GPs spending too long with most of their patients

We are doomed to more spin than substance in the next four weeks, but somehow I expected better from the BMA.  Their poll on GP workload is quite interesting if you read the original.  Let me quote:   “Most GPs describe their workload as being generally manageable, but too busy at times (53%)”.  Well, hello […]

The Dover Chart Collection

Play the top 50 charts as fast as you like - there’s a picture surprise at the end.   This is an embedded Microsoft Office presentation, powered by Office Online.

Eclipse cancelled in government IT project failure

Just musing on why such a mashup of last Friday’s headlines sounds strange.  It challenges our notions of predictability, whether the latest government IT project would fail, or the eclipse would happen on 20th March. I often ask a practice team, “Which is more predictable, your 10,000 random patients or your six dedicated professionals?”  There’s […]

Protected: Mark McNeil describes online access in practice

There is no excerpt because this is a protected post.

Recruiting GPs: you need to play hide and seek

GPs are interested in what a GP is worth, but so is society, which means us, the patients.  And apparently there is a problem, because we are not recruiting enough. Rather than debate the annual incomes or the hourly rate, you would expect me to take a contrarian view.  Let me tell you about another […]

Holy grail found - how to manage demand

Managing demand seems like the holy grail for healthcare.  Everyone is talking about it but no one has found out how. Trouble is, “managing” for the provider means “restricting” to the patient.  We’re not allowed to say “rationing”, so we say “diverting”.  To the patient, “fobbed off” is simple and clear.  Perhaps you have been […]

22% of our interventions have failed

I became acutely aware of the interest in failure last summer in a post lunch workshop at the SAPC conference (Society for Academic Primary Care).  I was droning on about two practices we were working with, in the same building, same size, same demographic.  One was flying, the other failing.  Suddenly everyone woke up and […]

Bourne Galletly, a practice transformed

“People were frustrated that they couldn’t see a clinician when they wanted to.” “By about 10am we were having to turn people away.” “We were taking a lot of abuse on reception.  They saw us as a barrier.” “We’ve seen growth in our business as word has got around town.” “Now patients are speaking to their usual […]

The M6 Three video - GPs share their experiences

Three practices which happen to be near the M6 in the West Midlands have launched with Dot Community Health over the last 18 months.  They talk about the difference it has made.  

Dr Ed Diggines explains patient dynamics. Genius.

Dr Ed Diggines is a GP in Essex, who has been using the Dot Community Health model since April 2012. Starting with a patient simply asking for help, he explains how patients do the logical thing at each point when faced with restrictions on access, not what you want them to do.  Only a whole system […]