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Developing the workforce in GP practices to deliver effective services

By: Riaz Jetha | Post date: 20/12/2017 | Time to read article: 1 mins

The information within this article was correct at the time of publishing. Last updated 14/11/2018

Can you explain how you have structured your collective workforces to deliver the most effective service?

Dr Riaz Jetha, a GP in a South Lewisham Group Practice, discusses how GP practices can develop existing resources when structuring the workforce.


Working at scale can offer really good opportunities for being flexible with your workforce, being able to innovate, and I’d resist the temptation of being pulled in by all of these new trendy career titles, such as Care Navigators and Physicians Associates. I think it’s better to actually look at what you currently do in your surgery and base that, and use that as a foundation to work out what you actually need and need to develop in-house. The most recent examples I have from my own experience are that we have created roles for clinical pharmacists. They’re fantastic and really good value for money. Not only can they streamline our prescribing processes they can also take on the management of a lot of chronic diseases leaving the GPs and nurses to deal with the more complex cases. We’ve had great successes with developing our healthcare assistants, they can do most tasks that nurses can do now, because they’re really linked in with the local community they know patients really well and they really welcome the opportunity to grow themselves. And lastly, receptionists have been a real revelations, they’re a real untapped resource. What we’re doing at the moment, is using our receptionists as part of the team of the on-call doctors so that they can navigate patients, ensure patients are going to the right doctor for the right problem, performing simple tasks. We’ve got lots of receptionists in our surgery and they’re a real resource which I think everyone could tap into and use more effectively.

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Riaz Jetha Medical Protection Expert

Riaz Jetha

Riaz Jetha has been a GP for 17 years and is currently his CCG’s clinical lead for working at scale. During his time as a GP he’s developed expertise in organisational development, working with both individual and groups of GP surgeries, out-of-hours organisations and CCGs.

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