Tudor Surgery
Navigator report 2013 week 15
Harry Longman
[email protected]
01509 816293
07939 148618
Demand is fairly stable at 280 GP calls per week or 6% of list. This is at the
moderate to low end for practices. But with about 180 face to face per week,
the bring in rate of 64% is high. Usual range is 30-50%
Phone consults
have risen but
f2f have fallen
only a little
Note gap of
3 months
data
After launch waiting days dropped, but have gradually crept up. Suggests that
GPs are not able to offer same day appts and system is becoming clogged.
Waits are
creeping up.
Would expect to
stay around 1
Proportion seen same day has dropped below 70%. This would normally be
over 80%, some are over 90% as this is what patients choose.
Falling below 70%,
but we know 80%
plus choose same
day if offered
Pattern of demand through the average day (red line). Peak at 8.30, but
reasonable spread through the day – probably stable, good service all day.
Phone demand as
expected. Pattern of f2f
bookings suggests calls
not starting soon enough
from 8am peak demand.
Demand differs by day of week however. Loadmaster shows, for new demand
only, number of GPs required for callbacks by hour and by day. Note Monday
Having enough GP
capacity calling
back helps keep
on top of demand
By day of week, average volumes of calls over 4 weeks. Use for planning rotas
to ensure sufficient GPs each day.
As ever, Monday
requires much
greater capacity
Continuity, important for patients and doctors, has risen about 10% since
launch, calculated on face to face consultations
Continuity since
November data
nearly 90%, cf
80% before
Summary findings
• Demand appears higher than last summer, may just be seasonal,
but at 6% of list this is within expected range.
• Bring in rate is higher than expected and explains the workload.
Many practices would see fewer, and refer more to nurses
• Pressure on appointments means they are being delayed from one
day to the next and a backlog is building up. This is increasing
average waits and clogging the system overall.
• The daily and weekly pattern of demand is much as expected. Use
the predicted demand pattern to match GP supply closely, ensuring
rapid response for patients.
• This also saves time for GPs by reducing the need for recalls
• Continuity is good, and has improved about 10%. Ensure patients
are told which doctor is in which day to help them choose.
• Key priority: keep on top of demand every day, and work out ways
to reduce bring in rate.