September 2014

Working together

Mike Barstow – Partner, Framlingham

Surgery

Jane Wallace – Practice Manager,

Wickham Market Medical Centre

Wickham Market Medical Centre

Framlingham Surgery

The Peninsula Practice

Debenham Surgery

Little St John Street Surgery

Framfield House Surgery

49,500 Patients 35 GP’s – 233 sessions 6 Nurse Practioners – 3.66 FTE 20 Nurses – 10.83 FTE 15 HCA’s – 7.56 FTE 12 Sites All Dispensing 2 Pharmacies 4 PMS 2 GMS All System One

Formed originally as commissioning

group

Practice Managers decided to meet

separately, started to work together and

share responsibilities, staff etc

Partners bought in to ‘working together’

Established a Board of like minded GP’s

and Managers

Chair – Mark Lal

Lead GPs – Paul Kaiser & John Lynch

Initial meeting – Paid for facilitator to

help establish priorities, ground rules etc

Originally employed Project Manager,

but found not needed

Agreed to run 6 projects for 6 months to

see if really could work together

Project Board

Charman: Mark Lal

Lead GP's John Lynch, Paul

Kaiser

Finance/Procurement GP lead: Mark Lal Work

stream Lead; Jane Wallace

Kate Fox, Denise Thorpe

LES/DES Data

GP Lead: Mike Barstow

Linda Deabill,Carole Edwards, Kate

Fox, Jayne Casey, Gail

Sherman, Sally Kitt

Human Resources GP

Lead: Paul Kaiser

Teresa Jennings, Julie

Giles, all Practice

Managers

Joint Educational

Meetings

GP Lead: Gary Taylor,

Lindsey Crockett

Fiona Hobday

Back Office Functions

GP Lead: Charles Wright

Carole Edwards, Jane

Wallace, Secretarial staff

Patient Participation

Groups

GP Lead: John Lynch,

Jane Wallace, Kate Fox

Project Manager

Finance – Lead Mark Lal

Back Office – Charles Wright

LES/DES – Mike Barstow

PPG – John Lynch

HR – Paul Kaiser

Education – Gary Taylor

Finance – contract savings since

established approx £10,000

Back Office – introduced generic

management of referrals and secretarial

support to enable staff to cover absence

and in the long term reduce staff costs

HR – Payroll – outsourced payroll

Education – working together to provide

training and support for non clinical staff

PPG – Joint meeting of PPG

representatives working on reducing

DNA’s

LES/DES – Major success – established

Super Users, share template

management, setting up protocols etc

Sharing Staff Two surgeries employ one person to

manage LES/DES reporting Bookkeeping service provided by one

Surgery for 3 Surgeries Payroll managed by one surgery for two

surgeries One surgery provides locum GPs for other

surgeries Three surgeries manage prison contract

HR Support contract with AP Partnership –

available for all Federation Practices Pat Testing contract – available for all

Federation Practices Agreed sick pay policy Reviewed staff pay Staff/skills audit Sharing best practice Benchmarking Sharing financial data Sharing knowledge

Working as a Locality to deliver over 75’s

£5 per patient

Working as a locality to manage the loss

of revenue regarding restructure

PMS/GMS

Apprentice scheme

Considering sharing Management Skills

across the 6 practices

Considering reducing sites