Table 2.
Practices, facilitators, project topics and outcomes
| Practice Name (List | Local Health | Facilitator | PPDP Process (number of participants per | PPDP Topic |
| Size) | Group (Health | workshop in brackets) | Outcomes | |
| Authority) | ||||
| North Cardiff Medical | Cardiff (BroTaf) | NHS-SCW | 5 PPDP sessions: 2 extended group | Management of COPD and leadership development. |
| Centre (13,000) | meetings (31,27), one visit to neighbouring | Established a COPD register using British Thoracic Society protocol. | ||
| practice (16) and two core group meetings | Improvement of the team's knowledge and skills in COPD and development of | |||
| (8,9). | clinical leadership within the practice. | |||
| Ynysangharad Surgery | Rhondda Cynon | NHS-SCW | 5 PPDP sessions: 4 extended group | Improvement of patient waiting and time management. |
| (2,850) | Taf (Bro Taf) | meetings (11,10,10,11), one practice group | Computerised appointments and patient call system. Efficiency gains for | |
| meeting (8). | patient management and access. | |||
| Pontcae Surgery (9,430) | MerthyrTydfil | NHS-SCW | 3 PPDP sessions: 3 core group meetings | Planning processes discussed by partners and manager. |
| (BroTaf) | (5,6,6). | Increased knowledge regarding strategic planning and policy development that | ||
| led to the establishment of clinical leadership within the practice and an | ||||
| acceptance of the need to work with differing leadership styles. | ||||
| Stanwell Road Health | Vale of | NHS-SCW | 1 PPDP session: extended group meeting | Project suspended because of staff illness: no topic chosen |
| Centre (9,157) | Glamorgan (Bro | (22). | ||
| Taf) | ||||
| Kings Road Surgery | Cardiff ((Bro Taf) | NHS-SCW | 5 PPDP sessions: 3 core group meetings (7, | Clinical data management. |
| (5,650) | sponsored) | 7,7), and two visits to neighbouring practices. | Direct entry of systematised data regarding clinical processes within | |
| consultations. Improved data management and use of audit and feedback | ||||
| techniques to improve clinical systems. | ||||
| MeddygfaTeilo (9,000) | Carmarthenshire | NHS-SCW | 5 PPDP sessions: 3 extended group | Enhancement of information standardisation and team use of clinical database. |
| (Dyfed Powys) | meetings (22,16,16), one core group (9) and | Improvement of existing high quality information management systems by | ||
| one visit to neighbouring practice. | provision of training in data quality and management for all members of the | |||
| practice. | ||||
| Tan-y-Fron (5,500) | Ceredigion | Pi | 5 PPDP sessions: 4 extended group | Improvement of a repeat prescribing system. |
| (Dyfed Powys) | Associates | meetings (12,12,13,11) and one core group | Organisation-wide protocol agreed to improve the effectiveness and safety of | |
| (3) meeting. | the repeat prescribing system, linked to the introduction of weekly meetings | |||
| involving practice-based and Community Trust staff. | ||||
| Winch Lane Surgery | Pembrokeshire | NHS-SCW | 5 PPDP sessions: 3 core group meetings | Application for Quality Practice Award. |
| (12,800) | (Dyfed Powys) | (6,8,9) and two sessions providing personal | Development of specified quality systems to meet the Quality Practice Award | |
| evaluation feedback to participants. | criteria and assessment of the leadership styles and team roles of selected | |||
| professionals. | ||||
| LlanfairCaereinion | Powys (Dyfed | Pi | 5 PPDP sessions: 3 extended group | Development of practice integration and communication |
| (4,800) | Powys) | Associates | meetings (24,19,24) and two core group | Outcomes: Introduced regular non-medical staff meetings, and Partner and |
| meetings (5,5). | Practice Manager meetings. Appointing a new General Manager | |||
| Morrison Road Surgery | Neath Port Talbot | Hammond | 4 PPDP sessions: 4 extended group | Generic organisational development discussions. |
| (4,600) | (Morgannwg) | Irvine | meetings (11,11,11,11). | Developed ideas for the future of the practice and designed ways to improve |
| staff management and training. Efficiency gains and improved patient access | ||||
| by modifying the appointment systems. | ||||
| Victoria Road Surgery | Bridgend | Pi | 5 PPDP sessions: 3 practice group meetings | Search for solution to lack of space and high workload. |
| (2,400) | (Morgannwg) | Associates | (9,9,9) and two core group meetings (2,2). | Multiprofessional involvement in problem solving. Solutions identified (new |
| premises and enhanced roles for primary care staff) but no follow up support | ||||
| from health authority. | ||||
| Gower Group Practice | Swansea | NHS-SCW | 4 PPDP sessions: 4 extended group | Enhancement of information management systems |
| (6,255) | (Morgannwg) | meetings (14,14,12,12). | Structured data collection systems designed in two clinical areas (diabetes and | |
| contraception) and attention given to high-risk patients identified by data audits. | ||||
| Kinmel Avenue Surgery | Conwy (N Wales) | NHS-SCW | 5 PPDP sessions: 1 extended group | Practice computerisation. |
| (13,500) | meetings (23), two core group (9,7) and two | Skills development for both clinical and ancillary staff and clinicians and | ||
| visits to neighbouring practice. | significant enhancement of the use of information technology and | |||
| communication within the organisation. | ||||
| Bronyffynnon Surgery | Denbighshire (N | NHS-SCW | 5 PPDP sessions: 3 extended group | Improvement of practice premises. |
| (5,200) | Wales) | meetings (16,14,14), two core group | A commissioned architectural audit of the current and potential facilities leading | |
| consultation with architect. | to a collaborative approach to the development of improved use of space for | |||
| clinical processes. | ||||
| Caerffynnon Surgery | Gwynedd (N | NHS-SCW | 5 PPDP sessions: 5 extended group | Care pathway for patients with terminal illness. |
| (4,800) | Wales) | meetings (12,12,12,12,12). | Development of a whole team understanding of cancer care via case history | |
| reviews and patient pathway mapping which led to planned sessions of specific | ||||
| training and skills development. | ||||
| Regent Street Health | Wrexham (N | McEwen | 3 PPDP sessions: 3 extended group | Generic organisational development and protocol development. |
| Centre (8,150) | Wales) | meetings (13,13,13). | Increased emphasis on developing collaborative practice systems and | |
| improved communication between team members to develop specific clinical | ||||
| protocols. | ||||
| Cambria Surgery (5,200) | Ynys Mon (N | McEwen | 2 PPDP sessions: 2 extended group | Coronary heart disease and hormone replacement clinics. |
| Wales) | meetings (17,15). | Patient cohorts identified in order to implement a proactive system of | ||
| information provisions (patient leaflets), triaged contact, improvement in data | ||||
| collection and internal communication. | ||||
| Padeswood Road (5800) | Flintshire (N | McEwen | 3 PPDP sessions: 2 extended group | Improved practice communication and time management. |
| Wales) | meetings (16,16) and one visit to | Regular practice meetings introduced and patient liaison group established. | ||
| neighbouring practice. | Staff attendance at stress management course and the introduction of a | |||
| counselling service to selected bereaved patients. | ||||
| Chippenham Surgery | Monmouth | NHS-SCW | 5 PPDP sessions: 5 extended group | Multiprofessional collaboration to develop intermediate care proposal. |
| (11,000) | (Gwent) | meetings (92,92,14,9,12). | Development of a multiprofessional collaboration to establish an intermediate | |
| care proposal, integrating health and social care in Gwent. | ||||
| Cwmbran Surgery | Torfaen (Gwent) | Internal | 3 PPDP sessions: 3 extended group | Care pathway for diabetes mellitus |
| (6,800) | meetings (16,10,10). | Development of a multiprofessional pathway for the management of chronic | ||
| disease and identification of training needs. | ||||
| Glan-yr-Afon Surgery | Blaenau Gwent | None | PPDP process not initiated | |
| (3,564) | (Gwent) | |||
| Ty Bryn Surgery (10, | Caerphilly | None | PPDP process not initiated | |
| 561) | (Gwent) | |||
| Bellevue Surgery (11, | Newport (Gwent) | None | PPDP process not initiated | |
| 804) | ||||
key for PPDP sessions (one session approximately equivalent to 3-4 hours) E Extended General practitioners, employed staff plus others, for example, Community Nurses and Health Visitors, Community Pharmacists, Social Workers, Occupational and Physiotherapists. P Practice General practitioners and employed orattached staff based in the practice. C Core General practitioners, Practice Manager and Practice Nurse. (Pi Associates, NHS Staff College Wales (NHS-SCW), Hammond and Irvine and Ewan McEwen are the organisations that provided the PPDP facilitation skills.