Bright Ideas Award Winners 2018

The RCGP recognises GPs, practices, and patients who come up with ideas that improve efficiency and reduce workload in primary care with Bright Ideas Awards. At the RCGP we want new approaches to be recognised, celebrated and spread. 

This year the RCGP sought to capture and share Bright Ideas in general practice which showed qualitatively or quantitatively that they have benefitted the practice in one or more of the following areas:

  • Pioneer Award – these recognise and celebrate ideas which are at the forefront of healthcare and pushing the boundaries of general practice.
  • High Impact Award – this award recognises and celebrates ideas which have taken a fresh approach to addressing the challenges currently facing primary care and have demonstrated tremendous value.

The 2018 Bright Ideas winners are: 

Bright Ideas Award Winners 2018

England

  • Dr Muhammed Akunjee, (Pioneer Award) 
    ProActiveGP Virtual Clinic, a solution which makes contacting patients more efficient, automated, and safer and reduces face-to-face GP appointments through pre-emptive SMS messaging, freeing them up for patients with more pressing clinical needs
  • Shirley Bull (High Impact)
    A low-cost method of behavioural psychology to reduce missed appointments at her practice in Sutton Coldfield, Birmingham. 

Northern Ireland

  • Dr Rose McCullagh (High Impact)
    CBT Pain management course, a proactive approach to treating pain, which reduces long waiting times for treatment at a pain clinic

Scotland

  • Dr Shawkat Hasan (Pioneer Award)
    Career Start GP Programme, A programme designed for First5 GPs, which allows a combination of a practice job and a specialty element together with protected continuous professional development time to undertake a specialist diploma 

Wales

  • Dr Sue Goodfellow (High Impact)
    Improving patient services through co-production with our Patient Participation Group, online access to clinical advice for all appointment requests for GPs and Advanced Nurse Practitioners to ensure those patients with the greatest health need are dealt with first, and face to face appointment time is used appropriately, with the most appropriate health care professional.
  • Dr Arfon Williams (Pioneer Award)
    Improving Capacity in General Practice, a combination of several small, unassuming practice modifications which together brought, sustainable workload for the team, increased morale, and increased patient satisfaction

 

 


Temporary Residents Service

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The Dwyfor cluster decided to run a single, standalone service for all TRs staying within the cluster over the Easter, Whitsun and Summer school holidays. This would standardise the service offered to all TRs, offering better access whilst ensuring that permanent residents continued to enjoy access to their primary care service without being affected by the high volume of visitors during holiday periods.


Developing a Sustainable Workforce Through a CIC Model

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In 2015, Red Kite Health Solutions community interest company was created, with the four GP representatives sitting as directors and the remaining 40 cluster GP partners becoming members of the company.


The GP Communication Project - Improving Care and Reducing Cost

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Following collaboration with the Health and Social Care Board, the Business Services Organisation, NI Prison Service and the South Eastern Trust a letter was composed to send to the GPs of all patients in Maghaberry on their entry into prison.


Opioid Patient Support and Reduction Programme

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Since the beginning of February 2019 as a practice team we decided to take control of the list of patients in our practice who are prescribed opiates and seen with chronic pain issues.


GP Consultant Exchange Programme

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We implemented and facilitated a GP-consultant liaison scheme. Similar schemes were initiated in Portsmouth (2015) and Basingstoke (2017). In our scheme secondary care consultants from University Hospitals Southampton and local GPs volunteered to host and visit each other’s workplaces for half a day to appreciate the challenges they face within the NHS.


The Cancer Maps

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The Cancer Maps is an interactive online tool based on the Nice Guidelines NG12 cancer guidelines, designed to be used during consultations to help clinicians with possible cancer symptoms.


Improving services through patient co-production

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We ran a standard capacity- based appointment system, which was accessed by telephone. A patient survey indicated very high satisfaction with clinical advice and treatment, but poor access to appointments, and difficulty with relational continuity with their known GP. To solve this issue we launched online access to clinical advice for all appointment requests for GPs and Advanced Nurse Practitioners.


Positive psychology to reduce missed appointments

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In our GP surgery, like many others, staff and patients were frustrated when people did not attend their booked appointments or cancel in time to free the appointment up for another patient. A PPG member who is also a psychologist suggested that two aspects of behavioural psychology i) social norms and ii) active commitments, could be helpful in solving the problem.


ProActiveGP Virtual Clinic

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In 2014 we changed our practice’s way of managing blood results and moved to a proactive SMS with EMIS driven and Outlook templates to facilitate. We create software that could both expand the number of templates and offer a system that was easy to implement to improve the way we communicate blood test results to our patients.


CBT Pain Management Course

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A review of the data from our COMPASS report the Grosvenor Road Surgery in Belfast showed a gradual but sustained increase in the amount of prescribed analgesics. As a result, we decided to be proactive in how we care for patients who suffer from chronic pain at our practice.

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