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Practice professional development plan 2003

Practice name, address and telephone number

Drs Smith Watson Cheek Bromly Wooding and Doherty

Well Close Square Surgery

Well Close Square

BERWICK UPON TWEED

TD15 1LL

01289 356920

 

 

Numbers and type of staff in team

 Doctors                        6 partners 

                                    1 GP Registrar

 Practice Nurses            1 Nurse Practitioner  (Part Time)

                                    4 Part Time Practice Nurses

                                    1 Phlebotomist (Part Time)

 Admin Staff                  1 Practice Manager

                                    1 Reception Manager

                                    3 IT/Admin Staff

                                    1 Secretary

                                    8 Part Time Reception Staff

 Community Nurses       6 District Nurses

                                    2 Health Visitors                                  

 

Demographic features of practice

 Urban/Rural Practice

The practice has a list size of 10522 but has a large influx of holidaymakers in the summer.   As well as providing traditional primary care services the doctors also run a 100-bed hospital.

 

Does this highlight areas of concern/ development?

Due to the geographical isolation of Berwick-upon-Tweed the services delivered at Berwick Infirmary are more extensive than might be expected for a GP-run hospital.

Well Close Square Surgery has an ageing population and because of its isolation from main hospitals this greatly increases the doctors’ workload. Because the practice is only able to participate in a 10 doctor on-call rota with an increasing workload out of hours we are beginning to feel pressurised and stressed.

 

What are the key national priorities that need to be addressed by your team?

 

What are the local priorities (HImP) that need to be addressed by your team?

 

What areas have you identified internally within your team or PMS that needs to be addressed?

 

Did your team have an assessment by the PMS? If yes, what were the key areas highlighted?

·         Yes.

·         We were well advanced.    No areas of difficulty highlighted.

 

What is your team currently focusing on for clinical governance?

·         IT

·         Communication.

·         Team Building

 

What audit have you undertaken in the last 2 years?

·         See Well Close Square Web Site for Audit lists.

 

What lessons have been learned and what further work is there to do?

·         Continuing education in all areas.

·         Need to concentrate on internal support within the team.

 

From the profile created above, identify your team’s top priorities in the coming year?

·         Nursing protocol process / autonomy.

·         Integrated Nursing

·         Heart Failure and hypertension

·         IT

·         Communication

·         Teaching and training

 

What are you going to do?

·         Arrange extensive training to achieve above aims.

 

Who will do it and by when?

·         Nursing protocol process and autonomy to be delivered by nurses themselves

·         Integrated Nursing to be achieved through regular discussion meetings for practice and community nurses throughout the year.

·         Heart Failure training to be arranged by PHCT to be delivered at their regular meetings throughout the year – partially implemented.

·         IT training to be arranged and delivered by the Practice Manager/Admin and IT Staff in-house using the Computer Based Training programme.

·         External computer training to be provided by Northumbria College

 

What are the expected outcomes?

·         Success in all areas.

  

Areas for development in coming year

·         As above.

 

Areas for ongoing development

·         Further integration of Pharmacy with the practice – repeat prescribing reviews and implementation of electronic prescribing.

 

Resources needed to implement your plan

·         Money

·         Time – the biggest issue

·         Training

·         Reinstatement of health visitor hours