Quality improvement in Scotland

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11 October 2019

Dr Scott Jamieson, GP and Executive Officer for Quality Improvement, RCGP Scotland 

Quality improvement is a core part of the work of the RCGP Scotland. Following the appointment of the General Practice Forward View Ambassadors in England, the Devolved Council Chairs requested funding to carry out similar initiatives in the Devolved Nations. Initial funding was provided until the end of March 2018 and this has now been extended until the end of March 2020.

Three Local Advocates were recruited in Scotland to connect with the 147 Quality Clusters – the Scottish version of Primary Care Networks - across the country by engaging with associate medical directors, Cluster Quality Leads, Practice Quality Leads and clinical leads, building up a picture of cluster activity across the country. Local Advocates have developed an understanding of what is working well, what challenges are being faced, and to allow Clusters to be linked in with RCGP resources and support. Informed by this, we supported a collaboration between the Scottish General Practitioners Committee of the BMA (SGPC), Scottish Government and RCGP with other key stakeholders, to publish the National Cluster Guidance document. We are now working with the same partners to ensure appropriate mechanisms to assure the quality of primary care.

Working collaboratively with the Scottish Government

We have continued to support the development of data sources for quality improvement, including the recently released National Therapeutic Prescribing Indicators. Moreover, we are involved in improving the process of accurate death certification and communication with a wider multi-disciplinary team, verifying death and complexity of multimorbid patients in whom a single cause of death is harder to determine.

RCGP Scotland has been supporting the adoption of the RCGP commitment to improve veterans’ health, working collaboratively with Scottish Government. Scotland has a disproportionate number of veterans compared to the rest of the UK. We will look at how to further promote veterans’ healthcare improvement with an awareness of RCGP curriculum requirements, adoption of the RCGP toolkit and improved priority one coding of ‘Military Veteran’ upon registration with a GP in a Veteran Friendly Practice.

RCGP Scotland is always working towards better ways to support QI in your areas beyond what we already offer on QI Ready. If you would like to find out more information about the QI work in Scotland please contact Scott Jamieson at scott.jamieson@rcgp.org.uk


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