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Contents • Present position • Problems • Proof • Possibilities • Proposals • Plan
Farhana Imran Business Plan 2
Present Position • The practice has 3 full time doctors, 2 nurses and 13 support staff (organisation chart). • The practice provides a full range of high quality primary healthcare services including counselling
and well woman (website: www.upstairs-surgery.co.uk)
• The practice area lies between A12/Eastern Avenue and Chadwell Heath Lane (practice leaflet) • The role of the business manager is to support the doctors in the delivery of high quality primary
care by looking at all systems and processes which impact the finances of the practice (handout)
Farhana Imran Business Plan 3
Practice population profile
Farhana Imran Business Plan 4
<1617-2425-3435-4445-5455-6465-84>85
WhiteMixedAsianBlackChineseOther
Problem • No practice manager, introduction of business manager • Issues on optimal use of:
– Health checks – Medical Forms – Extended Hours – Directed Enhanced Services (DESs) – Roles & Responsibilities of support staff, long-term
sickness – Practice website & PPG
Farhana Imran Business Plan 5
Aims & Objectives • The report will research & investigate the current issues
concerning finances at the Practice
Farhana Imran Business Plan 6
Proof • Interview with the doctors to find out what DESs the
practice had signed up to revealed: • Interview with support staff revealed current roles,
sickness issues • Reviewing current process revealed practice has
provided services for which payment is pending such as: – Locum Cover – Extended Hours – Overtime
Farhana Imran Business Plan 7
Patient Participation DES Action Plan
Full version can be found on the practice website
Farhana Imran Business Plan 8
Possibilities • Practicality of the solution • Financial benefits • How it will affect staff
Farhana Imran Business Plan 10
Not quite 20% improvement in the financial position of the practice but …
Income for the financial year 2011/12 is £541,958.12 Proposal generates additional income of £82,606.32
An increase in income of 15.21%
Farhana Imran Business Plan 13
Executive Summary • Present Position In the last 15 years the NHS has been through major reorganisation changes which has led to the NHS having to save 20 billion pounds by 2015
• Problems Practice has provided services for which payment is pending Practice has not been able to complete DESs and LESs Skill mix of support staff needs to be addressed Procedures need updating
• Proof All processes which have a financial bearing has to be reviewed so that all possible services can be provided to the patients
• Possibilities Do nothing Part implementation Full implementation
• Proposal This will generate an income of £82,606.32 (Cost Benefit Analysis)
• Plan By applying Kaizen five S’s, the practice can share its work ethics with other practices, the partners will see higher financial rewards, a more productive staff and a higher quality of patient care.
Farhana Imran Business Plan 15