Summary: This blog presents a summary of Quality Improvement methodology and applies it to a question highly relevant to General Practice – how to move away from same day appointments as Covid-19 lockdown loosens, but without overwhelming services. It focuses in on mental health – with an example sequence of PDSA cycles solely for illustrative purposes. It shows how a series of patient encounters (in this case calls to reception to make GP appointments) represents an opportunity for rapid testing, developing an approach that meets the needs of patients and potentially taking pressure off GPs while also providing more patient centred care. The ideas are presented for discussion rather than as a fait accompli. In real life the process of scoping and running a QI project with a team throws up lots of surprises and shakes a lot of assumptions.
I wrote this blog while reflecting on recent discussions with colleagues in a number of settings. It is presented here as a “think piece”, and will hopefully generate discussion in the comments box below. What are your experiences of using QI methods in general practice and other clinical settings?
Dr Graham Mackenzie GP specialty trainee, year 3 of training
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