The Exceptional Potential of Each General Practice Dr

The Exceptional Potential of Each General Practice Dr Niall Maguire Navan

Bedford Medical Centre , Navan

The Exceptional Potential of Each General Practice • Rural vs Urban • Core vs Enhanced Practice • The Primary Care Surgical Association • Barriers to Enhanced Practice

The Exceptional Potential of Each General Practice • Rural vs Urban • Core vs Enhanced Practice • The Primary Care Surgical Association • Barriers to Enhanced Practice

The Health Park, Waterford City

European level population density- Stable Night Lights International Institute for Applied Systems Analysis (IIASA)

Census 2011 Population density AIRO NUI Maynooth Navan Urban (3, 168)(1789/km 2) Navan Rural (26, 657)(453/km 2) Castletown Kilpatrick (1, 017)(29. 5/km 2)

Census 2011 Cities and suburbs Towns with population greater than 10000 Towns with population 1500 -9999 Towns with population less than 1500

General Practice by Fionn Mc. Cann

The Exceptional Potential of Each Consultation. (Stott, Davis 1979) Health promotion Acute Illness Chronic disease Modifying Help Seeking Behaviour

The Exceptional Potential of Each General Practice • Rural vs Urban • Core vs Enhanced Practice • The Primary Care Surgical Association • Barriers to Enhanced Practice

Grange Clinic, Donaghmede

The Exceptional Potential of Each Consultation. (Stott, Davis 1979) THE CORE ELEMENTS Health promotion Acute Illness Modifying Help Seeking Behaviour

The Exceptional Potential of the GP Practice Occupational Health Screening Prison medical Aeromedical Enhanced Practice Acute Illness Events Medicine Travel Medicine Sexual Health Addiction Psychotherapy Community Surgery Emergency services

The Exceptional Potential of the GP Practice NIDDM 430 COPD 252 Acute Illness Asthma 679 IHD Chronic disease Hypertension 1452 Gout 260 Hfe. HC 52 Neuro/Psychiatry. . . Prevalence Bedford Med Centre, Navan

The Exceptional Potential of Each General Practice • Rural vs Urban • Core vs Enhanced Practice • The Primary Care Surgical Association • Barriers to Enhanced Practice

Ardfert Medical Centre

The Exceptional Potential of Each General Practice • Rural vs Urban • Core vs Enhanced Practice • The Primary Care Surgical Association • Barriers to Enhanced Practice

270 House calls 2, 500 Repeat Prescriptions 2, 700 Telephone Consultations 5, 900 Consultations

270 House calls 2, 500 Repeat Prescriptions 2, 700 Telephone Consultations 5, 900 Consultations CDM

270 House calls 2, 500 Repeat Prescriptions 2, 700 Telephone Consultations 5, 900 Consultations CDM AUDIT

Hi. QA Medical Council CDM PCT Meetings 270 H ouse calls 2, 700 Telephone Consultations ns io pt cri es Pr at pe Re 5, 9 00 su on C 00 2, 5 s ion t a t l AUDIT

GPs/100, 000 population Eurostat 2012 180. 0 160. 0 140. 0 120. 0 Denmark 100. 0 Ireland France 80. 0 Netherlands United Kingdom 60. 0 40. 0 2002 2003 2004 2005 2006 2007 2008

Hospital Physicians/100, 000 population Eurostat 2012 80. 0 70. 0 60. 0 50. 0 Denmark Ireland 40. 0 France Netherlands United Kingdom 30. 0 20. 0 10. 0 2002 2003 2004 2005 2006 2007 2008 2009

Abbey House Medical Centre, Navan

Hospital GP Doc. Pay Doc Pension Accomodation Equipment Nursing Admin

Productivity. Bedford Medical Practice 2005 -2011 8 7 GMS list 1000 s 6 5 4 3 Total Practice Income € millions 2 1 0 6 2005 6 2007 6. 5 2008 7 7 2009 7 2010 7 2011 No of GPs employed

Health gain as Investment Increases Investment >>>> Cost as Availability Increases Availability >>>>

The rural GP

Outstanding in his own field