GP Access in Haringey: Learning from GP practices to help improve services

Healthwatch Haringey wanted to explore what was needed to achieve improvements in patient access to GPs. We were keen to understand the specific challenges and then consider some recommendations which fit with the reality of GP services.

Key outcomes we wanted to achieve with the project

  • Facilitating knowledge exchange to share learnings and approaches which create safe environments for patients in Haringey.
  • Encouraging appropriate language and communication to create a welcoming environment for both patients and staff via learning from tools and approaches utilised by other practices in Haringey.
  • Scoping out how GP practices in Haringey can diverge substantially from one another based on the different situational challenges that they face.
  • Working with GP Practice Managers and staff to co-produce practical solutions to the improvement of patient experience.
  • Supporting GP practices in Haringey to provide patients with accessible information regarding staff roles and responsibilities that is inclusive of different needs.
  • Facilitating roundtable discussions with several GP practices in Haringey for knowledge exchange and shared learning. 

Our research methods

This project is a follow-up to our previous research into themes of GP access and patient experience. This project was not designed to be another widescale study, but to focus on a few cases to encourage thinking across the borough’s GP practices. Hence, we focused on four practices.

We have kept it anonymous as:

  • The intent is to understand challenges without naming specific practices at this
    stage.
  • This project was an exploration rather than a performance assessment.
  • The project presents issues which practices have faced and are currently
    attempting to address. 

Interviews and Case Studies

The lead researchers conducted a series of semi-structured interviews and two case studies. We looked at a total of four GP practices.

Key themes

Key themes and insights from the interviews with Practice Managers and case studies of the GP practices

  1. Disparities in Haringey between the east and west of the borough.
  2. Improved telephone appointment experience.
  3. Staff wellbeing and development.
  4. Challenges in reaching seldom-heard communities and engaging patients.
  5. Misinformation and rumours about the practice.

I try and call, then when you try and call you find you’re twentieth in the queue. I think the last time I called I was literally number one, and I must have waited about ten minutes?! Imagine, you’re one in the queue and you’re waiting for ten minutes?! That’s not really good is it? 

Patient interviewee ZZ

Key recommendations

  • Strategic collaborations across the borough to improve patient
    experience.
  • Sharing best practice across the borough.
  • Disseminating good news stories.
  • Showcasing improvements.
  • Harnessing reflective practice for reception staff and clinicians.
  • Improving communication with patients, including patients whose first language is not English.
  • Ensuring clear information for patients regarding roles and responsibilities held by staff at GP practices in Haringey.

Downloads

GP Access in Haringey: Learning from GP practices to help improve services, November 2024

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