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RCGP Bright Ideas, 'Pioneer' Award winners 2019
RCGP Cluster Innovation Award winners, South Powys Cluster 2019

Total Nurse Triage  

Following the introduction of the successful Nurse Triage service for on the day appointment requests across South Powys practices, Haygarth Doctors extended this service to incorporate TOTAL NURSE TRIAGE for all appointment requests (urgent and routine) from February 2017. The success of this pilot was unprecedented, ensuring that each patient always sees the most appropriate clinician within a suitable timescale, and that access was improved for all patients. Within two months routine waiting times fell from 1-2 weeks to within 48-72 hours for most appointments. All routine appointment times were increased from ten to fifteen minutes, allowing GP's to spend more time with co-morbidity and complex patients. Patients receive continuity of care by being followed up by the same practitioner, and it has allowed the highly trained Practice Nurses to enhance and extend their skills and roles within the team. Patient feedback has been largely positive with waiting times reduced and patients often pleased to have avoided an unnecessary visit to their GP for a problem that has been dealt with through triage. Current figures show an average of 40% of patients requesting a routine appointment have been signposted to other appropriate services. 13% of patients require advice only notably, 7.38% (99 patients) who have requested a routine appointment, but when triaged the Nurse felt the patient needed to be seen more urgently, having their appointment expedited, thus ensuring they have received the best quality of care.

Scheduled Triage Report