Measuring changes in GP workload guidance

The Lothian Primary Care Data Group has developed the attached 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.  Finally, please be aware 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.


Primary Care Network Clinical Change Forum

The Quality Improvement Team held a well attendd and evaluated Primary Care Network Clinical Change Forum on the 25th of October 2018 at the Royal Edinburgh Hospital. Presentations from the event can be viewed using the links below.

If you are interested in attending future Clinical Change Forum events please email to ensure you are on the distribution list for event invites.

 1.      Pain management as a viable option to reducing opiate prescribing – progress and challenges on the development of a pain management pathway in NHS Lothian - Dr Caroline Cochrane

2.      Dashboard Data for Prescribing Improvement – Gareth Fitzgerald & Andrew Clarke

3.      Workflow Optimisation in General Practice – the MDT approach - Elouise Johnstone

4.      Attendances at RIE ED from Care Homes – Dr Lisa Carter



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.

The purpose of the leaflet is to give anyone who is being referred to hospital a guide on what to expect from the referral.

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.



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.



St Triduana’s in Edinburgh have kindly let us post examples of their really helpful social prescribing information documents. Have a look and see if there is anything you would like to use in your own practice. Click on the titles to download.

SP later life
SP carers
SP exercise
SP alcohol & drugs
SP chronic health condition
SP financial crisis
SP ALD & vulnerable adults
SP dementia resources
SP gambling
SP bereavement support
SP ethnicity
SP mental health
SP sexual health


Below are some links to QI resources, in no particular order.

Please feel free to email us at  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

Learn Pro – NHS modular education site University medical students QI forum and website