000 patients at the practice since 10 February.

February 6, 2018

NHS England and NHS Improvement released updated 2018/19 plans for the NHS, in which they expect CCGs to get more involved with general practices on a number of aspects.

How will this update concern you?

Here’s our pick:

1.       Extended access to GPs

February 1, 2018

A GP practice in Feltham, West London has been put in ‘special measures’, a Care Quality Commission (CQC) report published today has shown.

Little Park Surgery was rated ‘inadequate overall’ after a CQC inspection in October 2017 found that it was inadequate for ‘safe’ and ‘well-led’ and required improvements for being ‘effective’ and ‘responsive’.

The practice was already rated as ‘inadequate overall’ after an inspection in October 2016 and another one in September 2017.

January 31, 2018

Alternatives to face-to-face GP consultations are difficult to implement and might not translate into better patient access and reductions in workload, new research has suggested

Practices were struggling to implement alternatives to traditional consultations, a study published today (30 January) in the British Journal of General Practice has found.

January 31, 2018

A GP practice in Folkestone has announced intentions to close one of its branches that fails to comply with the Care Quality Commission (CQC) guidelines and is no longer financially sustainable.

In a letter to patients, GP Principal and sole provider for The Surgery Dr Zaw Thike launched a proposal to close his branch in Hawkinge, Folkestone after recognising that the premises hinder the delivery of certain aspects of care and that not enough space is available for nurses to support GPs during working hours.

January 26, 2018

GP practices will benefit from a new pilot that will see specialist and advanced paramedics rotating through the ambulance service, community multi-disciplinary team and primary care.

The paramedic pilot, launched by Health Education England (HEE) on 24 January, allocates £600,000 to trial the new rotational model to check its feasibility.

Specialist and advanced paramedic practitioners (SPPs and AAPs) are set to work across the NHS, to help within the ambulance service, community-based teams and GP practices.

January 25, 2018

A GP practice has managed to exit special measures after it proved to have addressed key areas of concern previously outlined by the Care Quality Commission (CQC).

Thornton Lodge Surgery (Dr Hafiz Rehman) in Huddersfield, West Yorkshire was deemed 'inadequate' by the CQC in May 2017 after the CQC found that it had health and safety-related issues.

Following a more recent inspection in November 2017, the CQC decided to improve the practice’s rating after it found proof of improvements.  

January 22, 2018

NHS England, has found that your practice could save £15,000 by choosing to employ a nurse practitioner instead of a GP and free up to 260 hours of GPs’ time by simply making better use of clinical nurses. 

January 22, 2018

A practice in south-east London has been rated ‘inadequate overall’ after a Care Quality Commission (CQC) inspection in September 2017.

It is the second time the Charterhouse Surgery in the London Borough of Bromley receives this rating, after it was rated inadequate overall following another inspection in November 2016.

The practice provides services to approximately 7,400 patients and operates in the least deprived decile in England.