Quality improvement for an entire region

In 2017-18 the RCGP Primary Care Development Team worked with a CCG responsible for general practices in a deprived area of London, delivering quality improvement to seven practices that were struggling with long-standing issues.

RCGP Primary Care DevelopmentThe issue

Seven practices were identified by the CCG which required varying levels of help to address a number of long-standing issues. The RCGP was tasked with supporting these practices with a ‘hands-on’ approach due to the depth of the issues the practices were encountering.

How we helped

The RCGP worked closely with the CCG as part of a wider quality improvement programme involving several organisations, all working together with the GP practices. Our team provided diagnostic reviews followed by agreed and targeted relevant support based upon the findings of the reviews. The support covered (but was not limited to) areas such as:

  • improving operational efficiency
  • mentorship and management change
  • coaching
  • specialist advice and guidance
  • partnership challenges
  • succession planning
  • recruitment difficulty.

The RCGP and CCG held regular meetings to monitor and report on progress with the support and engagement from the practices. These meetings and close contact allowed for the programme to be agile in tailoring the service to the changing needs of the practices and provided a mutual system of support for all parties.

Outcomes / impact

The results of the programme were extremely positive for both the CCG and the practices involved. The feedback reflected this:

From the CCG

“The RCGP worked closely with each individual practice and provided bespoke and varied support after their scoping visits. Support delivered to practices who were struggling with their long-standing issues that were not necessarily quick fixes was very successful, for example, dealing with partnership issues, succession planning or helping a practice address its issues with a local care home are difficult to quantify yet highly valuable. Furthermore, the RCGP supported practices with impending CQC visits. The feedback from practices to the CCG has been consistently positive.”

From the practices

“One word, magnificent. We didn’t actually expect an outcome like this and it was so supportive and friendly. Absolutely fantastic, we recommend to everybody!”

“This is the best thing the CCG has ever done.”

“Having something like this is such a breath of fresh air, it can only lead to improvement and change really, so it’s good.”


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