Improving Patient Care and Reducing GP Appointments

Transforming patient care with Maiya: Mr T's journey, optimising treatment of multiple conditions, reducing the number of GP visits and improving efficiency

Mr T is a 54-year-old man with hypertension, gout, epilepsy and chronic depression. He takes ramipril, Keppra, allopurinol and sertraline.

 

His birthday is in June and he is called by the practice for a blood pressure check and blood tests.

 

In September he runs out of his sertraline and is called for a GP review.

 

In December his Keppra runs out and he has an epilepsy review with his GP. The GP realises his allopurinol hasn’t been monitored, as the HCA in the summer wasn’t aware that he needed this, so in January he has some more blood tests.

 

His sertraline is reviewed again by a GP in February.

With Maiya’s help the following year Mr T is invited in August and has blood tests for ramipril and allopurinol. He indicates that his epilepsy is well controlled, and his depression score (PHQ9) also shows he is well controlled.

 

The GP who signs off the review wishes him to be review in 6 months. In February is depression score shows moderate depression and Maiya arranges for him to have an appointment with a mental health practitioner (or PA).

 

Maiya has reduced the number of HCA appointments by 1 (2->1), eliminated the need for a GP appointment at all saving 3 at the cost of an ARRS role.

 

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Case Study