GP Enhanced Service - QI Workbook

QI Workbook Enhanced Service for 2019/20

The new contract for 2019/20 has now been issued by the Primary Care Contracts Team. We have a new Enhanced Service for the Workbook which we hope you will sign up to for the year ahead. It will be a project of your own practice choice again, which we will support through feedback, guidance, training and coaching.

The Contract can be accessed here. Please ensure that you complete the Project Proposal form, found here, and sent it back to our team at the QI Network email address.  This is due no later than the Friday 3rd May.  Our team will review them and give feedback to ensure you have a good project with a clear aim to help get you started.  We will soon be offering a Workshop for training and guidance on how to get started with your project, of which attendance is required by at least one member of the practice.

If you are struggling with an idea for your project, please get in touch as we have several project ideas which have been tested before and are ready to be rolled out further.

Cluster working guidance

Again we will be supporting cluster projects as well as individual projects.

  • We ask that cluster project proposals show evidence of local testing, where data so far highlights that the project is ready for scale and spread.

  • We also require that in cluster project proposals there is a designated leader (who does not have to be a CQL or PQL) who provides strategic  oversight throughout the project, and who attends the start of programme workshop.

  • Whilst there is a great opportunity for collaborative working in cluster projects, individual practices remain responsible for doing their own project work.

  • Finally, a cluster project proposal does not have to include all practices within a cluster, and we are supportive of practices working together who are not connected via a geographical cluster.

If you have any queries about doing a cluster project, please do not hesitate to contact Dr Lisa Carter or Dr Rebecca Green (click on their names to get an email link)


Quality Improvement Projects in Primary Care

We will soon be adding project posters to the below headings of recent Enhanced Service Workbook projects


Quality Academy Projects 2016-2018

PFQ Cohort 1

“But they do hand around in hospital discharge lounges” by James McCallum

“Streamlining ACP across the interface” by Carey Lunan

PFQ Cohort 2

“Better Management of regular attenders in PC” by John Hardman

“To reduce GP workload by optimising a process for general practice based pharmacist doing prescribing related tasks” by Andrew MacKay, Murray Rodin, Hamish Reid and Jo Smail

“Directing Docman” by Robin Balfour

“Neuropathic pain and prescription of gabapentinoids, a multidisciplinary approach” by Eddie Balfour

PFQ Cohort 3

“Using an online booking system as a means to limit receptionist when performing important patient-centre tasks” by Jeremy Chowings

“Frequent attenders in PC” by Elaine Duncan

“Plans to reduce delayed discharge waits for patients in North West Edinburgh locality” by David Hood

PFQ Cohort 4

“Understanding and addressing delayed discharge in Midlothian” by Allister Short

“Workflow management in GP” by Shelagh Stewart and Lynda Wilson

PFQ Cohort 5

“Management of complex housebounds patients” by David Boag

“Realistic Medicines reviews: Improving care home prescribing” by Jane Marshall

PFQ Cohort 6

“Will targeting frailty reduce admissions to hospital” by Sam Abushal

“Prescription headache” by Anthony Simon

PFQ Cohort 7

“Workflow optimisation in PC” by Julia Lutte

“Hypertension monitoring” by Drummond Begg

“Reducing uncollected tests” by Guy Dixon

“Mail management improvement to enhance resilicience” by Andreas Kelch

“A new model of care for frailty in Midlothian” by Iain Morrison


“Capacity and Demand” by Alisson Stewart



Joe Tay, Sighthill Medical Centre’s poster on Naloxone Training in General Practice

Joe Tay, Sighthill Medical Centre’s poster on Naloxone Training in General Practice