Introduction
Method
Evaluation criteria and study method
Results
Project Marketing
PPDP facilitators
Practice Name (List Size) | Local Health Group (Health Authority) | Facilitator | PPDP Process (number of participants per workshop in brackets) | PPDP Topic Outcomes |
---|---|---|---|---|
North Cardiff Medical | Cardiff (BroTaf) | NHS-SCW | 5 PPDP sessions: 2 extended group | Management of COPD and leadership development. |
Centre (13,000) | meetings (31,27), one visit to neighbouring | Established a COPD register using British Thoracic Society protocol. | ||
practice (16) and two core group meetings | Improvement of the team's knowledge and skills in COPD and development of | |||
(8,9). | clinical leadership within the practice. | |||
Ynysangharad Surgery | Rhondda Cynon | NHS-SCW | 5 PPDP sessions: 4 extended group | Improvement of patient waiting and time management. |
(2,850) | Taf (Bro Taf) | meetings (11,10,10,11), one practice group | Computerised appointments and patient call system. Efficiency gains for | |
meeting (8). | patient management and access. | |||
Pontcae Surgery (9,430) | MerthyrTydfil | NHS-SCW | 3 PPDP sessions: 3 core group meetings | Planning processes discussed by partners and manager. |
(BroTaf) | (5,6,6). | Increased knowledge regarding strategic planning and policy development that | ||
led to the establishment of clinical leadership within the practice and an | ||||
acceptance of the need to work with differing leadership styles. | ||||
Stanwell Road Health | Vale of | NHS-SCW | 1 PPDP session: extended group meeting | Project suspended because of staff illness: no topic chosen |
Centre (9,157) | Glamorgan (Bro | (22). | ||
Taf) | ||||
Kings Road Surgery | Cardiff ((Bro Taf) | NHS-SCW | 5 PPDP sessions: 3 core group meetings (7, | Clinical data management. |
(5,650) | sponsored) | 7,7), and two visits to neighbouring practices. | Direct entry of systematised data regarding clinical processes within | |
consultations. Improved data management and use of audit and feedback | ||||
techniques to improve clinical systems. | ||||
MeddygfaTeilo (9,000) | Carmarthenshire | NHS-SCW | 5 PPDP sessions: 3 extended group | Enhancement of information standardisation and team use of clinical database. |
(Dyfed Powys) | meetings (22,16,16), one core group (9) and | Improvement of existing high quality information management systems by | ||
one visit to neighbouring practice. | provision of training in data quality and management for all members of the | |||
practice. | ||||
Tan-y-Fron (5,500) | Ceredigion | Pi | 5 PPDP sessions: 4 extended group | Improvement of a repeat prescribing system. |
(Dyfed Powys) | Associates | meetings (12,12,13,11) and one core group | Organisation-wide protocol agreed to improve the effectiveness and safety of | |
(3) meeting. | the repeat prescribing system, linked to the introduction of weekly meetings | |||
involving practice-based and Community Trust staff. | ||||
Winch Lane Surgery | Pembrokeshire | NHS-SCW | 5 PPDP sessions: 3 core group meetings | Application for Quality Practice Award. |
(12,800) | (Dyfed Powys) | (6,8,9) and two sessions providing personal | Development of specified quality systems to meet the Quality Practice Award | |
evaluation feedback to participants. | criteria and assessment of the leadership styles and team roles of selected | |||
professionals. | ||||
LlanfairCaereinion | Powys (Dyfed | Pi | 5 PPDP sessions: 3 extended group | Development of practice integration and communication |
(4,800) | Powys) | Associates | meetings (24,19,24) and two core group | Outcomes: Introduced regular non-medical staff meetings, and Partner and |
meetings (5,5). | Practice Manager meetings. Appointing a new General Manager | |||
Morrison Road Surgery | Neath Port Talbot | Hammond | 4 PPDP sessions: 4 extended group | Generic organisational development discussions. |
(4,600) | (Morgannwg) | Irvine | meetings (11,11,11,11). | Developed ideas for the future of the practice and designed ways to improve |
staff management and training. Efficiency gains and improved patient access | ||||
by modifying the appointment systems. | ||||
Victoria Road Surgery | Bridgend | Pi | 5 PPDP sessions: 3 practice group meetings | Search for solution to lack of space and high workload. |
(2,400) | (Morgannwg) | Associates | (9,9,9) and two core group meetings (2,2). | Multiprofessional involvement in problem solving. Solutions identified (new |
premises and enhanced roles for primary care staff) but no follow up support | ||||
from health authority. | ||||
Gower Group Practice | Swansea | NHS-SCW | 4 PPDP sessions: 4 extended group | Enhancement of information management systems |
(6,255) | (Morgannwg) | meetings (14,14,12,12). | Structured data collection systems designed in two clinical areas (diabetes and | |
contraception) and attention given to high-risk patients identified by data audits. | ||||
Kinmel Avenue Surgery | Conwy (N Wales) | NHS-SCW | 5 PPDP sessions: 1 extended group | Practice computerisation. |
(13,500) | meetings (23), two core group (9,7) and two | Skills development for both clinical and ancillary staff and clinicians and | ||
visits to neighbouring practice. | significant enhancement of the use of information technology and | |||
communication within the organisation. | ||||
Bronyffynnon Surgery | Denbighshire (N | NHS-SCW | 5 PPDP sessions: 3 extended group | Improvement of practice premises. |
(5,200) | Wales) | meetings (16,14,14), two core group | A commissioned architectural audit of the current and potential facilities leading | |
consultation with architect. | to a collaborative approach to the development of improved use of space for | |||
clinical processes. | ||||
Caerffynnon Surgery | Gwynedd (N | NHS-SCW | 5 PPDP sessions: 5 extended group | Care pathway for patients with terminal illness. |
(4,800) | Wales) | meetings (12,12,12,12,12). | Development of a whole team understanding of cancer care via case history | |
reviews and patient pathway mapping which led to planned sessions of specific | ||||
training and skills development. | ||||
Regent Street Health | Wrexham (N | McEwen | 3 PPDP sessions: 3 extended group | Generic organisational development and protocol development. |
Centre (8,150) | Wales) | meetings (13,13,13). | Increased emphasis on developing collaborative practice systems and | |
improved communication between team members to develop specific clinical | ||||
protocols. | ||||
Cambria Surgery (5,200) | Ynys Mon (N | McEwen | 2 PPDP sessions: 2 extended group | Coronary heart disease and hormone replacement clinics. |
Wales) | meetings (17,15). | Patient cohorts identified in order to implement a proactive system of | ||
information provisions (patient leaflets), triaged contact, improvement in data | ||||
collection and internal communication. | ||||
Padeswood Road (5800) | Flintshire (N | McEwen | 3 PPDP sessions: 2 extended group | Improved practice communication and time management. |
Wales) | meetings (16,16) and one visit to | Regular practice meetings introduced and patient liaison group established. | ||
neighbouring practice. | Staff attendance at stress management course and the introduction of a | |||
counselling service to selected bereaved patients. | ||||
Chippenham Surgery | Monmouth | NHS-SCW | 5 PPDP sessions: 5 extended group | Multiprofessional collaboration to develop intermediate care proposal. |
(11,000) | (Gwent) | meetings (92,92,14,9,12). | Development of a multiprofessional collaboration to establish an intermediate | |
care proposal, integrating health and social care in Gwent. | ||||
Cwmbran Surgery | Torfaen (Gwent) | Internal | 3 PPDP sessions: 3 extended group | Care pathway for diabetes mellitus |
(6,800) | meetings (16,10,10). | Development of a multiprofessional pathway for the management of chronic | ||
disease and identification of training needs. | ||||
Glan-yr-Afon Surgery | Blaenau Gwent | None | PPDP process not initiated | |
(3,564) | (Gwent) | |||
Ty Bryn Surgery (10, | Caerphilly | None | PPDP process not initiated | |
561) | (Gwent) | |||
Bellevue Surgery (11, | Newport (Gwent) | None | PPDP process not initiated | |
804) |
Participants and process
Discussion
Principal findings
Strengths and weaknesses of the study
Implications
Health Authority | Local Health Groups | Number of 'eventual' practice | Number of 'selected' |
---|---|---|---|
represented by 'voluntary' | applications / total in HA (%) | practices | |
applications | |||
BroTaf | 2 out of 4 | 6/136 (4%) | 5 |
Gwent | 3 out of 5 | 12/112(11%) | 5 |
Iechyd Morgannwg | 1 out of 3 | 5/84 (6%) | 3 |
North Wales | 5 out of 6 | 15/124(6%) | 6 |
Dyfed Powys | 4 out of 4 | 12/85(14%) | 4 |
Total | 50/541 (9%) | 23/541 (4%) |