GP–consultant liaison Southampton 2018

Abstract

BackgroundCollaborative working across primary and secondary care is crucial to providing quality, safe care.AimImprove professional understanding, foster deeper partnership, ignite opportunities for innovation and quality improvement (QI) with co-owned local solutions.MethodFifty-nine consultants and GPs were strategically paired to enhance working relationships. Pairs hosted and visited each other’s workplace. Anonymous reflections were analysed for common themes and celebrated in an evening of shared learning where the focus was on compassionate leadership and next steps.ResultsFeedback from 71 (60%) participants was scaled from 1 (least likely) to 6 (most likely). Individuals supported a regular primary–secondary care forum; weighted average score of 5.25, found the scheme useful (4.59), likely to take part again (4.83), consider new ways of working (3.85). Production of leaflets on psychological support for patients in hospital consequent to insight obtained from primary care were produced, directories of primary care secretary’s were shared and outpatient clinic letters to state ‘For Information Only’ or ‘GP Action Required’ were restructured resulting in substantial time and cost savings. The liaison improved morale and insight and built better relationships. Common themes from reflections revolved around compassion, collaboration, complexity, efficiency, and education.ConclusionThis scheme was an easy and enjoyable way to reconnect individuals and allowed professionals to learn about challenges we face within the NHS. As QI activity, the scheme resulted in simple local solutions for patients. It is a low-cost intervention that can be replicated within any organisation in the NHS. It needs a motivated and persistent individual driving the project forward.