Thank you all very much for responding to the survey that I and Drew Gardner carried out on the new GP appointment system introduced last November at Frome Medical Practice. It was important to help see what people were experiencing.
12% of respondents were satisfied – patients who have been able to get same day appointments or advice, and prefer not having to wait weeks to see their GP, or hours in the walk in clinic. The new system has significantly reduced missed appointments and ‘unnecessary’ appointments. 20% were neutral. However, 66% of respondents were unsatisfied. The biggest issues were with busy working people having difficulties having to be available to see their GP the same day, with an inability to make most appointments in advance, and with taking a callback while at work. Some have had trouble making an appointment at all. Other issues are long waiting times on the phone, concerns about telephone diagnoses, and that some people with mental health / anxiety issues found it more stressful. This is evidence of a significant strain on GP services, with a national and local GP shortage (due at least in part to GPs retiring, or otherwise leaving the country or the profession, and not being replaced), and NHS underfunding that is just not keeping pace with demand. Over the last 5 years, Somerset CCG has seen a 25% reduction in the number of GPs, and a 17% increase in demand for primary care (see a
Kings Fund report here, and
the Lib Dems report here). The Government knows about this and has not addressed it.
Frome Medical Practice recently carried out a review of their GP appointment system, and have made some improvements as a result. Please see the leaflet here – (
FMP Q and A). This will be publicised in the local newspapers (see Frome Times
here) and will be on the Practice’s website
here shortly. The leaflet states ‘”Following the introduction of Patient Connect we have listened to your feedback and made a number of changes to improve the service we offer. Also to support your use of Patient Connect we have compiled some top tips to help you access the right care, at the right time, with the right health professional. Many patients have told us how they have benefited from same day access and no longer needing to wait over 4 weeks for routine care. However, we understand that there are difficulties in getting the help or information that you need and we are working to resolve this”.
The Practice’s leaflet states the following improvements are being made:
• “We have recently increased the number of phone lines to help improve access into the system.
• We are working on a system to log all patient interactions with patient connect. If you have not managed to get an appointment for a routine or non-urgent condition after a few attempts, our Care Navigator team will be made aware of this and ensure you get the help you need.
• We are currently recruiting additional GPs and Nurse Practitioners to help deliver the best service possible.
• Our Care Navigators and Health Professionals are all receiving on-going training to help improve your experience.
• We are currently reviewing our automated phone messages and our website to provide clear information on what we offer to our patients.
• We will publish our Top Tips on how to use and get the best from the system in the local press, and our patient newsletter.
• We have increased the number of evening appointments between 6.30-8pm. This will mean that people who find it difficult to use our service during the day can be offered face to face pre-bookable appointments, subject to availability. Please speak to our Care navigators to book one of these.’
Please also see more information in the Questions & Answers and Top Tips in the attached leaflet (
FMP Q and A).
Please do let me know what you think.
Thanks to everyone who took the time to contribute their experiences to the survey – the point of it was to find out what people were experiencing and feed that back to the Practice so they could improve access. We hope it will do just that. If your experience has not improved, and you would like us to raise new issues, please do get in touch again.
THE APPOINTMENT SYSTEM AT THE FROME MEDICAL PRACTICE HAS IMPROVED BEYOND WORDS.
DURING THE LAST MONTH BOTH MY HUSBAND AND I NEEDED TO SEE A G.P ( NON URGENT)
THE TELEPHONE CALLS WERE ANSWERED QUICKLY AND APPOINTMENTS WERE OFFERED FOR LATER THE SAME DAY.
THANK YOU FROME MEDICAL PRACTICE AND
THANK YOU ADAM AND DREW FOR YOUR WORK.