Helen R McGeown
Imperial College London, London
Posters & Accepted Abstracts: J Gen Practice
This study sought to identify factors contributing to the success of London GP practices rated by the Care Quality Commission (CQC) as �outstanding�. It explored how services are delivered by these practices, using immunisation services as an illustrative example. Data was collected and analysed between February and June 2016. Of the 9 practices rated by CQC as �outstanding�, 7 consented to interviews. Interviews were predominantly carried out with practice managers, with 5/7 interviews including additional staff members (GPs, nursing partners, and managerial staff). All participants were asked �what makes your practice, outstanding?�, with exploration of responses using open questions. Questions were also asked about immunisation delivery. Interviews were conducted and audio-recorded by an academic GP trainee with Masters-level training in qualitative methods. Transcripts were thematically analysed in an iterative manner using principles of grounded theory. Findings provide valuable insights into the often innovative, ways by which successful practices deliver high quality care. Themes will be discussed in detail, and can be grouped under the headings: o �patient-centred care�, o �creativity and innovation� o �positive working environments�, o �looking ahead�, and o �looking around� Forward planning and a patient-centred approach emerged as key themes. However, equally important was the maintenance of positive and stimulating working environments, and promotion of meaningful collaborative relationships within and between practices, and with community stakeholders. Provision of support for staff and promotion of their wellbeing must not be neglected at the risk of negatively impacting patient care.
Email: hrmcgeown@gmail.com
Journal of General Practice received 952 citations as per Google Scholar report