Transcript glasgow drug problem service dr. jane jay, frcp gdps

GLASGOW DRUG
PROBLEM SERVICE
DR. JANE JAY, FRCP
GDPS
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Established 1994
To support GP shared care scheme
1500 referrals per annum
GP referral only
Harm reduction and stabilisation
GDPS, 1999
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Loss of focus
Dysfunctional team
Demotivated and deskilled
All Chiefs (no Indians)
Waiting times 6 months +
HOW TO ELIMINATE WAITING LISTS
HOW TO GO FROM 60 TO ZERO IN 2
YEARS
KNOW YOUR PATIENT
• 28 years old – heroin injector
• Addicted since 14
• Imprisoned for 7
• Needs urgent treatment (carpe diem)
KNOW YOUR STAFF
• Clinical capacity – clinical review
• Delegation - parallel processing
• Change the skill mix
• Identify training needs
• Process mapping to eliminate unnecessary steps
KNOW YOUR DATA
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Annual referrals
Waiting times
Weekly clinical activity
New to return ratio
DNAs
Discharges
Critical path analysis
GDPS,2003
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Career pathway (PDP/APPRAISAL)
Enthusiasm
Flexible – embrace change
Rapid response
Appropriate skill mix and new blood
Communication
Operational meetings