Appointment System

 

Firstcare Practice Appointment System

The aim of the practice is to empower you to manage their own health and provide tools and support to do this. We are committed to collaborate within the practice and with other professional partners in health and social care to both learn and deliver care. openOur practice is open Monday-Sunday 8am-8pm as a result from your feedback. We have a variety of different appointment types and times ranging from 5 -30 minutes with GP’s, Nurses and Healthcare Assistants.

Routine and same day appointments are released at 08:00 Monday-Friday on a first come first served basis. Please call the surgery on 0208 630 1111 or alternatively book online click here for more information on online access.

receptionReception staff will answer your call, please don’t be offended if they ask you what the problem is, they are here to help you get the right service for your needs and ensure you are booked with the correct clinician.

Following last years patient survey we have worked hard in recent months to improve access by making it easier for patients to speak to a doctor.
We have found that many patients who did not necessarily need to come into the practice could have been helped on the phone or on Skype.
Many things can be dealt with over the phone such as Medication queries, Medical certificates, advice, test results etc.
Telephone appointments are available between 08:00-10:00 Monday- Friday.

If you have recently undergone any tests such as bloods, x-ray, ultrasound, MRI, ECG etc the GP will contact you.  You will either receive a telephone call, text message, email or letter informing you of the outcome and actions that need to be taken.

The following clinicians are part of the Firstcare team:

GP’s:
Dr Talac Mahmud
Dr Emad Mahmood
Dr Adarsh Batra
Dr Haseeb Salam (long term locum)
Dr Sonali Mukerjee Bose (Long term locum)
Dr Sohini Kar (Will be starting in August)

Nurse’s:
Fana Abraha (Nurse Practitioner)
Prabesh Thangarajah (Practice Nurse)
Radha Ghimire (Locum Practice Nurse)

Healthcare Assistants:
Maria Da Cunha
Sukhwinder Dhaliwal
Mohamad Karim Haddy

Admin:
We also have 3 managers and 8 reception/administrators

We understand it can sometimes be difficult to get an appointment. Our staff will try their best to accommodate you or inform you about other services that are available.

gp charter
GP’s responsibilities
patient charter
Patient Responsibilities

25% of GP appointments potentially avoidable

Here is a new report from NHS Alliance. Here is a summary.

you can download the full report here Making-Time-in-General-Practice-FULL-REPORT-01-10-15Avoidable GP Consultations Budens in General Practice

1 IN 4 GP APPOINTMENTS POTENTIALLY AVOIDABLE

NEW REPORT AIMS TO CUT BUREAUCRACY AND EASE PRESSURE ON GPs

A new report published today argues that perhaps 27% of GP appointments could potentially be avoided if there was more coordinated working between GPs and hospitals, wider use of other primary care staff, better use of technology to streamline administrative burdens, and wider system changes.

The Making Time In General Practice study by NHS Alliance and the Primary Care Foundation was commissioned as part of the work NHS England is doing with its partners to implement the NHS Five Year Forward View, and expand and strengthen GP services and primary care across England. The report was overseen by a steering group including the Royal College of GPs and the BMA GPs’ Committee.

The report finds that a significant amount of GP time could be freed up if family doctors were not having to spend time rearranging hospital appointments, and chasing up test results from local hospitals. This accounted for 4.5% of appointments in the study, an estimated 15 million appointments if repeated across England.

The report also estimated 1 in 6 of the patients in the study could potentially have been seen by someone else in the wider primary care team, such as clinical pharmacists, practice nurses or physician assistants, or by being supported to meet their own health needs.

The report states:

  • 6.5% of their appointments could have been seen by another professional within the practice;
  • 5.5% could have been seen by community pharmacy or the patient could have been given support to deal with the problem through self-care, and;
  • 4% of appointments might have been dealt with through social prescribing / navigation.

In July, NHS England launched a £15m scheme to fund, recruit and employ clinical pharmacists in GP surgeries.

The study argues that the reduction of bureaucracy in general practice should be made a national priority; freeing up time for practices to work together, improving communication between general practice and hospitals, unlocking the potential for the whole system to work together, as well as supporting changes and improvements within individual practices. In particular the report calls for streamlined payment systems that GPs use, to simplify and speed up how much time practice managers spend on entering data.

Immediate practical steps to cut down on bureaucracy suggested by the report include:

  • Patients who are unable to attend a hospital appointment should be able to re-book within two weeks without going back to the GP.  Booking and rearranging hospital appointments should be simpler without the patient needing to go back to the GP;
  • Practices should employ a wider range of staff within the practice team, with the decision on the type of staff left to the discretion of individual practices and federations;
  • NHS England will work with doctors to streamline communication, particularly between hospitals and practices, and reduce the workload of processing information within practices;
  • Practices should free up time for GPs and other leaders in the practice to think through how they can work differently, learning the lessons from the PM’s Challenge Fund sites and the Vanguard sites as they become available – creating the ‘headroom’ needed to plan new ways of working and clinical innovation, and;
  • GP federations should be funded to work across their practices to build practical social prescribing projects that offer real alternatives to taking up GP time with patients whose needs can be better met by other kinds of support in the wider community.

Dr Jonathan Serjeant, GP, co-director and co-founder of Brighton and Hove Integrated Care Service and National lead for NHS Alliance’s Accelerate programme, argues that using today’s IT patients should be given more control over their own patient records rather than this burden staying with GPs.

Dr Serjeant said: “GPs and their colleagues are experts in listening, supporting and diagnosing their patients. This is what we’ve been trained to do, and what we want to do.

“If applied quickly, the recommendations set out in this report, particularly those around extending the GP team to incorporate other health professionals, will help reduce the current levels of bureaucracy GPs face on a daily basis.

“The end result is that GP time is freed up, and people have access to all their information whenever they need it.”

Rick Stern, chief executive of NHS Alliance, and a director of the Primary Care Foundation said: “This report documents how general practice is struggling with an increasing workload and the urgent action required to relieve this burden. We want to ensure that GPs and their colleagues in general practice are freed up to deliver the job they were trained to do and care so passionately about.”

Dr Robert Varnam, Head of general practice development for NHS England, said: “General practice is the bedrock of healthcare and NHS England commissioned this report because we are determined to support GPs in reducing the pressures they face.  The findings include helpful suggestions which should free GPs to spend more time with patients most in need and further ways to reduce the administrative burden.”

 ENDS

 For further information please contact Sarah Wrixon, sarah.wrixon@salixandco.com, 07976 747067 or the NHS England Media Team on nhsengland.media@nhs.net, 0113 8250958 (office hours), or 07768 901293 (emergency out of hours)

The full report is attached to this release, and is online at: http://www.nhsalliance.org/mediacentre/making-time-in-general-practice/

Background

An audit of GP consultations was undertaken, with results provided from 5,128 consultations across England.

A survey of practice managers was also undertaken, to estimate the time taken by different types of externally mandated work. Results were provided by 250 practice managers.

The quantitative results were then discussed in detail through qualitative interviews and focus groups with clinicians and managers, including a roundtable event with NHS providers. There has been ongoing review of results and key themes by a national steering group with all the relevant professional bodies and leaders from seven organisations representing primary care have jointly signed a Foreword to the report.

  • Dr Chaand Nagpaul, GP Committee, BMA
  • Dr Maureen Baker, RCGP
  • Dr Amanda Doyle, NHS Clinical Commissioners
  • Dr Michael Dixon, NHS Alliance
  • Dr Nav Chana, National Associationof Primary Care
  • Russell Vine, Practice Managers Network
  • Dr Peter Swinyard Family Doctors Association

NHS England has launched a £15m scheme to fund, recruit and employ clinical pharmacists in GP surgeries. The scheme is an important part of the New Deal for General Practice and is the result of close collaborative work with Royal College of General Practice, the BMA’s General Practice Committee, the Royal Pharmaceutical Society and Health Education England. More details are available here – http://www.england.nhs.uk/commissioning/primary-care-comm/gp-action-plan/cp-gp-pilot/

NHS England is investing £1bn over four years (from 2015/16) in a primary care infrastructure fund, with £10million being used to kick start the initiatives in the GP workforce action plan, developed by NHS England, Health Education England, the Royal College of General Practitioners and the BMA GP committee. This complements work that is already underway to strengthen the GP workforce. Full details can be found here: http://www.england.nhs.uk/commissioning/primary-care-comm/gp-action-plan/

NHS Alliance is an independent, not-for-profit, leadership organisation representing progressive providers of care outside hospital. Neither professional body nor trade union, it is an entirely solutions focused organisation, unique in its approach bringing together more than 10,000 passionate individuals and organisations across primary care who believe innovation, connections and integration are key to the sustainability of a health service that remains free to all at the point of need.

The Primary Care Foundation was established in 2006 to support the development of best practice in primary and urgent care. The foundation specialises in carrying out reviews, based on analysing a range of data sources and examining local practice, that make local and national recommendations.  It also look for opportunities to share learning, building resources that can solve problems more widely across the NHS.  The foundation has worked with over 1,300 practices in the last 4 years on managing access and urgent care, using a specially designed web-based tool to prepare reports for practices, and discuss ways of making improvements.

Building Great West Road Locality Hounslow.

Here is a summary of the meeting that we had which involved GPs, Practice nurses, managers, district nurses, community matrons, care navigator and mental health. It was a lively afternoon with some challenging and thought provoking issues.

The key take home messages

  1. We have some amazing people in our locality.
  2. We need to get on at least try things for ourselves, rather than waiting for others.
  3. Develop leadership and key areas for development.
  4. Engage staff (clinical and non clinical) and patients.

We have identified some of the key areas and will develop them in the next few weeks.

Here is a summary of what was discussed. This will help us not only to deliver the evening and weekend working but also have the building blocking for more collaborative working. Building GWR Locality

RCGP Toolkit to help practices to offer more online services

What is Patient Online?

Patient Online gives patients the option to make appointments, order repeat prescriptions (‘transactional services’) and view their electronic medical record online, using their computer, tablet or smartphone rather than having to phone or visit their practice.

Online services complement the existing ways patients access appointments, prescriptions and their records.

Many GP practices already offer online access to records and transactional services for their patients, and the GMS and PMS contracts 2014/15 required all general practices in England to offer Patient Online by the end of March 2015. Patient online access to their medical record will be widened in 2015/16, with some flexibility in how this is implemented by practices. More information about these changes is available in the Overview and Benefits eLearning, and the BMA Key changes to the GP contract webpage.

Click for Online services: an overview of online access (PDF) which provides guidance on the important features of online access.

About the Toolkit

RCGP and NHS England have worked together to provide a range of resources and practical guidance to help GP practices make online appointments, repeat prescriptions and make records available online to all patients who want to use them.

Here is the link to the toolkit

Jeremy Hunt to lead seven-day GP revolution after Tory election win

Jeremy Hunt to lead seven-day GP revolution after Tory election win

General practice will be transformed into a seven-day service as part of Jeremy Hunt’s promised NHS ‘revolution’ after the Conservative party secured a shock majority in the UK general election.

Jeremy Hunt: plans GP services revolution (Photo: JH Lancy)
Jeremy Hunt: plans GP services revolution (Photo: JH Lancy)

Health leaders broadly welcomed the reappointment of Jeremy Hunt as health secretary, with many arguing it will provide continuity.

But the GPC has appealed for the government to abandon key manifesto commitments and focus on tackling the crisis in general practice.

GPC chairman Dr Chaand Nagpaul called on Mr Hunt to scrap ‘unrealistic’ and ‘populist’ access plans. The Tory party has promised 8am to 8pm, seven-day access for every patient in England by 2020, and same-day appointments for over 75s.

Read more: RCGP demands support package for GPs

Dr Nagpaul said the immediate crisis in workforce and workload meant the secretary of state should ‘jettison the populist pledges and deal with the harsh, bleak reality that we simply don’t have a general practice workforce that can meet current pressures’.

However, Dr Paul Charlson, vice chairman of the Tory party-affiliated Conservative Health group said expanding access was what patients wanted. ‘Whether GPs want it is another matter,’ he added. ‘We have to do what the taxpayers, our paymasters, want.’

King’s Fund senior research fellow Rachael Addicott said that while plans to expand access could be technically possible it was ‘questionable’ whether GPs could deliver them with current resources and capacity.

The Conservative party faced criticism from GP leaders during the general election campaign for failing to explain where the 5,000 new GPs it had pledged to ‘train and retain’ would come from.

We don’t know if 5,000 GPs will be the right number for the NHS.’

Rachael Addicott, King’s Fund senior researcher

Given the time and expense of training GPs, Ms Addicott said she understood doubts over whether the target could be met. She questioned whether 5,000 GPs would meet the needs of the NHS, given the lack of data to base this on. ‘At the moment we don’t know enough about what the right number is or how much it might cost,’ she warned.

Dr Charlson said it was ‘difficult to say’ whether the 5,000 target was achievable. It could be met through reducing the number of consultant places, and developing models of working to create more career options, he said.

Following his reappointment Mr Hunt said transforming out-of-hospital care was his top priority. ‘We need a step change in services offered through GP surgeries,’ he said. The statement echoed comments in an exclusive interview with GPonline before the election, in which Mr Hunt pledged that GPs would be at the heart of a revolution to transform primary care.

Tory support for GPs

Dr Charlson said a stable, majority government would be good for the NHS, and argued that the Conservatives support general practice.

Ms Addicott added that she was ‘encouraged’ that the government does not appear to want to work against the NHS’s own vision. ‘There has been a lot of instability and fragmentation over the past few years, so with Jeremy Hunt back in the post, it does provide some much needed continuity,’ she said. ‘Hopefully everybody can get on with trying to achieve the ambitions of the Five Year Forward View without concentrating on structural upheavals.’

Former RCGP chairwoman, professor Clare Gerada, however, slammed Tory plans. Same-day appointments for the elderly would increase inequalities by ignoring the effects of deprivations, she told GPonline. ‘Access isn’t the most important thing that equates to outcome; it’s continuity. We don’t need seven-day general practice’, she said.

The south London GP, who quit her position at NHS England London to speak out against the Conservatives ahead of the election, said she was ‘very anxious’ about the future of the health service under Tory majority rule.

The result could lead to more practice closures, marginalisation of GPs and privatisation of the NHS, she warned. Her comments were dismissed by a Conservative party source as ‘baseless scaremongering’.

The King’s Fund called on the government to use the forthcoming spending review to put the NHS on a sustainable financial footing. The £8bn-a-year funding rise pledged by the Tories to help plug a projected £30bn black hole was welcome, the thinktank said, ‘but is the bare minimum needed to maintain standards of care and will not pay for new initiatives such as seven-day working’. NHS England has committed itself to £22bn efficiencies over five years. The King’s Fund called for additional funding this year and a ‘renewed drive to improve productivity’.

Conservative plans
  • Spend at least an additional £8bn by 2020 above inflation to fund NHS England’s Five Year Forward View
  • Continue to increase spending on the NHS so it remains free to use
  • 5,000 extra GPs by 2020
  • Invest more in primary care to help prevent health problems
  • GP access 8am to 8pm, seven days a week for all patients by 2020
  • Same-day GP appointments for over-75s
  • A named GP for all
  • Ensure GP appointments and repeat prescriptions are routinely available online
  • Integration of health and care through the Better Care Fund
  • Increased funding for mental health
  • Ensure English GP practices are the safest in the world
  • Ensure the CQC rates all practices
  • Patients will have full access to information about the safety record of all NHS providers
  • Full patient access to electronic health records

Supporting patients to access online NHS resources

There has been a drive to make more healthcare services available online. A workshop at The Kings Fund share ideas on how we can support patients access online services. Simon Stevens CEO of NHS, said ‘Those who do access health services are less likely to be online’

We need to ensure that we help and support patients get online. Here are some of key resources. 

The government Digital Inclusion strategy is outlined here   https://www.gov.uk/government/publications/government-digital-inclusion-strategy/government-digital-inclusion-strategy

Pic Gov DIgital Inclusion Strategy

The Mayors Office has responsibility for reducing health inequalities. Variation in patients having online access and using health & social care resources widens inequality.

https://www.london.gov.uk/priorities/health/tackling-inequality 

GLA Health Targets

The Mayors Office recognises this and has a digital inclusion strategy for London

https://www.london.gov.uk/sites/default/files/Digital%20Inclusion%20Strategy%20Final_4.pdf

Pic Internet Use by London

Tinder Foundation helps with online resources, training and hardware for patients.

http://www.tinderfoundation.org/about 

Pic Tinderfoundation

This is a really useful website which allows you to make shared decision with your doctor, it allows you to evaluate your options in your own time and have an informed discussion with your doctor. This allows you to compare options, take account of your values, evluate tradeoffs and help you come to an informed decision.

http://sdm.rightcare.nhs.uk/about/using-a-decision-aid/

Decision Aid

NHS Choices has some advice and information on pilots where digital inclusion has been successfully implemented

http://www.nhs.uk/nhsengland/digital-inclusion/pages/importance-of-digital-inclusion.aspx

Pic NHS Choices