Practice Development Plan

Practice Development Plan

Preface	In recognition of Dr Gallows' letter of 21^st June the practices of Dr Andrews, Bhatt, Bulger and Side plan to join together for Clinical Governance as one PMS Pilot, DASH. Failing that application all responsibilities revert to the individual practitioners and to the PCG/T.
Practice	Archway Surgery
Group	Dacorum Alliance of Single-handers
Staff involved Group	All principals in alliance. Administrator PMS (TBA) PCT/Salaried G.P. (TBA)
Staff Involved Surgery	Dr Gerard Bulger Pippa Washbourne SRN Practice Nurse Sue Kinchin, claims manager
National Himps	Reduction of smoking. This may increase prescribing further. Reduction of Death Rate due to IHD, increasing lipid lowering prescribing. Cancer: despite poor evidence pressure is on for further screening including PSA. Accidents (in primary care this can focus on alcohol) Drug Dependency. This is part of our PMS application. Work on National Framework for CHD underway.
Local Himps	Indentify carers
Practice Priorities	Isolated Elderly Drug/alcohol dependency Working with other small practices
Practice Profile	2487 patients Hours: Doctor 168 a week Nurse: 32 hours a week Fully equipped including defibrillator and Ultrasound machine, minor operation room. Fully computerised, including internet kiosk (café) for patient access to information. Main clinical server may need upgrading next year, and two remaining dumb terminals retired.
Group Profile	9800 patients
Local Needs	Data Input Clerks/system to demonstrate to PCG/T that NSF/Himps targets in place. Isolated Elderly care.
Leads on Clinical Governance Issues	PMS Administrator, data management and audit PMS Salaried Contractor. This doctor, probably employed by the PCT would give an independent view within the group, and be able to chair our meetings and liase on audit issues. The PMS team would meet Quarterly for risk management and critical incident reporting. IT lead : Dr Gerard Bulger
Current Practice Policy	Individual practices which need to join together as one PMS pilot "partnership" on clinical Governance Issues.
Current issues	Manpower spread too thinly. The current ease of access by patients to our practices means that morning appointments role into current PCG time meeting schedules. In order to be available for clinical governance issues we need the manpower and funding in order to bring the list size down to that of the national average, and bring our income up to expected NHS standards or better.
Professional Development needs	Group working. Updates in best clinical practice through PGEA. Last year ENT and Ultrasound, next year Child Care and gyneacology.
Practice Staff	RCN Nurse Training scheme towards recognition of Nurse Practitioner Status Training of Receptionist

Other Staff	More Confident District Nursing Team, picking up some practice nurse skills
How Achieved	Successful PMS application.
Audit Plans	PMS Pilot is to enable audit and central data collection by way of a central administration for the group, data input clerk and the appointment of the salaried post whose remit is audit for the group.