Practice name, address and telephone number
Smith Watson Cheek Bromly Wooding and Doherty
Numbers and type of
staff in team
Doctors 6 partners
1 GP Registrar
Practice Nurses 1 Nurse Practitioner (Part
4 Part Time Practice
1 Phlebotomist (Part
Admin Staff 1 Practice Manager
1 Reception Manager
3 IT/Admin Staff
8 Part Time Reception
Community Nurses 6 District Nurses
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?
- Cardiovascular disease NSF
- Heart Failure
- Ischaemic Heart Disease
- Cardiovascular Disease
- Care of the Elderly NSF
- Diabetes NSF
- Mental Health NSF
What are the local
priorities (HImP) that need to be addressed by your team?
- National Service Framework
What areas have you
identified internally within your team or PMS that needs to be addressed?
- Heart Failure
- Prescribing – What are the targets?
- Cancer Screening
- Primary Prevention/Screening/Health Education
- Repeat prescribing
- Nurse triage and appointment systems
- Deficiency in health visitor hours
- Development of teaching and GP training skills
- Development of palliative care resources
- Development of drug user and alcohol rehabilitation
- Development of rheumatology skills
- Appraisal skills training
- Examinations – MRCGP by assessment (MAP)
Did your team have
an assessment by the PMS? If yes, what were the key areas highlighted?
We were well advanced. No areas of difficulty highlighted.
What is your team
currently focusing on for clinical governance?
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.
Heart Failure and hypertension
Teaching and training
What are you going
Arrange extensive training to achieve above aims.
Who will do it and
Nursing protocol process and autonomy to be delivered by nurses
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
External computer training to be provided by Northumbria College
What are the
Success in all areas.
development in coming year
Areas for ongoing
Further integration of Pharmacy with the practice – repeat
prescribing reviews and implementation of electronic prescribing.
Resources needed to
implement your plan
Time – the biggest issue
Reinstatement of health visitor hours