Londonwide LMCs

The following resources are referred to in the webinar (in the order they are mentioned):

1. Safe consultation numbers

2. Alternative services

Do you know which first contact and self-referral services are available in your local area?
Does everyone know the remit of role of every HCP working in the practice and how appointments can be booked with them?
Do you have safe processes in place that enable patients to be signposted elsewhere?

3. Non-contractual work

Are GPs in your practice doing work that is not contracted i.e. for free?
Do you have policies and systems to support GPs to safely say no to inappropriate work?
Are GPs in your practice doing work that other providers are paid to do?
Do you know if you are undertaking shared care for free?
Do you have systems to ensure that all shared care is agreed to and resourced?
Have you reviewed your local contracts to check that you are not providing them at a loss and that they are still deliverable?

4. Clinical prioritisation

How do you clinically prioritise?
How do you balance book on day vs book in advance appointments?
How do you support continuity of care despite the challenges?
Do you have appropriate delegation to other members of team, underpinned by safe processes?
- Are there other tasks for which it would be more effective and efficient to delegate to other members of the team?
- Are staff available to whom you could delegate?

5. Escalation of system failings

Are there things that inhibit your ability to deliver safe care but are not within your gift to address e.g. medical records systems or IT failings, actions of other providers, pathway failings, gaps in services?
Do you know how to report and escalate issues?
Do you report/escalate them?

6. Dealing with abusive/violent patients