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The Cornwall Road Medical Practice
3 Frederick Treves House
St John Way
Dorchester
DT1 2FD
01305 251128
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Improving Practice General Practice - Assessment Questionnaire

November 2008 Cornwall Road Practice Dorchester.

 

The partners and staff have reviewed the findings of the GPAC report and compared the results with those from the previous year.

 

We thank all patients who took the time and trouble to complete questionnaires.

 

We were pleased to note that for almost every category we were at, or above, the national mean.

 

The only category where this was not so was question 4b for the ‘availability of a particular doctor’.  However the ‘availability of any doctor’ was higher than the mean.

 

We were pleased to see that patients value the ability to speak to a doctor on the telephone as we now have arranged dedicated time for telephone consultations.

 

Almost all the parameters that reflect the quality of the consultation itself were on, or above, the mean suggesting that while patient may not have found it easy to see the doctor of their choice, the doctor they did have consultation with proved highly satisfactory.

 

We also reviewed the free text observations, and were pleased to see that the whole team from receptionists through to nurses and doctors received a large number of positive comments

 

On several occasions friendliness of the staff and doctors was mentioned and there was much appreciation of our new premises, improved physical access and pleasant environment - though some wanted a hot drinks machine, this is something we have decided against on health and safety grounds.

 

The point about ‘availability of a particular doctor’ was made. However, when asked about areas for improvement “to see my own doctor but to be honest or other doctors I have seen our great and so it is not problem" seems to put the shortcoming into perspective.

 

There were some comments about the wish for Saturday morning surgery. This has now been addressed by the ‘Extended Hours Initiative’; in fact the uptake of these appointments is low.

 

We recognise the continual tension between Access and Continuity of Care. In this practice where a number of the doctors are not full time this can be a particular challenge. However, over 60% of patients said they are usually seen on the same or next working day. We do allow appointments to be made well in advance so a patient who wishes to see a particular doctor can choose to wait to do so. The option to see one of his or her colleagues sooner is always available.

 

60% of respondents reported usually waiting 10 minutes or less and only 5.5% had to wait more than 20 minutes. Because of this we feel our appointment system is generally working well.  We do accept that there will always be occasions when the complex needs of some patients may lead to some delays for those waiting to be seen after. The free text comments indicate that our patients are willing to accept that.  As one commented "I might need the extra time some day"

 

Review of last year's actions.

 

We now have late-night opening one evening a week and at least one Saturday morning surgery each month for those who find routine surgery times difficult.

 

We have an Information Guide working in the practice one morning each week demonstrating the range of health information resources available using a dedicated computer terminal.  This terminal is also available for patients to use themselves to view a variety of highlighted high-quality health information resources.

 

The practice website has been completely redesigned. This too will help patients have good information about the practice and the services we offer as well as signposting internet based information.

 

This year's actions

Individual doctors will take these findings to meetings with their peer appraisers.  The practice is continuing to work to lessen our reliance on locums (halved this year), and so achieve improved continuity of care by the Team

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