1. The Stennack Surgery Patient Participation Group Appointments – What do we actually offer?

2. We Currently Have… 10 GP Partners 2 Salaried GPs Regular Locum GPs 2 Nurse Practitioners 7 Practice Nurses 3 Health Care Assistants

3. GP Sessions The Partners work an agreed number of sessions per week. Several of our GPs work in other clinics across the County and are therefore not at the Stennack every day The GPs currently work a total of 63 sessions per week

4. What is a session? AM or PM General Clinic = 15 x 10 minute appointments Joint Clinics & Tutorials with GP Trainees Same Day Doctor Nursing Homes weekly rounds Community Hospital ward round Shared Care Clinic (Substance Misuse) Women’s Health Clinic Minor Operation Clinics

5. How Many Appointments? We are currently offering about 900 GP/SDS appointments each week – 160-200 per day We have pre-bookable and “Book on the Day” appointments The SDS offers over 50 appointments each day for acute problems in addition to its walk-in for Minor Injuries Monday – High demand – Minimum of 65 available GP appointments on the day + the SDS Wednesday – generally the quietest day – 25 available GP appointments offered on the day + the SDS

6. Limitations! Rooms – We have 19 consulting rooms which are full for several sessions each week. We then need to find space for the students and other one off services who request a room. Not “hot desking”, but “hot rooming”!

7. What does the Same Day Doctor do? Triages/assesses requests for visits Offers on the day telephone consultations where clinically urgent Deals with all clinically urgent matters requested by community team e.g. District Nurses/Macmillan nurses Supports the SDS and the nursing team with complex patients Triages & sees patients where appropriate on the day when all other appointments are fully booked Can be as many as 50 encounters per session

8. What else do the GPs do? Visits (approx 30 pw which are fitted in over lunchtime between am & pm clinics. One GP is also assigned to late visits) Meetings – Internal (Lunchtimes & evenings) & External (Lead GPs are involved with the local/County groups) Medicals & reports Training of students from the Peninsula Medical School, Foundation doctors and GP Trainees Research work Audits Practice Development – Business strategy

9. Nursing These are some of the clinics currently offered by our team of highly trained and specialist nurses/HCAs General Nursing (dressings/Child Immunisations) Diabetic Coronary Heart Disease Respiratory 24hr/7 day BP/ECG Ear irrigation Travel INR (patients on warfarin) Contraception Hypertension

10. DNAs (Did Not Arrive) We are averaging about 40 DNAs pw with GPs and about the same with nurses That equates to over six hours of clinic time for nurses and almost three GP sessions! How can we change this?