port isaac practice welcome · port isaac patient experience o 100% of respondents felt the...
TRANSCRIPT
PORT ISAAC PRACTICEWELCOME
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THE PORT ISAAC PRACTICE BACKGROUND
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INTRODUCTION
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SERVICE PROVISION
FULL RANGE OF GP SERVICES
INTEGRATED COMMUNITY NURSING TEAM
COMMUNITY PHLEBOTOMY
IN HOUSE PHYSIOTHERAPY/MSK SPECIALIST
RHEUMATOLOGY OUTPATIENTS
JOINT INJECTIONS
CLINICAL PHARMACIST
NORTH CORNWALL COAST NETWORK
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PORT ISAAC PATIENT EXPERIENCE
o 100% of respondents felt the healthcare professional recognised or understood any mental health needs during their last general practice appointment
o 99% had confidence in their healthcare professional
o 95% treated with care and concern
o 97% felt involved in their care decisions
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“WHY CAN I NEVER GET AN APPOINTMENT?” 300 telephone calls between 8.30 and 9am
Equates to 30 calls per staff member for 2.5 minutes
On average we deal with 11,500 telephone calls a month
Demand far outweighs our resources
Practices are funded for 4 consultations per year-on average each patient over 65 has 15 GP contacts per year
The total number of online/F2F appointments increased by 7.5% in last 2 years
Practice funding decreased by £500K in 5 years
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CHALLENGES WE FACE
o The average practice is paid a total of £150/patient to include all staff costs and running the surgery - Huge increase in running costs last year
o GPs are self employed so run a business as well as seeing patientso GPs more stressed in the UK than any other country - 62% very stressed or
extremely stressedo UK GPs work more hours than any other EU countryo 208.7m appointments April to November 2019 - Increase of 2.6m from 2018
figureso Patients per FTE GP has risen from 1653 to 2119 in September 2019 - 16%
drop in FTE GPs since 2015o Number of GP partners has decreased by 16% in 4 years - In North Cornwall
we have the least number of GPs per patient than the whole of Cornwallo Practices are closing, in 2013 there were 8106 practices, in December 2019
6836 practices remaining
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CHALLENGESFunding cuts Aging population Increasing comorbidity and complexityMove to push services out of RCH with no shift
in fundingNational and local GP recruitment crisisHalf of practice nurses and GPs in Cornwall
over 50 years oldVery rural isolated area with limited services
available for patientsHidden deprivationUndeliverable public expectations
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PRESSURES ON PRIMARY CARE
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THE FUTURE
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NEW WAYS WE WILL BE WORKING IN CORNWALL
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NORTH CORNWALL LOCALITY
9 very different practices - Bodmin to Bude
2 different PCNs and Camelford currently not in a PCN
Rurality is a huge issue
Most practices small all with issues one way or another
Main issue is workforce, lack of local services, working differently
Poor transport and distance from support services
Limited care and voluntary sector support
PMS income fall
How do we steer our way and ensure we thrive as we have always done with the new rules?
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PRIMARY CARE NETWORKS
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OUR PRIMARY CARE NETWORK
NORTH CORNWALL COAST
Currently includes Port Isaac, Wadebridge and Camel and Bottreaux Practices
Clinical Director Dr Beth McCarron Dave Watson and Terri Clare provide strategic and project
management support Approx. 21,000 Patients Responsible for delivering an extended new contract as well as
usual GP services Enhanced care in care homes Cancer services Enhanced pharmacy structured medication reviews to those at
risk/elderly population Practices tied together with financial penalties if they don't all
achieve
