GP Event Workshop FeedbackLondon Irish Centre, 50-52 Camden Sq, NW1Thursday15th October 2009

Cardiology

GPs were generally in favour of the PBC proposal for ECG reporting service for practices.

Some GPs felt that many patients repeatedly go back to lipid and BP clinics (especially at UCH) and they wondered about pulling some of these patient back in to primary care.

A GP commented on a hypertension specialist nurse at the hospital. She said she had experience of patients being seen by such a service and wondered if it could not be more efficiently provided in the community.

A discussion was held about heart rhythm clinic/palpitations clinic around looking at monitoring patients in the community.

Podiatry

Podiatry needs to improve in Camden

Trend of podiatrists looking at diabetics feet

Footcare is generally based in secondary care however should be more accessible

Podiatric surgeons should be utilised more in Camden

Gynaecology

Development of a community gynaecology clinic in Camden would deliver increased choice and health benefits to women and their lifestyle

Finance & Budgets

Challenge data validation and wrong data should be challenged where possible

Importance of timely information in a format that is easy to understand

High risk patients – small proportion of population account for large cost. Great benefit of identifying these and planned interventions.

Ophthalmology

Challenge to redesign is the lack of data currently available on referral patterns

Instead of new service, a streamlining of referral pathways maybe needed

Possibility of direct optician referral

Reviewing same day GP access for acute cases.

Other

Consultant to consultant referrals need to be looked into

Stronger organisational structure for PBC is required

Attention to detail on specification design (e.g MSK)

PBC should have a role in performance monitoring of contracts once tendered

Complimentary and alternative therapies – currently under review by the PCT

End