improving the quality of care in general practice
DESCRIPTION
Dr Nick Goodwin, Project Director and Senior Fellow at The King's Fund, talks about the main findings from the independent Inquiry into the Quality of General Practice in England.TRANSCRIPT
Improving the Quality of Care in General Practice
Results of an independent Inquiry into the Quality of General Practice in England
Nick Goodwin, PhDSenior Fellow, The King’s FundProject Director, GP InquiryMarch 2011
Key aims of the independent Inquiry
1. Examine the current state of care quality in general practice.
2. Examine the current availability and use of data and information in general practice.
3. Suggest practical ideas and recommendations to promote quality improvement in general practice.
4. Set out the challenges for meeting the current and future quality agenda.
Inquiry phases
1. Research (April ’09-September ‘10)- What does high-quality care look like?
2. Validation (October ‘09-September ‘10) - focus groups, seminars, online discussions
3. Integration (February ’10-September ‘10) - examination of current measures
4. Reporting (September ’10-March ’11)- defining and measuring GP care quality, the future?
Key messages:
Defining and measuring quality
The current state of quality in general practice
Developing an environment for quality improvement
The future of general practice
Key messages:
Defining and measuring quality
The current state of quality in general practice
Developing an environment for quality improvement
The future of general practice
Percentage of statins prescribed that are low cost, with associated potential saving, London PCTs, 2008
6
£0
£200,000
£400,000
£600,000
£800,000
£1,000,000
£1,200,000
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
1 2 3 4 5 6 7 8 9 10111213141516171819202122232425262728293031
Prod
ucti
vity
opp
ortu
nity
Perc
enta
ge o
f low
cost
stati
ns
London PCTsPercent of low cost statins Productivity opportunity
Source: Better Care Better Value 2008
Percentage of patients on the mental health register with a comprehensive care plan documented in the records agreed between individuals, their family and/or carers, 2007/8 to 2009/10
7
0
500
1000
1500
2000
2500
3000
3500
0%-5
%
5%-1
0%
10%
-15%
15%
-20%
20%
-25%
25%
-30%
30%
-35%
35%
-40%
40%
-45%
45%
-50%
50%
-55%
55%
-60%
60%
-65%
65%
-70%
70%
-75%
75%
-80%
80%
-85%
85%
-90%
90%
-95%
95%
-100
%
Num
ber o
f pra
ctice
s
2009-10 2008-09 2007-08
Source: QOF 2007/08 to 2009/10
Measuring performance in diabetes management
Key messages:
Defining and measuring quality
The current state of quality in general practice
Developing an environment for quality improvement
The future of general practice
Key messages:
Defining and measuring quality
The current state of quality in general practice
Developing an environment for quality improvement
The future of general practice
Key messages:
Defining and measuring quality
The current state of quality in general practice
Developing an environment for quality improvement
The future of general practice
ConclusionsSignificant evolution, but adaptation is still needed
GP commissioning may provide a new platform for quality improvements
Focus on improving the quality of care required, supported by pro-active use of data and information
Must balance ‘trust and control’ – transparent reporting
Find out more:
• Visit www.kingsfund.org.uk/gpinquiry
• Watch the launch at www.kingsfund.tv/gpinquiry