Facilitators and GPs from Queen Mary's Clinical Effectiveness Group (CEG) will present four major work programmes to delegates at the EMIS National User Group Annual Conference, taking place in London on 13-15 September.
Tottenham Hotspur Stadium - the venue for this year's conference.
The conference is attended by users of the EMIS clinical system, which is the most common system for managing electronic health records in a GP practice.
The CEG team will showcase the clinical effectiveness approach, demonstrating our resources and work with GP practice teams across North East London to improve population health. The four sessions focus on: Increasing physical health checks for people with severe mental illness, Improving demand and capacity management in general practice, Supporting vulnerable people including refugees and people who are homeless, and Optimising care for patients with chronic kidney disease.
Thursday 14 September, 10.05am, Stream 1 - EQ3. Karishma Bhuruth, Dr Michael Naughton.
People with a severe mental illness (SMI) are less likely to have their physical health needs met. They are also three times more likely to smoke, have double the risk of obesity and diabetes and a higher risk of cardiovascular issues than the general population. To address and prevent these problems, all patients with SMI should have an annual Physical Health Check.
With CEG support, all areas of North East London have improved their rates of SMI Physical Health Checks – some by more than 25% in one year. Karishma and Michael will showcase how we achieved this: through working with Mental Health Leads, Primary Care Networks and practices, and developing a suite of resources (including dashboards, templates and searches) with regular practice visits to help teams use the resources effectively. View this talk in conference programme.
Thursday 14 September, 4.00pm, Stream 1 - EQ3. Shazia Shahzad with Tom Margham of EQUIP, NHS North East London.
The pressures in accident and emergency services are immediately visible to commissioners and policymakers through almost real-time data. But primary care activity data is often only available for retrospective study and, even then, there are significant issues with data quality.
In partnership with North East London ICB Quality Improvement team, CEG has introduced an incentive scheme and package of support for practices that is improving the region’s understanding of GP practice activity. Join Shazia and Tom to learn how the data dashboard and standardised coding of roles and encounters are enabling practices to understand their own activity across the month and year, identify pressure points, and plan deployment of extra and existing staff. View this talk in conference programme.
Friday 15 September, 9.30am, Stream 1 - EQ3. Fae Wilkins with Dr Safia Akhtar of NHS North East London.
War, climate change, food shortages and disease outbreak are driving staggeringly high levels of migration across the world. On top of this, the ‘cost of living crisis’ is driving more people into poverty domestically, creating a cohort of vulnerable people with specific health needs.
To meet the health needs of vulnerable people effectively, CEG and NHS North East London have developed a smart clinical template that adapt to the health needs of the patient the GP is seeing. The template covers routine health care, mental health and wellbeing, vaccinations, safeguarding, language needs, signposting, and referral options. Join Fae and Safia to see what’s in the template, how North East London GPs are using it to support their most vulnerable patients, and the issues identified and resolved as part of delivering services across the region. View this talk in conference programme.
Friday 15 September, 2.00pm, Stream 1 - EQ3. Dr Michael O’Hanlon, Dr Chris Carvalho, Jayne Callaghan.
The impacts of undiagnosed chronic kidney disease (CKD) can be dramatic, with one study showing that lacking a coded diagnosis in the GP record was associated with an eight-fold increase in unplanned dialysis. Once diagnosed, numerous interventions can help to delay the progression of disease, but in the busy day-to-day of general practice it can be challenging to ensure CKD patients are monitored and on optimal medication to reduce their risks.
With input from the renal team at Bart’s Health NHS Trust, CEG developed ‘APL-Renal’ – a software tool that is helping GP practices in North East London to manage their CKD patients more effectively. The tool presents the information GPs need to diagnose CKD and make decisions about management in one, easy-to-use place. It lists patients who have recent blood test results within CKD ranges, prioritised by those with the greatest fall in their eGFR to quickly identify significant deterioration. Individual patient details can be expanded to display previous eGFR values, blood pressure, urine albumin creatinine ratio, antihypertensives, SGLT2 inhibitors and more. Join Michael, Chris and Jayne to see the tool in action and find out how it is being used alongside corresponding templates, facilitation visits and information sharing between hospital specialists and primary care. View this talk in conference programme.