Top ten tips for improving access at scale (brief overview)
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This document provides top ten tips for improving access to general practice at scale. The tips include securing needed capacity by protecting leadership time and early succession planning, choosing the right approach such as coproducing plans, considering capabilities like business intelligence and service redesign, ensuring access to patient records, engaging patients, planning for costs and accounting, and using measurement to motivate and ensure accountability. The overall message is providing guidance on improving large-scale access to general practice services.
Top ten tips for improving access at scale (brief overview)
- 1. @robertvarnam #GPforwardview@robertvarnam #GPforwardview GENERAL PRACTICE FORWARD VIEW Dr Robert Varnam Head of general practice development @robertvarnam Improving access at scale Top ten tips …
- 2. @robertvarnam #GPforwardview Access at-scale: top ten tips
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- 6. @robertvarnam #GPforwardview Access at-scale: top ten tips Secure the capacity needed • protect time for leaders to lead • start succession planning early Choose the right approach • leading people who don’t work for you • lead through commitment to values & vision • coproduce plans (people commit where they have contributed) • share responsibility widely
- 7. @robertvarnam #GPforwardview Access at-scale: top ten tips Secure the capacity needed • this is not a hobby • few people have ‘spare time’ • setup takes more time Choose the right capabilities • business intelligence • HR and workforce development • IT and information governance • patient and public engagement • financial planning and governance • service redesign • portfolio, programme and project management
- 8. @robertvarnam #GPforwardview Access at-scale: top ten tips Organisational form • single legal essential for most large-scale NHS commissions • culture & processes within / under a single entity are then more important than form Size • find most natural size for each function • expect a ‘nested’ approach Location • ensure travel is as easy as possible for patients • consider premises suitability & costs Function before form
- 9. @robertvarnam #GPforwardview Access at-scale: top ten tips Access to records • essential • learn from others’ consent models & information sharing agreements • consider single systems as alternative to bridges • slower than you think Tech-enabled care • consider systems to support self care, more efficient transactions and ‘remote’ consultations • consider testing demand for video consultations before large scale investment
- 10. @robertvarnam #GPforwardview Access at-scale: top ten tips Engage patients for … Setting priorities • NHS belongs to us all • people surprise you Offering new solutions • patients can see different opportunities • patients think beyond medicine Contributing work • the community can be part of the solution
- 11. @robertvarnam #GPforwardview Access at-scale: top ten tips Potential partners • 111 services, OOH, ambulance trusts, A&E, community pharmacy, voluntary sector, schools Benefits • Shaping demand • Clarity for patients • Reducing overlap or duplication of supply • Improved continuity of care …design deliberately to achieve the benefits
- 12. @robertvarnam #GPforwardview Access at-scale: top ten tips Planning • model scenarios for costs, test assumptions • agree sharing model in advance Reporting • prepare for comprehensive & detailed accounting Procurement • consider specialist input
- 13. @robertvarnam #GPforwardview Access at-scale: top ten tips Clinical governance • accountability structure • processes • protected time CQC registration • much simpler • allow time Indemnity cover • include in cost modelling • clarify records access • shop around • consider single provider & group schemes • provide informed choice re exclusions & run- off cover
- 14. @robertvarnam #GPforwardview Access at-scale: top ten tips Setting priorities • needs analysis • geographical & demographic segments • inequalities Measurement to motivate • rapid realtime measures of progress Measurement for accountability • activity • outcomes • safety • costs Avoid manual data collection wherever possible
- 15. @robertvarnam #GPforwardview Access at-scale: top ten tips bit.ly/accesstoptentips1
Editor's Notes
- #6: SINGLE