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Using automation in PCN to reduce delays in patient access.

Improving access to patients within 4 GP Practices. - Chatbots innovatively booking appointments that get the patient to the right person at the right time. - Automation of managing blood test results.

Read comments 4
  • Proposal
  • 2023

Meet the team

Also:

  • Dr Mohsin Salahuddin
  • Annie Crowhurst
  • Erika Bowker
  • Richard Barnett
  • Patient

What is the challenge your project is going to address and how does it connect to the theme of 'How can improvement be used to reduce delays accessing health and care services'?

1)    We will use a conversational AI chatbot that will be integrated with the EMIS Health software currently used in GP surgeries. Patients can call the surgery and will be greeted by a friendly voice. The chatbot will guide the patient through questions on their symptoms, name, DOB & any relevant info required then the chatbot will offer next available appointment slots & book it in the system, instantly confirming it with the patient. The patient will be directed to the right person (e.g. physio, nurse) first time around without need to queue.

2)  We would use GP automate to file blood test results saving administrative and clinical time.  Patient will be able to get the result much quicker. This will save equivalent of minimum 12 clinical hours per day within our PCN, improve staff morale, reducing administration and releasing workforce to further reduce delays for our patients.

What does your project aim to achieve?

1)    Reduce waiting times and demand during peak hours, as highlighted in recent news articles regarding the new NHS GP contract and our own experience.

2) Patient being assigned to the correct pathway first time they call

3)  Free up clinician resource – improving access at a time when demand is going up required an increase in supply i.e. clinician time.  GP automate will provide this.

4) Free up non-clinical time

5) Improve patient satisfaction

How will the project be delivered?

Our PCNS are successful in piloting many new concepts e.g. trailblazers in running the BP@Home project.  We have senior sponsors who are committed to and would dedicate time to making the project work.  We would be supported by our Operational Manager who has a background in technology, innovation and EMIS. We are collaborating within 4 Practices our PCN who with all the Senior Partners and Practice Managers signing off on this bid.

Initially at a single surgery within the network to test and gather data on the effectiveness of the system. Then they will use this data to iteratively develop the system and improve the user experience for patients. We will be actively involving patients to understand their feedback and experience. The roll out to other surgeries will follow.  We anticipate significant growth helping transform the 8am rush to a seamless booking system that delivers quality care at speed.

How is your project going to share learning?

Within SASSE3 PCN we have a strong ethos of spreading project ideas which have worked.  This culminated in 3 different PCNs agreeing to share the same operational manager so we could test the implementation of tried and tested solutions in other services and share learning.  We will continue to do this and extend our learning across the Integrated Care System.  We would also be willing to present at national and local steering groups or primary care transformation boards etc to share our data and learning. We will also submit the proposal to international and national conferences on quality improvement for posters and awards.

We will offer our lessons learned for local adaptation and offer support to other areas who may want to develop this programme.

We believe that this solution has the potential to revolutionise the GP industry in the UK, and to making a positive impact on patients’ lives.

How you can contribute

  • As mentioned above, this would be initially done at one practice, where the system would be tested and adjusted as required, then this would be rollout to the remaining practices. All staff would potentially have an input to improve the system.
  • From the Q community:
  • • Is there anyone else doing something similar? It would be great to share ideas.
  • • Please provide comments and feedback on how we can make sure this is really effective.
  • • What skills do you think we will need?
  • • Are there any other ways we can share learning?
  • • Data-collection is a historic problem in this area. Does anyone have experience with this type of data-collection?
  • • Any experience with using technology within surgeries and could be shared with us will be appreciated.

Plan timeline

1 Jun 2023 Project initiation
1 Jul 2023 Data gathering and analysis
1 Aug 2023 Idea generation and testing
1 Oct 2023 Roll out to other surgeries

Comments

  1. Good to see an example of using automation to help manage workload in primary care.  I see a lot of scope for such work in my role as Innovation Manager for Kent Surrey and Sussex Academic Health Science Network and would be interested in discussing this project with you so we can help with sharing such new ways of working.

    1. We're equally excited about this project as it's so needed in Primary Care! We would also be interested to connect and learn from you if there are any similar projects/ pilots or if the AHSN could help us with sharing our learnings.

  2. Excited to see how this progresses, the proliferation of machine learning and AI is likely be a real aid for efficiency.

    Would be good to know what patient/staff engagement will happen as think this will be key to ensure it is effective for people using it, doesn't worsen the experience for patients and staff and is adopted.

    Will also be important to think about how to mitigate any impact on people who are less digitally literate or cognitively impaired.

    1. Thank you for your comment! Based on your comment, we have thought more about patient involvement in this project, so we can be guided by their feedback. It's a very good point, you've raised about the digital or neurodiverse exclusion. Not sure what we are going to do about it yet, but any advice would be very welcome!

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