Feedback Good Practice

Please use this form to tell us how you respond to same day and urgent care requests in your practice.

All responses will be treated as confidential unless you confirm you are willing to share your good practice by checking the box.

Can we share your Good Practice ? *

Your Name: *

Your Email: *

Your Post Code *

The Practice Name *

Practice List Size *

Number of GPs Partners and Salaried (Whole Time Equivalents) *

Number of Nurses (Whole Time Eqivalents) *

Your PCT *

Your Strategic Health Authority *

Key Contact Name *

Role in Practice of Key Contact

Key Contact Telephone no *

Key Contact Email *

Type of Good Practice (Please briefly describe here) *

What staff were involved in the changes.

Were any staff outside the practice involved in the changes

If Yes Please Give Us Further Details

Was this part of a wider initiative (from the PCT, PBC Group or academic study)

If Yes please give us further details

We would like to know a little about how you respond to same day request for care. Please give details here and complete the Yes/No Questions below

Receptionist assessment of requests

Clinical (Doctor or Nurse assessment) Of all requests

Clinical (Doctor or Nurse assessment) Of some requests when no appointments are available

Clinical (Doctor or Nurse assessment) Of ALL home visit requests as they are made or within 30 minutes

Clinical (Doctor or Nurse assessment) Of only those requests idenitified as urgent by the receptionist

Clinical (Doctor or Nurse assessment) Of home visit requests at the end of morning surgery unless identified as urgent by the receptionist

Do you have clear protocols for reception staff for managing emergencies

Do you have protocols for receptionists for managing other same day requests for appointments or home visits

Is regular training given to receptionists on the protocols

Do the receptionists guide patients to the most appropriate member of the practice team for their request

Do you have protocols for responding to specific patient groups (Paliative care, Patients with Chronic Diseases such as COPD or Heart Failure)

If yes please give details

Do you have arrangments for staff outside the practice team (e.g Community Nurses, Ambulance Staff) respond on your behalf to requests for same day or urgent care if you ask them to

If yes please give details

Have the changes improved the quality of care. Please give details

Have the changes made life easier in the practice (For GPs, Nurses, Receptionists)

If yes please give brief details

Do the patients like the changes?

If Yes please give some brief details

Do the changes make better use of resourses in the practice or elsewhere? *

If Yes please give brief details

Thank you very much for completing the form.

Primary Care Foundation

Best Practice in Primary And Urgent Care