Action Points: Primary Care Administration and IM&T

Action Points for the Competency Rating Scales

  • Use the last two months in practice to consider how you will go about familiarising yourself with admin and IT systems in your next practice. Where are the risks? What can you do to minimise them? Thinking about clinical governance and data handling. You’ll be able to discuss this at your first GP appraisal but will need to write down some learning points as evidence.
  • Please try to collect some evidence of competence you can do this in hospital practice. Examples might include discharge letters, referral letters, audit, etc.
  • Please think about how GP notes differ and how experienced GPs manage to make notes and sort things out in 10 minute blocks reflect on your current practice and how to change this on e-P.
  • You must focus on some entries whilst in hospital jobs as well which focus on the effect of quality of your note keeping and use of IT on the care of patients.
  • You need a variety of log entries demonstrating effective use of data, or the practice IT system, or issues about data entry and its effect on the consultation.
  • You must ensure your patient records are clear, concise and comprehensible. You need to demonstrate great attention to detail when undertaking prescribing. Look at the level of detail in your note, where could you be briefer, what bits need more details.
  • Consider how you might demonstrate this competence as learning log entries. An Audit is one way; adapting or adding new templates specific for the practice can be another way. Do you know how to make patient information on the computer only accessible to clinicians? Maybe something to learn and then add an entry in your e-portfolio about.
  • Consider how else you can demonstrate the use of IMT whilst doing hospital posts. (Hint – look at the third paragraph on the competent word pictures!).
  • You really need to concentrate on improving your written communication so that colleagues can understand what you think the problem is, what your management is and what you plan to do for follow-up to ensure patient safety. You have had advice about how to improve learning log entries – write up as word document, spell check and then copy and paste into your learning log. However, this is harder to do for patient records and you must continue to practise writing clinical records that are concise, accurate and understandable.
  • Learn how to use the GP clinical computer system (do an entry about this at the end of induction and again later) and undertake an audit or “QoF reflection” during ST1 GP post. This will give you several different log entries.
  • Mostly these are examples of good practice it is a positive achievement to have written so many linkable IMT entries in hospital but it will be important to plan the GP audit- early, KISSing it (Keep It short and Simple!).
  • Making good entries is only part of this skill – using them proactively in consultations and outside is another important area to demonstrate perhaps in CBDs or learning log entries.
  • You need more log entries not just to show quality but also to link and to show understanding of how to use IT for more than recording information.
  • Look to writing several entries showing other areas of IMT, QOF, Audit and perhaps use of past notes in current management.
  • Look at using online resources and PILs in consultations as well as for learning, diagrams as well as reflecting on innovative ways of communicating, phones, email, webcams, and the uses of computers in the surgery, text reminders recalls and scanning are but some ideas for you to demonstrate in COT or reflect on as log entries.
  • Not just keeping good records but using them proactively and trying to keep notes succinct but safe and useable to speed up consultations. When to abbreviate and cut corners in note keeping is another skill to learn, and demonstrate on e-P.
  • Look at the systems within GP for consultations, messaging and scanning of correspondence onto the record. Then reflect on these in log entries and discuss at C.B.D.
  • Would be good to look at some of the expanding areas, i.e. commissioning/risk tools/DES, etc. Perhaps see what’s going on and get involved.