Table 2 Practices, facilitators, project topics and outcomes

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)