Practice Performance and Improvement Plans

This page is designed to provide patients information about how well the practice is performing against a set of key measures we have decided to record. These figures were principally designed to provide information for the practice manager to ensure that our resources are being used in the most effective ways to provide as good a service as we can with the decreasing funding we receive.

General practice has been suffering with chronic underfunding for many years and a there is a national shortage of GPs which is much worse in Sunderland. We are feeling the pinch along with many other practices around the UK nowadays. We want to be as transparent as possible and show patients that there’s much more going on in the background than just doctors and nurses seeing patients.

We understand that it can be very frustrating making appointments sometimes, but please understand that we are doing the best we can and only have a finite number of appointments we can offer.

This page is also to keep you up to date with any extra work we’re doing in practice to help better patient outcomes and use of resources.


Clinical Audits for 2018
Copd Trimbow Inhaler use
HRT reviews

Safety Audits (practice standard)
DMARDS, INR, Cytology, Childhood Imms, Friends and Family, Coils, medication reviews, PSA monitoring, Antiplatelet and Anticoagulation, Antibiotic use including long term, long term steroid usage, ACEi/ARB monitoring, UTI treatment compliance, Inhaler usage and compliance, Diabetic management.

There are certain checks that should be done regularly when on certain medications.  Please bear this in mind if we ask you to attend for bloods/reviews prior to your prescription as these safety checks are for your safety and are best practice.


Practice work on reducing Emergency Department Attendances

Appropriate Use of A&E

           When Should A&E be Used?

Examples of when it is right and appropriate to attend A&E without delay are:

  • Major injuries such as injuries from road traffic accidents.
  • Falls from a considerable height.
  • Major head injuries.
  • Collapse.
  • Severe breathing difficulty.
  • Severe chest pain.
  • Severe haemorrhage.
  • Poisoning.
  • Extensive burns

    When it is Inappropriate to Use A&E Services?

    Unfortunately, many people attend A&E with very minor problems. This makes it difficult for A&E staff to deal with the volume of cases, involves delays for patients and incurs some considerable costs. The following are examples of minor problems for which A&E attendance in not appropriate. Generally, if the person is unwell, but alert and speaking without impaired consciousness or severe breathing difficulty, then they do not need to attend:

  • Flu-like illnesses, coughs, earache, back ache.
  • Sore throats.
  • Minor breathlessness or wheezing.
  • Abdominal pain (unless extreme or associated with collapse).
  • Urinary difficulties (unless completely unable to pass water).
  • Vaginal bleeding (unless very heavy and associated with faintness).
  • Rashes (unless it appears like spontaneous bleeding under the skin or the person appears very unwell).
  • Backache.
  • Diarrhoea and vomiting.
  • Simple bites and stings.
  • Social problems.
  • Emergency contraception.
  • Dental problems (except major trauma).  

    Most pharmacies can also advise on minor illness and can provide medication to help you manage your condition yourself.

    Internet advice as well as the NHS link above, can help signpost you to local services.

    Out of hours NHS 111 can provide assistance for urgent medical problems or assistance with the treatment of minor illnesses and injuries. Further details on the web link below:

    We also have Practice Nurses and a Health Care Assistant who will advise patients.

    Patients with medically urgent problems will always be seen on the day.

    We urge patients to avoid unnecessary use of A&E and to contact the practice in the first instance. We are open between 8.00am and 18.00pm Monday to Friday, with extended hours access from 18.00pm to 20.00pm Monday to Friday and 8.00am to 16.00pm on Saturdays and 10.00 till 14.00 on Sundays.

    General Practice

    Such conditions can generally be safely managed by your GP, Nurse Practitioner, Practice Nurse, local pharmacist and in some cases the individual themselves.

We here at HYLTON are working hard to try and relieve the stress on our emergency services by educating patients on other services that are out there and talking to those who we find are using services inappropriately.

We are currently running monthly audits:

June-July 2018: 67 people attended the Emergency Department

Of those 21 were deemed inappropriate use of services – being seen for symptoms that can be managed by us, a pharmacist or self-treating for symptoms including:

Sore throat
Long standing knee pain
Long standing back pain
Sore mouth
3 left without treatment!!

Please remember to utilise other services before going to the Emergency Department.

Your NHS Thanks YOU.


2017/18 KPI’s

Again we have been very busy  this last year for our 5125 patients!!

266,305                                                   29,732
Prescriptions issued                           Face to Face Consults

 20,044                                                      14358
Tasks actioned                                     Clinical letters actioned

 4481                                                         1120
Lab reports actioned                         Patients Did Not Attend

 2615                                                          3522
Referrals actioned                              Triage Slots

618                                                            257
Triage Calls not returned                 Home Visits

 155                                                            74,032
Fast Track Referrals                           Calls answered from patients


2016/17 KPI’s

We’ve been very busy working for our 5,400 patients in the last 12 months!

278,889                                           54012
Prescriptions issued                  Face to Face Consultations

45400                                              38125
Tasks actioned                             Clinical letters actioned

10532                                               2419
Lab reports actioned                Patient (DNAs) Did not attend

1962                                                 1333
Referrals actioned                     Triage Slots

624                                                   356
Triage Calls not returned       Home Visits

Fast Track Referrals actioned

We hope that you will find these figures both interesting and enlightening.

We aim, starting this year, to do a month on month summary and again update you next year.

You will then see comparisons, year by year.




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