| TPP News Stories | SYSTMONE SUPPORTING THE WORK OF THE OUTSTANDING... REETH MEDICAL CENTRE

Reeth Medical Centre is situated in a small village near Richmond, North . In May 2015 a Care Quality Commission (CQC) report rated the practice as “outstanding” in four out of five categories.

Reeth Medical Centre is a single-handed GP practice run SHARED RECORDS by husband and wife team Dr Mike Brookes and Managing Reeth’s rural location creates difficulties Partner Marie Brookes. The practice has used SystmOne when meeting the needs of patients. since 2006 and they are incredibly enthusiastic about the Sharing clinical records in real-time using SystmOne was noted by the CQC’s report benefits it brings. Since Mike and Marie took over in 2008 as vital to good patient care. Community the practice has achieved maximum QOF points every year, services such as district nurses and the local out of hours service being able to view and has had a consistently high patient satisfaction rating. patient records allows a more joined-up approach to health and social care. Dr Brookes highlighted one example of how record sharing helped their work:

®® 96% of patients reported a good experience at Reeth Medical Centre, “It’s great to receive hospital compared to national average of 86% discharge letters electronically so soon after a patient has been ®® 97% of patients said they were able to have enough time with the GP discharged. This means that we last time they saw them, compared to national average of 85% can have any drugs that they might need ordered and ready for them.” ®® Reeth Medical Centre achieved maximum QOF points in 2014-15, only 6% of practices achieved the maximum. – MIKE BROOKES

He also finds that the decision support provided by SystmOne is extremely useful. It enables him to create protocols containing new guidance on conditions such as diabetes to ensure that the most up to date procedures are followed during appointments.

8 TPP Times Issue 79 - December & January 2015/2016 | TPP News Stories |

PATIENT EMPOWERMENT PALLIATIVE CARE

One of the key findings of the CQC report this test is completed, the results are then Reeth is focused on providing excellent end- was how the practice partners were always sent back to SystmOne. of-life care. The CQC report highlighted the exploring new ways to improve their services He was clear about the benefits this work that the GPs at the practice were doing and provide an even more positive patient process brought: in response to the “Find Your 1%” campaign experience. Increasing patient aimed at addressing the wishes of the 1% empowerment has been one method the “Without SystmOne, to go of the population that are on the Liverpool practice has used in order to give patients a through the same process would Care Pathway (LCP) each year. SystmOne more positive experience. involve printing out and filling in supports the practice through the LCP the X-Ray request, faxing this template which can be shared across all “Nearly 20% of our patients are request to the hospital, receiving relevant organisations, ensuring that there signed up to SystmOnline, so they the X-Ray report back via fax, is a continuation of care across every service can book appointments and order scanning it back into the computer involved. their prescriptions online. and then allocating it to the patient The practice has also taken initiatives Considering the age demographic notes. With SystmOne, it just takes such as publishing an article in the local here I think that means we have a a few online clicks on the X-Ray newspaper about the importance of making lot of ‘silver surfers’!” request. This is then sent automati- advanced decisions for patients likely to cally to the hospital, and when the require palliative care. As a result of this – MARIE BROOKES result arrives back in SystmOne it proactivity, 1.5% of the practice list has an is immediately filed with the patient advanced directive or a community ‘Do Not Reeth Medical Centre was praised by the notes. This is all completed within Resuscitate’ (DNR) order in place. This CQC for how proactive they were at 24 hours.” means that if a patient is taken into a understanding, and delivering care, that met hospital the staff there can see the DNR the differing needs of patients. With 30% of – MIKE BROOKES order through the summary care record, and their patient list over 65 years of age, can then act according to the patient’s coming up with effective ways to treat the SystmOne is also used to make sure wishes. elderly is vital, and SystmOne is integral to that the appropriate drugs are prescribed to providing these services. patients. For example, Reeth has used the “The cornerstone of effective palliative Dr Brookes said that one example is system to identify elderly patients currently and end of life care is good communication with testing for Deep Vein Thrombosis on benzodiazepines, which are not between patients and the multiple (DVT). They can perform an initial test for recommended for the over 60s, so that organisations assisting them, which blood clotting issues at the practice, before they could be offered a managed SystmOne allows us to achieve.” requesting an ultrasound from the hospital withdrawal. through SystmOne to diagnose DVT. When – MIKE BROOKES

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