Measuring changes in GP workload guidance

The Lothian Primary Care Data Group has developed guidance to support practices with measuring change in GP workload when they introduce additional staff to the practice team, e.g. an AHP or Practice Mental Health Nurse. It is important to note that there is variation in the way GPs record consultation data, which can make measurement of GP workload difficult. Appendix 1 contains a guide for recording consultation data in Vision which was developed in conjunction with a GP and has been piloted by a GP Cluster.  Please note that this guidance was developed to help practices measure a change in workload. It is not guidance for a complete evaluation of the role of AHPs or Practice Mental Health Nurses in Primary Care as there may well be other benefits to their role that are not captured by this analysis.

Download here

Please email in the first instance if you have any queries regarding this guidance.


Detect Cancer Early - Good Practice Guide for Primary Care

The Good Practice Guide is designed to make it easier for busy practices to make small changes to improve, with a focus on sustainability and working with what is already in practice, building on existing resources and skills. Giving you the tools and guidance on how to start small to make a big difference.

This guide has been developed by the DCE team taking the learning from work done in primary care. By collating all of the “quick win” initiatives and tests of change that demonstrate best practice in engaging with vulnerable populations, the guide aims to facilitate and embed good practice across Lothian.

Feedback from everyone who uses it is welcome and vital in order to maintain its relevance and optimise the benefits that it can bring to General Practice. The DCE team will update the document in response to practitioners’ feedback, add new initiatives and share best practice to support quality improvement.

Find here

Referral to hospital - Leaflet guide

Midlothian GPs in conjunction with the Lothian Interface Group have developed a leaflet guide for patients being referred to hospital to help to explain what to expect.

The leaflet will aid to effective communication by answering the following questions:

1)What are the Benefits

2) What are the Risks

3) What are the Alternatives

4) What if I do Nothing

The letter can be personalised with the relevant HSCP logos for use in your own practice by clicking here.

Reducing demand for GP appointments

Recent work at Teviot Medical Practice in the Borders has seen up to a 5.5% reduction in all routine calls to reception and a 21% reduction in the routine GP appointment waiting time.

This work has recently been published and is available by clicking here.

Social Prescribing

St Triduana’s in Edinburgh have kindly shared social prescribing information documents. Click on the titles to download.

Useful Websites

Please feel free to email us if you have any suggestions for addition.

Kings Fund – English charity that shapes health and social care practice

ihub – Scottish resource supporting health and social care

IHI – institute for healthcare improvement – international US based organisation seeks to improve and health care world wide

The Health Foundation – UK charity supporting better health and health care for the UK

RCGP Quality Improvement -

East London Foundation Trust Quality Improvement Network -