We have personal lists and are all part time but manage it by spreading our days across the week- strive to all work Mondays and Fridays On days we are not in other see our urgents but most things can wait a day until the patients GP is in and appts are embargoed for this. Personal lists control demand as the GP can feed back what was an appropriate appt and what was not and because they have a relationship with the patient the patient sometimes listens. It is a myth that continuity reduces access. We have very good access- it is poor capacity that reduces access- not enough GP appts. The whole system lacks funding for current demand. It is not the fault of the old fashioned system- be careful what you get rid of-
I am so glad to hear of another practice that still manages to deliver things in this way, sadly in the practices I visit, many find it very difficult to do it this way!
My whole aim, every time I look at a practice, is to improve quality and efficiency. I still agree that a strict list is great if you can manage to deliver it. Thanks for sharing your ways of making this system work
We have personal lists and are all part time but manage it by spreading our days across the week- strive to all work Mondays and Fridays On days we are not in other see our urgents but most things can wait a day until the patients GP is in and appts are embargoed for this. Personal lists control demand as the GP can feed back what was an appropriate appt and what was not and because they have a relationship with the patient the patient sometimes listens. It is a myth that continuity reduces access. We have very good access- it is poor capacity that reduces access- not enough GP appts. The whole system lacks funding for current demand. It is not the fault of the old fashioned system- be careful what you get rid of-
I am so glad to hear of another practice that still manages to deliver things in this way, sadly in the practices I visit, many find it very difficult to do it this way!
My whole aim, every time I look at a practice, is to improve quality and efficiency. I still agree that a strict list is great if you can manage to deliver it. Thanks for sharing your ways of making this system work